A very rare case of an accessory subscapularis muscle and its potential clinical significance.

Accessory subscapularis muscle Compression syndrome Lower subscapular nerve Quadrangular space syndrome Rotator cuff Subscapularis muscle Subscapularis tendon

Journal

Surgical and radiologic anatomy : SRA
ISSN: 1279-8517
Titre abrégé: Surg Radiol Anat
Pays: Germany
ID NLM: 8608029

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 27 05 2020
accepted: 07 07 2020
pubmed: 14 7 2020
medline: 20 7 2021
entrez: 14 7 2020
Statut: ppublish

Résumé

The subscapularis muscle is the largest muscle of the rotator cuff and its main function is internal rotation. It is morphologically variable in both point of origin and insertion. The presence of an accessory subscapularis muscle can lead to brachial plexus neuropathy. This report presents a very rare accessory subscapularis muscle originating from two distinct bands on the subscapularis and teres major muscles. The insertion was divided among four tendons. The fourth tendon is bifurcated. One of these was connected to the tendon of the subscapularis muscle and the other three inserted into the base of the coracoid process of the scapula. This anomalous muscle has the potential to entrap the nerves of the posterior cord such as the axillary, lower subscapular, and thoracodorsal nerves.

Identifiants

pubmed: 32656573
doi: 10.1007/s00276-020-02531-6
pii: 10.1007/s00276-020-02531-6
pmc: PMC7838069
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

19-25

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Auteurs

Nicol Zielinska (N)

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

Łukasz Olewnik (Ł)

Department of Anatomical Dissection and Donation, Medical University of Lodz, Lodz, Poland. lukasz.olewnik@umed.lodz.pl.

Piotr Karauda (P)

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

R Shane Tubbs (RS)

Department of Neurosurgery, Tulane University School of Medicine, New Orleans, LA, USA.
Department of Neurosurgery and Ochsner Neuroscience Institute, Ochsner Health System, New Orleans, LA, USA.
Department of Anatomical Sciences, St. George's University, Grenada, USA.

Michał Polguj (M)

Department of Normal and Clinical Anatomy, Medical University of Lodz, Lodz, Poland.

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Classifications MeSH