scholarly journals Unilateral rectus sternalis muscle - a case report

2016 ◽  
Vol 05 (03) ◽  
pp. 172-175
Author(s):  
Smitha S Nair ◽  
K Jayasree ◽  
Ashalatha PR ◽  
Jenish Joy
Keyword(s):  
Case Report ◽  
Surgical Procedures ◽  
Pectoralis Major Muscle ◽  
Anatomical Variations ◽  
Anterior Chest Wall ◽  
Superficial Fascia ◽  
Anatomical Variant ◽  
Incorrect Diagnosis ◽  
The Right ◽  
Sternalis Muscle

AbstractRectus sternalis muscle, either unilateral or bilateral is an uncommon anatomical variant among the anterior chest wall muscles. During the routine dissection as a part of undergraduate medical teaching in the department of Anatomy, a unilateral rectus sternalis muscle was noticed on the right hemi thorax in one cadaver, located adjacent to the sternum between the pectoralis major muscle and the superficial fascia of the region. Though rare in occurrence, when present, rectus sternalis muscle demands proper awareness and attention by the clinicians especially radiologists and surgeons, as the ignorance of the existence of this muscle may lead to misinterpretation, incorrect diagnosis and unnecessary clinical interventions. Such anatomical variations should be borne in mind while doing radiological investigations, radiotherapy and surgical procedures in the chest region.

scholarly journals Rectus sternalis muscle - a rare anatomical variant

2013 ◽  
Vol 02 (01) ◽  
pp. 41-43
Author(s):  
Veena Vidya Shankar ◽  
Rahe Rajan ◽  
Komala Nanjundaiah ◽  
Sheshgiri Chowdapurkar
Keyword(s):  
Chest Wall ◽  
Surgical Procedures ◽  
Anterior Chest Wall ◽  
Breast Mass ◽  
Anatomical Variant ◽  
Medial Side ◽  
Male Cadaver ◽  
The Right ◽  
Sternalis Muscle ◽  
Diagnostic Investigations

AbstractThe Rectus Sternalis muscle is an unusual muscle that is observed on the anterior chest wall. The origin of this muscle is a highly debated variation of the pectoral musculature. We report a case of an abnormal vertically placed muscle - The rectus sternalis muscle, on the right medial side of the anterior chest wall of a male cadaver aged about 80 years. The abnormal presence of this muscle can be misdiagnosed as a breast mass on a routine mammogram. The advantage is its role in reconstruction flap surgeries. Hence knowledge of such an anatomical variant should be kept in mind during diagnostic investigations and surgical procedures.

scholarly journals Sternalis muscle: an underestimated anterior chest wall anatomical variant

2011 ◽  
Vol 6 (1) ◽  
Author(s):  
Athanasios Raikos ◽  
George K Paraskevas ◽  
Maria Tzika ◽  
Pedro Faustmann ◽  
Stefanos Triaridis ◽  
...  
Keyword(s):  
Chest Wall ◽  
Anterior Chest Wall ◽  
Anatomical Variant ◽  
Sternalis Muscle

scholarly journals Anatomical Variations of the Recurrent Laryngeal Nerve and Implications for Injury Prevention during Surgical Procedures of the Neck

Diagnostics ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. 670
Author(s):  
Alison M. Thomas ◽  
Daniel K. Fahim ◽  
Jickssa M. Gemechu
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Surgical Procedures ◽  
Anatomical Variations ◽  
Laryngeal Nerve ◽  
Inferior Thyroid Artery ◽  
Branching Pattern ◽  
The Right ◽  
Relationship Of ◽  
Intrinsic Laryngeal Muscles ◽  
Formalin Fixed

Accurate knowledge of anatomical variations of the recurrent laryngeal nerve (RLN) provides information to prevent inadvertent intraoperative injury and ultimately guide best clinical and surgical practices. The present study aims to assess the potential anatomical variability of RLN pertaining to its course, branching pattern, and relationship to the inferior thyroid artery, which makes it vulnerable during surgical procedures of the neck. Fifty-five formalin-fixed cadavers were carefully dissected and examined, with the course of the RLN carefully evaluated and documented bilaterally. Our findings indicate that extra-laryngeal branches coming off the RLN on both the right and left side innervate the esophagus, trachea, and mainly intrinsic laryngeal muscles. On the right side, 89.1% of the cadavers demonstrated 2–5 extra-laryngeal branches. On the left, 74.6% of the cadavers demonstrated 2–3 extra-laryngeal branches. In relation to the inferior thyroid artery (ITA), 67.9% of right RLNs were located anteriorly, while 32.1% were located posteriorly. On the other hand, 32.1% of left RLNs were anterior to the ITA, while 67.9% were related posteriorly. On both sides, 3–5% of RLN crossed in between the branches of the ITA. Anatomical consideration of the variations in the course, branching pattern, and relationship of the RLNs is essential to minimize complications associated with surgical procedures of the neck, especially thyroidectomy and anterior cervical discectomy and fusion (ACDF) surgery. The information gained in this study emphasizes the need to preferentially utilize left-sided approaches for ACDF surgery whenever possible.

