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在一具泰国尸体的单侧手臂中,肱二头肌、肱肌长头、双副肱肌和Y形腋弓肌存在多处多余头部。

Multiple existence of supernumerary heads of the biceps brachii, coracobrachialis longus, dual accessory brachialis, and a Y-shaped axillary arch muscles in the unilateral arm of a Thai cadaver.

作者信息

Phuapittayalert Laorrat, Hipkaeo Wiphawi

机构信息

Division of Anatomy, School of Medical Sciences, University of Phayao, Phayao, 56000, Thailand.

Department of Anatomy, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.

出版信息

Anat Sci Int. 2025 May 12. doi: 10.1007/s12565-025-00845-2.

DOI:10.1007/s12565-025-00845-2
PMID:40353945
Abstract

While single or dual variations of the brachial muscle have been documented, multiple muscular variations in the anterior compartment of the arm are relatively uncommon. Therefore, we aim to report the multiple muscular variation in the anterior compartment of the arm. During routine dissection, we observe the muscular variations including supernumerary heads of the biceps brachii, coracobrachialis longus, double accessory brachialis, and axillary arch muscles in the right arm of a 92-year-old male Thai cadaver. These variant muscles were supplied by branches from the musculocutaneous nerve and brachial artery. The unusual course of these muscles was associated with the neurovascular bundle, which may increase the risk of entrapment of neuropathy. Furthermore, it is essential to understand these anatomical variations to improve surgical procedures in the brachial field.

摘要

虽然肱肌的单变异或双变异已有文献记载,但臂前区的多处肌肉变异相对少见。因此,我们旨在报告臂前区的多处肌肉变异情况。在常规解剖过程中,我们在一名92岁泰国男性尸体的右臂中观察到了多处肌肉变异,包括肱二头肌额外头、肱肌长头、双副肱肌以及腋弓肌。这些变异肌肉由肌皮神经和肱动脉的分支供血。这些肌肉的异常走行与神经血管束相关,这可能会增加神经卡压性神经病的风险。此外,了解这些解剖变异对于改进臂部手术操作至关重要。

相似文献

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Anat Sci Int. 2025 May 12. doi: 10.1007/s12565-025-00845-2.
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引用本文的文献

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Evidence regarding the coracobrachialis longus muscle: is it certain?关于肱肌长肌的证据:确定吗?
Anat Sci Int. 2025 Jun 11. doi: 10.1007/s12565-025-00856-z.

本文引用的文献

1
Unilateral accessory brachialis muscle and its functional significance: a case report of rare variation.单侧副肱肌及其功能意义:罕见变异病例报告
Surg Radiol Anat. 2023 Jan;45(1):11-15. doi: 10.1007/s00276-022-03053-z. Epub 2022 Dec 21.
2
A Proposal for a New Classification of the Supernumerary Heads of the Biceps Brachii Muscle.关于二头肌长头肌额外头的新分类提案。
Biomed Res Int. 2022 Apr 22;2022:1510363. doi: 10.1155/2022/1510363. eCollection 2022.
3
Accessory heads of the biceps brachii muscle: A systematic review and meta-analysis.
肱二头肌的副头:系统评价和荟萃分析。
J Anat. 2022 Aug;241(2):461-477. doi: 10.1111/joa.13666. Epub 2022 Apr 12.
4
A proposal for a new classification of the Coracobrachialis longus: A rare case or a new, distinct muscle?关于喙肱肌长头新分类的建议:罕见还是新的、独特的肌肉?
Ann Anat. 2022 Jan;239:151825. doi: 10.1016/j.aanat.2021.151825. Epub 2021 Sep 3.
5
Anatomy of the axillary arch: from its incidence in human to an embryologic and a phylogenetic explanation of its origins.腋窝弓的解剖结构:从其在人体中的发生,到对其起源的胚胎学和系统发生解释。
Surg Radiol Anat. 2021 May;43(5):619-630. doi: 10.1007/s00276-020-02605-5. Epub 2020 Nov 2.
6
The co-occurrence of a four-headed coracobrachialis muscle, split coracoid process and tunnel for the median and musculocutaneous nerves: the potential clinical relevance of a very rare variation.四头肱二头肌、叉骨劈裂和正中神经及肌皮神经隧道的并存:一种非常罕见变异的潜在临床意义。
Surg Radiol Anat. 2021 May;43(5):661-669. doi: 10.1007/s00276-020-02580-x. Epub 2020 Sep 26.
7
Chondroepitrochlearis and a supernumerary head of the biceps brachii.肱骨内上髁软骨和肱二头肌多余头。
Anat Sci Int. 2019 Sep;94(4):330-334. doi: 10.1007/s12565-019-00483-5. Epub 2019 Mar 12.
8
Re-visiting the brachialis muscle: morphology, morphometry, gender diversity, and innervation.重新审视肱肌:形态学、形态测量学、性别差异及神经支配
Surg Radiol Anat. 2019 Apr;41(4):393-400. doi: 10.1007/s00276-019-02182-2. Epub 2019 Feb 28.
9
The Role of the Axillary Arch Variant in Neurovascular Syndrome of Brachial Plexus Compression.腋弓变异在臂丛神经受压神经血管综合征中的作用
Cureus. 2018 Jun 25;10(6):e2875. doi: 10.7759/cureus.2875.
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Homo. 2016 Dec;67(6):484-491. doi: 10.1016/j.jchb.2016.09.004. Epub 2016 Oct 1.