scholarly journals A Cadaveric study on Rectus Sternalis muscle and its clinical significance in Western part of Tamilnadu state (Kongunadu region)

2021 ◽  
Vol 9 (2.1) ◽  
pp. 7942-7947
Author(s):  
Vijaianand M ◽  
◽  
Sakthivel M ◽  
Sheela Grace Jeevamani ◽  
Geeta Anasuya D ◽  
...  
Keyword(s):  
Imaging Techniques ◽  
Anterior Chest Wall ◽  
Thoracic Wall ◽  
Human Beings ◽  
Cadaver Dissection ◽  
Pedicle Flap ◽  
Pectoral Region ◽  
False Diagnosis ◽  
Supernumerary Muscle ◽  
Sternalis Muscle

Background: Rectus sternalis is considered as an unusual accessory or supernumerary muscle which appears either unilateral or bilateral in the anterior thoracic wall of human beings. It varies in length, breadth, thickness and incidence among different races and in both sexes. Regarding its origin and insertion still a clear conclusion has not been reached because some authors says it originates and ascends for insertion while some of them opines it originates and descends for insertion. Clinically, its presence also leads to false diagnosis such as Breast tumours, lipoma etc. Aim of the study: To find out the presence of Rectus sternalis muscle in the anterior chest wall during routine dissection. Materials and Methods: 37 well embalmed and preserved cadavers of both sexes which is used for routine dissection to Phase-I MBBS students were taken into condideration. The pectoral region on either side of sternum was dissected in layers and visualised for the presence of Rectus sternalis. Results: Among 37 cadavers dissected, Rectus sternalis was found in the pectoral region of a male and a female cadaver. In male it appeared bilateral, whereas in female it is unilateral. In both the cases it lie superficial to pectoralis major. Conclusion: The incidence of Rectus sternalis reported from our study was 5.4%. In the earlier days it lead to misdiagnosis and made great challenge to radiologists and surgeons, but now-a days with advancement in imaging techniques its presence can be detected clearly thus avoiding unnecessary expenditure and invitro techniques. Clinically it is also used as pedicle flap in breast reconstructive surgeries. KEY WORDS: Cadaver, Dissection, Pectoral region, Rectus sternalis, sternocleidomastoid.

scholarly journals UNILATERAL RECTUS STERNALIS MUSCLE: A CASE REPORT.

2013 ◽  
Vol 03 (01) ◽  
pp. 66-68
Author(s):  
Vishal K. ◽  
Kavitha K. ◽  
Vinay K. V. ◽  
Raghavendra A. Y.
Keyword(s):  
Case Report ◽  
Medical Students ◽  
Thoracic Wall ◽  
Undergraduate Medical Students ◽  
Supernumerary Muscle ◽  
Sternalis Muscle

AbstractThe Rectus Sternalis muscle is a small supernumerary muscle occasionally present in the anterior thoracic wall. During routine dissection for undergraduate medical students we observed a unilateral left sided rectus sternalis present on the anterior thoracic wall.The knowledge about this variation is very useful for morphologists and anatomists. The presence of this muscle may be mistaken by surgeons, radiologists and physicians for tumor on mammogram or during mastectomy which may increase unnecessary burden on their patients.

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

Fulminating deep tissue space infection with Streptococcus constellatus presenting initially as a sore throat

2020 ◽  
Vol 13 (3) ◽  
pp. e233971
Author(s):  
Joe Glover ◽  
Gorana Kovacevic ◽  
Gary Walton ◽  
David Parr
Keyword(s):  
Sore Throat ◽  
Complete Recovery ◽  
Antibiotic Use ◽  
Current Approach ◽  
Thoracic Wall ◽  
Source Control ◽  
Pedicle Flap ◽  
Surgical Closure ◽  
Streptococcus Constellatus ◽  
Threatening Situation

Management of sore throat requires robust decision-making to balance successfully the conflicting risks of unnecessary antibiotic use against those of untreated bacterial infection. We present a case of fulminant sepsis caused by Streptococcus constellatus, presenting as a sore throat, initially managed conservatively. Despite subsequent appropriate anti-microbial therapy and surgical drainage, contiguous spread ultimately involved the deep neck spaces, mediastinum and thoracic wall, and was complicated by severe aspiration pneumonia, pharyngocutaneous and bronchopleural fistulation. The complexity and widespread extent of the infected spaces, in conjunction with the catabolic response to sepsis, created a life-threatening situation. Surgical closure of the pharyngeal defect, using a pectoralis-major pedicle flap, was successfully undertaken to ensure source control of the infection and heralded a complete recovery. We describe our management of this case, discuss the current approach to the management of patients presenting with a sore throat, and review the literature on S. constellatus infections.