scholarly journals Comparison Between the Anterior Ventricular Wall Thickness, Left and Right, and Considerations on Trabecular System of the Two Ventricles

2018 ◽  
Vol 24 (2) ◽  
pp. 72-76
Author(s):  
Gheorghiţescu Jancă Ruxandra ◽  
Iliescu Dan Marcel ◽  
Bordei Petru ◽  
Popescu-Chiriloaie Cristina ◽  
Tobă Marius
Keyword(s):  
Anatomical Variations ◽  
Ventricular Wall ◽  
Papillary Muscles ◽  
Anatomical Variant ◽  
Anatomical Terminology ◽  
Ventricular Wall Thickness ◽  
Late Twentieth ◽  
Left And Right ◽  
The Right ◽  
Late Twentieth Century

Abstract In recent decades (late twentieth century), have been reported multiple anatomical variations in relation to the concepts described classic, so what once was described as an anatomical variant in some cases has become predominant, not quite often proposing a revision of international anatomical terminology. This article is specifically addressed on the morphology of the papillary muscles of the two ventricles, describing the differences between the left and the right anterior ventricular walls.

scholarly journals Maxillary Implant Placement in a Limited Residual Bone Height

2021 ◽  
Vol 28 (2) ◽  
Author(s):  
Calvin Kurnia ◽  
◽  
Jane Amelia V. Wibisono ◽  
Dominica Dian S. Sumantri ◽  
◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Procedures ◽  
Invasive Procedure ◽  
Schneiderian Membrane ◽  
Comprehensive Management ◽  
Implant Placement ◽  
The Right ◽  
Bone Height ◽  
Placement Procedure ◽  
Maxillary Region

The limitation of residual bone height (RBH) and vital structures such as sinuses in the maxillary often make the implant placement procedure becomes complicated. Clinicians may perform sinus elevation prior to implant placement to accommodate the length of the implant fixture. Sinus elevation is an invasive procedure and complication may occur during the surgery including the most frequent complication is perforation of Schneiderian membrane. Objectives: To discuss a comprehensive management of implant placement and its complication step by step from surgical procedures to crown placement Case Report: 67-year-old female patient with partial edentulism in the right maxillary region, presence of sinus septum, and RBH was 4mm. The patient was planned to do sinus elevation surgery prior to implant placement, perforation of the Schneiderian membrane occurred while surgery performed and pericardium membrane was attached around the perforation site. Sinus re-entry and implant placement were performed after 3 months followed by prosthetics procedures in the next 6 month. Conclusion: Dental implant is a complicated treatment and complication may occur during the placement, thus a comprehensive management is very essential to minimize the risk of complications.

scholarly journals Third Head of the Biceps Brachii Muscle and a Communication between the Musculocutaneous and Median Nerves: A Case Report

2019 ◽  
Vol 36 (01) ◽  
pp. 051-054
Author(s):  
Caroline Dussin ◽  
Lucas Moyses ◽  
Sávio Siqueira
Keyword(s):  
Case Report ◽  
Biceps Brachii ◽  
Anatomical Variations ◽  
Clinical Implications ◽  
Biceps Brachii Muscle ◽  
Present Case Report ◽  
Communicating Branch ◽  
Brachialis Muscle ◽  
Male Cadaver ◽  
The Right

AbstractMany authors have reported and classified several anatomical variations between the musculocutaneous (Mc) and median (Me) nerves, regarding their origin, number, and proximity with the coracobrachialis muscle. There also are, in the scientific community, records classifying the origin of supernumerary heads of the biceps brachii muscle. However, the occurrence of both aforementioned variations in the same arm is very uncommon. During a routine dissection of the right upper limb of a male cadaver, a third head of the biceps brachii was found originating from the fibers of the brachialis muscle, as well as a communicating branch between the Mc and the Me nerves, in the same limb. The objective of the present case report is to describe these multiple variations found, relating them and discussing their relevant clinical implications.

