Bilateral pectoral musculature malformations with concomitant vascular anomaly

• Autorzy: Paraskevas G.K. , Raikos A.
• Języki publikacji: EN

Abstrakty

EN

We report on a unique combination of multiple variations concerning the pectoral muscles and the left external jugular vein. Specifically, a bilateral hypoplasia of the medial clavicular portion of the pectoralis major muscle was noticed along with the coexistence of total right pectoralis minor aplasia, substituted by loose connective and fatty tissue. Simultaneously, a supernumerary anterior-placed external jugular vein was found, which, after its supraclavicular course, pierced the interval between the left clavicular and the sternocostal head, and drained into the left jugular junction. The combination of the above anomalies constitutes an atypical pattern of Poland syndrome. We discuss the related embryological development and the relative literature. Attention was paid to the clinical importance for plastic surgeons, general surgeons, and radiologists, facilitating them with accurate interpretation of anterior thoracic wall findings. (Folia Morphol 2010; 69, 3: 187–191)

Słowa kluczowe

EN

pectoral muscle; musculature; congenital malformation; vein; anomaly; defect

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2010
• Tom: 69
• Numer: 3
• Opis fizyczny: p.187-191,fig.,ref.

Twórcy

autor

Paraskevas G.K.

• Department of Anatomy, Medical School, Aristotle University of Thessaloniki, P.O.Box: 300, Postal Code:54124, Thessaloniki, Greece

autor

Raikos A.

• Department of Anatomy, Medical School, Aristotle University of Thessaloniki, Greece