Ultrasound Guided Tumour Biopsy in the Anterior Mediastinum

1992 ◽  
Vol 33 (5) ◽  
pp. 423-426 ◽  
Author(s):  
T. Andersson ◽  
P. G. Lindgren ◽  
A. Elvin
Keyword(s):  
Percutaneous Biopsy ◽  
Cost Effective ◽  
Final Diagnosis ◽  
Good Alternative ◽  
Anterior Mediastinum ◽  
Thoracic Wall ◽  
Ultrasound Guided ◽  
Guided Biopsy ◽  
Tumour Biopsy ◽  
False Diagnosis

To evaluate percutaneous ultrasound (US) guided tumour biopsy of the anterior mediastinum all patients scheduled for open mediastinal biopsy were considered for percutaneous biopsy during a 2-year period. US guided biopsy was chosen when CT had shown the tumour to be in contact with the thoracic wall. US guided biopsy was performed in 23 patients on 28 occasions. The procedure was technically successful in all cases and no complications occurred. In 27 of 28 cases the biopsy diagnosis was identical to the final diagnosis. In one patient with a malignant lymphoma a false diagnosis of connective tissue remnant was reached. US guided tumour biopsy of the anterior mediastinum is a safe, cost-effective and reliable method and a good alternative to the traditional biopsy techniques via mediastinoscopy or thoracotomy.

scholarly journals Radical resection of giant chondrosarcoma of the anterior chest wall

2008 ◽  
Vol 65 (1) ◽  
pp. 64-68 ◽  
Author(s):  
Vojkan Stanic ◽  
Tatjana Vulovic ◽  
Marjan Novakovic ◽  
Aleksandar Ristanovic ◽  
Davor Stamenovic ◽  
...  
Keyword(s):  
Chest Wall ◽  
Respiratory Function ◽  
Soft Tissues ◽  
Myocutaneous Flap ◽  
Good Method ◽  
Radical Resection ◽  
Anterior Chest Wall ◽  
Thoracic Wall ◽  
Wide Resection ◽  
Parietal Pleura

Background. Chondrosarcomas represent approximately 30% of primary malignant bone tumors, the most frequent of which is on anterior thoracic wall. Case report. We presented a case of 50-year-old man suffering from a slowgrowing, painless giant chondrosarcoma of the anterior chest wall. A wide resection was performed to excise the tumor including attached skin, right breast, ribs, sternum, soft tissues and parietal pleura. Mediastinum was not affected by the tumor. After resecting a 26 ? 20 ? 22 cm segment, the chest wall defect was reconstructed with a Marlex mesh and extensive latissimus dorsi myocutaneous flap pedicled on the right thoracodorsal vessels. Histopatology diagnosis was chondrosarcoma G 2?3. The mechanics of ventilation was not altered and respiratory function was normal from the immediate postoperative period. Three years after the operation postoperative results showed no local recurrence and excellent functional and aesthetic results were evident. Respiratory function remained unaltered. Conclusion. According to the results it can be concluded that the use of Marlex mash and myocutaneous flap is good method for stabilization of the chest wall and enough to avoid paradoxical respiratory movements in managing giant chondrosarcoma of the anterior chest wall.

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 Sternal cavernous hemangioma and reconstruction of the anterior chest wall: a case report

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Liliana Fernández-Trujillo ◽  
Saveria Sangiovanni ◽  
Eliana I. Morales ◽  
Valeria Marin ◽  
Luz F. Sua ◽  
...  
Keyword(s):  
Cavernous Hemangioma ◽  
Bone Structure ◽  
Malignant Lesion ◽  
Anterior Chest Wall ◽  
Thoracic Wall ◽  
Lytic Lesion ◽  
Prosthetic Material ◽  
Palpable Mass ◽  
Sternal Reconstruction ◽  
Posterior Reconstruction

Abstract Background The sternum is considered an unusual tumor site, corresponding to 15% of all thoracic wall tumors. Primary sternal tumors are even rarer and most commonly malignant. We present the case of a young man who consulted with a painful sternal mass, which after its resection is confirmed to be a cavernous hemangioma. Case presentation A 39-year-old man, with unremarkable medical history besides a 2-year-long sternal pain, non-irradiated, which worsens over the last few months and is accompanied by the appearance of a sternal palpable mass. On physical exam, there was a bulging of the sternal manubrium, with no inflammatory changes. Thoracic CT scan shows an expansive and lytic lesion of the sternum, compromising the manubrium and extending to the third sternocostal joint, without intrathoracic compromise nor cleavage plane with mediastinal vascular structures. The patient is taken to resection of the mass and sternal reconstruction using prosthetic material and pectoral and fasciocutaneous muscular flaps. Histopathological findings: cavernous hemangioma with negative borders and no other malignant findings. Conclusions Sternal hemangiomas can cause defects in the bone structure and show an expansive growth, challenging the differentiation between a benign or malignant lesion. Therefore, they should be considered malignant until shown otherwise. Management involves radical surgery with curative purposes and posterior reconstruction to improve quality of life, as shown with our patient.

Thoracic ranula: an extremely rare case

2005 ◽  
Vol 119 (3) ◽  
pp. 233-234 ◽  
Author(s):  
Claudine Elizabeth Pang ◽  
Tee Sin Lee ◽  
Kenny Peter Pang ◽  
Yoke Teen Pang
Keyword(s):  
Chest Wall ◽  
Rare Case ◽  
Subcutaneous Tissue ◽  
Anterior Chest Wall ◽  
Thoracic Wall ◽  
History Of Surgery ◽  
Transcervical Approach ◽  
First Case ◽  
History Of

We present the first case of a thoracic ranula which originated from the left submandibular area extending into the subcutaneous tissue planes of the anterior chest wall. The patient had a history of surgery for a previous benign left salivary gland cyst, and presented with an enlarging mass in the anterior chest wall. This was a recurrence of a ranula, with an extension into the anterior thoracic wall. The thoracic ranula was excised, together with ipsilateral sublingual and submandibular glands, via a transcervical approach. No recurrence was detected over a 3-year post-operative follow up.

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