scholarly journals Anatomical Variation of the Thyroid Gland - Levator glandulae thyroideae: A Case Report

2020 ◽  
Author(s):  
Natalia Velasco-Nieves ◽  
Adegbenro Omotuyi John Fakoya ◽  
Shannon Matthew ◽  
Wirda Zafar ◽  
Mahrukh Zafar ◽  
...  
Keyword(s):  
Case Report ◽  
Thyroid Gland ◽  
Vascular Injury ◽  
Surgical Procedures ◽  
Anatomical Variation ◽  
Thyroid Tissue ◽  
Anatomical Variations ◽  
Graves Disease ◽  
Laryngeal Nerves ◽  
External Branch

Surgical procedures on the thyroid are usually complicated by damage to the parathyroid glands, the external branch of superior laryngeal nerves, inferior laryngeal nerves, and hematoma due to vascular injury and the chance of residual thyroid tissue being left in case of cancer and Graves' disease, and the presence of anatomical variations. In this study, we describe the presence of a levator glandulae thyroideae that could misguide surgeons during surgical procedures.

scholarly journals Challenging chest drainage: a case report

2021 ◽  
Vol 36 (3) ◽  
pp. 540-544
Author(s):  
Bruno Jose
Keyword(s):  
Case Report ◽  
Subcutaneous Emphysema ◽  
Anterior Chest Wall ◽  
Tube Thoracostomy ◽  
Initial Assessment ◽  
Blunt Dissection ◽  
Bilateral Pneumothorax ◽  
Thoracic Drainage ◽  
The Right ◽  
Light Pole

Introduction. Chest trauma is one of the most common causes of death corresponding to 20 to 25 % of cases. The majority of the patients (85%), can be managed with only a tube thoracostomy. Our objective by presenting this case report is to provide an example of how to manage a challenging chest tube thoracostomy in a patient with cardiac hernia diagnosed in the preoperative phase, based on signs of computed tomography. Case report. A 45-year-old male presented to our emergency department who fell from a light pole 7 meters high. He fell to the ground on his back. Physical examination revealed a huge subcutaneous emphysema on his entire anterior chest wall and presented no sensitivity or movements below the navel line. After the initial assessment and management care, the patient improved. As the patient stabilized we decided to go to CT. The scan revealed pericardial rupture with only the right pericardial circumference intact, the heart herniated into the left pleural space, bilateral pneumothorax, small right hemothorax and a relevant subcutaneous emphysema surrounding the chest. We decided to perform the blunt dissection technique to insert chest tubes bilaterally because of safety. After performed it the patient was transferred to cardiothoracic department. Discussion. There is a variety of techniques to perform tube thoracostomy but the blunt dissection remain the safer, especially when we are facing an anatomic distortion of the heart. Conclusion. We present a case report of a challenging thoracic drainage performed in a patient with traumatic cardiac hernia, which procedure was successful.

scholarly journals A Revision Arthrodesis of Severe Charcot Foot with Intramedullary Nail: a Case Report and Literature Review

2019 ◽  
Vol 26 (1) ◽  
Author(s):  
Abderrahim Zaizi ◽  
Hicham Ahmed Benomar ◽  
Mohamed Said Bakayan ◽  
Omar Krimch ◽  
Moulay Omar Lamrani ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Surgical Procedures ◽  
Intramedullary Nail ◽  
Treatment Recommendation ◽  
Charcot Foot ◽  
Foot Surgery ◽  
Bony Fusion ◽  
Incorrect Diagnosis ◽  
Surgically Induced

Diabetic Charcot foot is characterized by varying degrees of bone and joint disorganization secondary to underlying neuropathy, perturbations of bone metabolism and trauma. Offloading is the most important initial treatment recommendation. Surgery can be helpful in early stages involving acute fractures of the foot or ankle or in later stages when offloading is ineffective. Incorrect diagnosis and improper treatment often result in the extremity having to be amputated.     There are several surgical procedures accepted in Charcot foot surgery. Their goal is to obtain a plantigrade foot and prevent recurrent ulcerations. Arthrodesis is a well-known surgical procedure that addresses severe joint derangement through a surgically induced bony fusion. In Charcot foot, arthrodesis is usually indicated when there is significant skeletal instability. This procedure can be done by internal or external fixation.

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