Bibliografia

• 1. Al-Mazrou KA, Al-Ghonaim YA, Al-Fayez AI (1989) Poland-Mobius syndrome in an infant girl. Ann Saudi Med, 29: 482–484.
• 2. Arey LB (1960) Developmental anatomy, a textbook and laboratory manual of embryology. 6th Ed. WB Saunders, Philadelphia, pp. 377–382.
• 3. Baban A, Torre M, Bianca S, Buluggiu A, Rossello MI, Calevo MG, Valle M, Ravazzolo R, Jasonni V, Lerone M (2009) Poland syndrome with bilateral features: case description with review of the literature. Am J Med Genet A, 149A: 1597–1602.
• 4. Barge JAJ (1927) Ein fall von vollstandigem defect der beiden brustmuskeln. Anat Anz, 64: 102–119.
• 5. Bing R (1902) Ueber angeborene muskeldefecte. Virchows Arch Anat, 170: 175–228.
• 6. Cohen M, Evanoff B, George LT, Brandt KE (2005) A subjective rating scale for evaluating the appearance outcome of autologous breast reconstruction. Plast Reconstr Surg, 116: 440–449.
• 7. Dosios T, Papadopoulos O, Mantas D, Georgiou P, Asimakopoulos P (2003) Pedicled myocutaneous and muscle flaps in the management of complicated cardiothoracic problems. Scan J Plast Reconstr Surg Hand Surg, 37: 220–224.
• 8. Fabian FM, Gesase AP (2006) Anomalous jugular veins system in an adult male cadaver. Ital J Anat Embryol, 111: 215–220.
• 9. Harrison DH (2002) The treatment of unilateral and bilateral facial palsy using free muscle transfers. Clin Plast Surg, 29: 539–549.
• 10. Irvine ED, Tilley JB (1937) Congenital absence of the pectoral muscles. Arch Dis Child, 4: 123–126.
• 11. Jones HW (1926) Congenital absence of the pectoral muscles. Br Med J, 6: 59–60.
• 12. Kitamura S, Yshioka N, Kaneda M, Matsuoka K, Chen K-L, Sakai A (1985) A case of the congenital partial defect of the pectoralis major: accompanied by the sternalis with enormous size. Acta Anat Nippon, 60: 728–732.
• 13. Landry SO (1958) The phylogenetic significance of the chondroepitrochlearis muscle and its accompanying pectoral abnormalities. J Anat, 92: 57–61.
• 14. Lee YH, Chun S-I (1991) Congenital absence of pectoralis major: a case report and isokinetic analysis of shoulder motion. Yonsei Med, 32: 87–90.
• 15. Lewis WH (1910) The development of the arm in man. Am J Anat Philadelphia, 1: 145–184.
• 16. Mace JW, Kaplan KM, Schanberger JE, Gotlin RW (1972) Poland’s syndrome: report of seven cases and review of the literature. Clin Pediatr, 11: 98.
• 17. Matory WE, Morgan WJ, Bree T (1991) Technical considerations in pectoralis major transfer for treatment of the paralytic elbow. J Hand Surg Am, 16: 12–18.
• 18. McMinn RMH (1990) Last’s anatomy: regional and applied. 8th Ed. Churchill Livingstone, Edinburgh, pp. 54–56.
• 19. Moore KL, Persaud TVN (1993) The developing human: clinically oriented embryology. 5th Ed. WB Saunders, Philadelphia, pp. 372–373.
• 20. Mosconi T, Kamath S (2003) Bilateral asymmetric deficiency of the pectoralis major muscle. Clin Anat, 16: 346–349.
• 21. Natsis K, Vlassis K, Totlis T, Paraskevas G, Noussios G, Skandalakis P, Koebke J (2009) Abnormal muscles that may affect axillary lymphadenectomy: surgical anatomy. Breast Cancer Res Treat, 120: 77–82.
• 22. Pearl M, Chow TF, Friedman E (1971) Poland syndrome. Radiology, 101: 619.
• 23. Poland A (1841) Deficiency of the pectoral muscles. Guys Hosp Rep, 6: 191–193.
• 24. Samuel E (1945) Congenital absence of the pectoralis major. Br J Radiol, 18: 20–21.
• 25. Sano K, Hyakusoku H, Tanuma K (2005) Clinical reappraisal of the segmental pectoralis major turn-over flap for coverage of the local mediastinal wound. Scan J Plast Reconstr Surg Hand Surg, 39: 290–294.
• 26. Serra JM, Serra I, Tadjalli H, Muirragui A (1986) The combined composite pectoralis major and minor osteomusculocutaneous flap. Ann Plast Surg, 17: 323–329.
• 27. Shummer W, Schummer C, Bredle D, Frober R (2004) The anterior jugular venous system: variability and clinical impact. Anesth Analg, 99: 1625–1629.
• 28. Soni S, Rath G, Suri R, Kumar H (2008) Anomalous pectoral musculature. Anat Sci Int, 83: 310–313.
• 29. Takeshige K, Miyajima S, Kajiwara M, Tokuyasu Y, Bekki S (1960) Uber einen Ausnahmefall des Musculus pectoralis major. J Kurume Med Ass, 23: 6415–6419.
• 30. Takeya K (1909) Three cases of the unilateral absence of pectoralis major and minor muscles. Fukuoka Acta Med, 3: 76–86.
• 31. Tsukuda J (1947) Morphological study of the pectoralis major muscle in Japanese twin embryos. Anat Res Twin Embryo, 9: 2–15.
• 32. Turgut H, Anil A, Peker T, Barut C (2000) Insertion abnormality of bilateral pectoralis minimus. Surg Radiol Anat, 22: 55–57.
• 33. Urschel HC Jr.(2009) Poland syndrome. Semin Thorac Cardiovasc Surg, 21: 89–94.
• 34. Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek, Ferguson MWJ (1995) Gray’s anatomy. 28th Ed. Churchill Livingstone, Edinburgh, pp. 838–839.
• 35. Yabashi K, Ito N, Munakata A (1953) Four cases of defect of pectoralis major muscle accompanied by symbrachydactyly or brachydactyly. J Jpn Orthop Ass, 27: 143–148.
• 36. Yamasaki M (1989) Anatomical study on 2 cases of the congenital partial defect of pectoralis major and minor muscles. Anat Anz, 168: 423–432.