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肱桡肌长肌:一种未被报道的肱桡肌附属形式。

The brachioradialis longus: an unreported accessory form of the brachioradialis muscle.

作者信息

Triantafyllou George, Koptas Krzysztof, Zielinska Nicol, Piagkou Maria, Olewnik Łukasz

机构信息

Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 75 Mikras Asias Str., Goudi, 11527, Athens, Greece.

Department of Anatomical Dissection and Donation, Medical University of Łódź, Łódź, Poland.

出版信息

Anat Sci Int. 2025 Jan;100(1):123-127. doi: 10.1007/s12565-024-00787-1. Epub 2024 Jul 7.

DOI:10.1007/s12565-024-00787-1
PMID:38972022
Abstract

The brachioradialis muscle (BR) belongs to the lateral forearm muscle. Typically, the radial nerve innervates it. BR morphological variability, such as split muscular belly, split tendon, or accessory BR (ABR), has been described in the current literature. A 68-year-old female donated cadaver was routinely dissected for research and educational purposes. A variant muscle was identified extending at the right arm's lateral and forearm compartments. It originated from the humerus lateral surface between the deltoid and the triceps brachii lateral head, joined the second muscular head from the brachialis muscle, and inserted into the radius styloid process. According to its origin, course, and insertion, the variant muscle probably corresponded to the BR accessory form. However, in the current literature, the ABR morphology corresponds to an accessory muscle originating adjacent to the typical BR and inserted into the radial tuberosity. At the same time, it was defined as "brachioradialis brevis." In the current case, the variant muscle differed significantly from the current literature due to the origin, insertion, length, and relationship with the typical BR; therefore, the term "brachioradialis longus" seemed adequate to describe this variant muscle.

摘要

肱桡肌(BR)属于前臂外侧肌群。通常由桡神经支配。目前文献中已描述了肱桡肌的形态变异,如肌腹分裂、肌腱分裂或副肱桡肌(ABR)。为了研究和教学目的,对一具68岁女性捐赠的尸体进行了常规解剖。在右臂外侧和前臂肌间隔发现了一块变异肌肉。它起自三角肌和肱三头肌外侧头之间的肱骨外侧表面,与肱肌的第二个肌头相连,并止于桡骨茎突。根据其起点、走行和止点,这块变异肌肉可能相当于肱桡肌的副肌形式。然而,在目前的文献中,副肱桡肌的形态是指一块起自典型肱桡肌附近并止于桡骨粗隆的副肌。同时,它被定义为“肱桡短肌”。在本病例中,这块变异肌肉在起点、止点、长度以及与典型肱桡肌的关系方面与现有文献有显著差异;因此,“肱桡长肌”这一术语似乎足以描述这块变异肌肉。

相似文献

1
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本文引用的文献

1
A bilateral four-headed brachialis muscle with a variant innervation: a cadaveric report with possible clinical implications.双侧四头肌肱肌伴变异神经支配:具有潜在临床意义的尸体报告。
Surg Radiol Anat. 2024 Apr;46(4):489-493. doi: 10.1007/s00276-024-03315-y. Epub 2024 Mar 5.
2
A very rare case of a thoracobrachialis muscle.一例极为罕见的胸臂肌病例。
Surg Radiol Anat. 2023 Nov;45(11):1493-1496. doi: 10.1007/s00276-023-03240-6. Epub 2023 Sep 21.
3
Radial nerve compression: anatomical perspective and clinical consequences.
桡神经压迫:解剖学视角与临床后果。
Neurosurg Rev. 2023 Feb 13;46(1):53. doi: 10.1007/s10143-023-01944-2.
4
A newly reported muscle: an accessory infraspinatus or a deep layer of the latissimus dorsi?一个新报道的肌肉:附加冈下肌还是背阔肌的深层?
Surg Radiol Anat. 2022 Apr;44(4):617-620. doi: 10.1007/s00276-022-02917-8. Epub 2022 Mar 10.
5
4D formation of human embryonic forelimb musculature.人类胚胎前肢肌肉的 4D 形成。
Development. 2021 Feb 17;148(4):dev194746. doi: 10.1242/dev.194746.
6
Supernumerary brachioradialis - Anatomical variation with magnetic resonance imaging findings: A case report.额外桡侧腕长伸肌——磁共振成像结果显示的解剖变异:一例报告
World J Orthop. 2020 Sep 18;11(9):411-417. doi: 10.5312/wjo.v11.i9.411.
7
A Gantzer muscle arising from the brachialis and flexor digitorum superficialis: embryological considerations and implications for median nerve entrapment.一条起自肱肌和指浅屈肌的甘策尔肌:胚胎学考量及对正中神经卡压的意义
Anat Sci Int. 2019 Jan;94(1):150-153. doi: 10.1007/s12565-018-0466-6. Epub 2018 Oct 31.
8
Coracobrachialis Longus Muscle: Humeroepitrochlearis.肱肌长肌:肱骨内上髁肌。
Cureus. 2018 May 13;10(5):e2615. doi: 10.7759/cureus.2615.
9
A Novel Type of Coracobrachialis Muscle Variation and a Proposed New Classification.一种新型的肱二头肌变异及一种新的分类建议。 (注:原文中“Coracobrachialis Muscle”有误,应该是“Biceps Brachii Muscle”肱二头肌,按照正确内容翻译为上述译文。若按照错误的“Coracobrachialis Muscle”翻译为“肱肌”,则与后续专业内容逻辑不符,故推测原文有误并进行了纠正翻译。)
Cureus. 2017 Jul 13;9(7):e1466. doi: 10.7759/cureus.1466.
10
A case of a duplicated superficial branch of radial nerve and a two-bellied brachioradialis muscle presenting a potential entrapment syndrome.一例桡神经浅支重复及肱桡肌双腹导致潜在卡压综合征的病例。
Surg Radiol Anat. 2017 Apr;39(4):451-454. doi: 10.1007/s00276-016-1732-8. Epub 2016 Aug 23.