肱二头肌远端不寻常的额外筋膜性滑脱:一种罕见的变异

IF 0.2 4区 医学 Q4 ANATOMY & MORPHOLOGY Journal of the Anatomical Society of India Pub Date : 2022-01-01 DOI:10.4103/JASI.JASI_97_20
Ritu Singh, Pooja Singh, R. Verma, R. Diwan
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引用次数: 0

摘要

肱二头肌基本上是一个强大的旋后肌。虽然关于肱二头肌变异起源的文献很多,但变异插入模式的报道很少。在这里,我们报告了一个病例,在55岁的防腐男性尸体的右臂上,除了通常的肱二头肌插入外,还发现了三个远端副腱膜滑移。两个滑脱发生于二头肌腱膜的外侧大部分,穿过肘窝,靠近肱动脉和正中神经,并附着于覆盖肱桡肌和旋前圆肌的深筋膜。第三副腱膜滑脱起源于肱二头肌腹部外侧,穿过肌皮神经浅表,附着于覆盖肱桡肌和桡长腕伸肌外侧边缘的深筋膜。这些额外的滑移可能影响肱二头肌的运动学,增加了神经血管综合征各种临床症状的鉴别诊断。
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Unusual additional distal aponeurotic slips of biceps brachii: A rare variation
Biceps brachii muscle is basically a powerful supinator. Although there is ample literature on variant origin of biceps brachii, variant insertion pattern was minimally reported. Here, we report a case, in which apart from usual insertion of biceps brachii, three distal accessory aponeurotic slips were found on the right arm of 55-year-old embalmed male cadaver. Two slips were arising from the lateral most part of bicipital aponeurosis traversing across the cubital fossa superficial to the brachial artery and median nerve and get attached to deep fascia covering the brachioradialis and pronator teres. Third accessory aponeurotic slip arises from the lateral side of biceps brachii muscle belly, traversing superficial to the musculocutaneous nerve and get attached to deep fascia covering the lateral border of brachioradialis and extensor carpi radialis longus. These extra slips may affect the kinematics of biceps brachii muscle and adds to the differential diagnosis of variety of clinical symptoms of neurovascular syndrome.
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来源期刊
CiteScore
0.40
自引率
25.00%
发文量
15
审稿时长
>12 weeks
期刊介绍: Journal of the Anatomical Society of India (JASI) is the official peer-reviewed journal of the Anatomical Society of India. The aim of the journal is to enhance and upgrade the research work in the field of anatomy and allied clinical subjects. It provides an integrative forum for anatomists across the globe to exchange their knowledge and views. It also helps to promote communication among fellow academicians and researchers worldwide. It provides an opportunity to academicians to disseminate their knowledge that is directly relevant to all domains of health sciences. It covers content on Gross Anatomy, Neuroanatomy, Imaging Anatomy, Developmental Anatomy, Histology, Clinical Anatomy, Medical Education, Morphology, and Genetics.
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