Biometrics of Pyramidalis Muscle and its Clinical Importance

Introduction: Pyramidalis is classified as a vestigial muscle which is frequently present. It is muscle of the anterior abdominal wall. It is thought to tense the linea alba. It has been used as a surgical landmark, source of muscle stem cells and in various surgical procedures. Aim: The aim of...

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Main Authors: Sushant Swaroop Das, Sandeep Saluja, Neelam Vasudeva
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2017-02-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/9276/24179_CE[Ra1]_F(RK)_PF1(PI_RK)_PFA(AK)_PF2(PMS)_PF3(AG_OM).pdf
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author Sushant Swaroop Das
Sandeep Saluja
Neelam Vasudeva
author_facet Sushant Swaroop Das
Sandeep Saluja
Neelam Vasudeva
author_sort Sushant Swaroop Das
collection DOAJ
description Introduction: Pyramidalis is classified as a vestigial muscle which is frequently present. It is muscle of the anterior abdominal wall. It is thought to tense the linea alba. It has been used as a surgical landmark, source of muscle stem cells and in various surgical procedures. Aim: The aim of this study was to describe the morphometry and morphology of pyramidalis muscle in an adult Indian population and its correlation with the clinical significance. Materials and Methods: A cadaveric study on 25 formalin fixed cadavers (males-17, females-8) was conducted in context with prevalence, morphology and morphometry of pyramidalis muscle. Statistical analysis was done using the Chi-Square test and student’s t-test using SPSS version 23. Results: The pyramidalis muscle was present in 92% cases, usually bilaterally (72%) than unilaterally (20%) and more frequently in males (94.11%) than in females (87.5%). This study was conducted in Department of Anatomy, Maulana Azad Medical College, New Delhi, India from August 2014 to August 2016. Bilateral asymmetry was reported. The mean length of the muscle in males and females was 52.21±14.32 and 50.13±13.62mm on the right and 53.97±15.11 and 51.22±13.78mm on the left side. No significant gender predominance existed on the right and left-sided pyramidalis lengths. The mean width of the right-sided pyramidalis in males and females was 18.35±5.15 and 17.05±4.99mm and the left-sided was 17.8±4.80 and 16.21±4.23mm without gender dimorphism. The mean thickness of the right-sided pyramidalis in males and females was 4.91±1.33 and 4.53±1.29mm and the left-sided 4.33±1.28 and 4.38±1.27mm without gender differences. The mean pyramidalis-puboumbilical index was 35.15±4.38%, 36.01±4.97% in males and females respectively. No anatomical variations with regard to origin and insertion were seen. Conclusion: This study provides valuable information on pyramidalis muscle which may help in appropriate understanding of anatomy, functions and clinical significance of the muscle.
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spelling doaj.art-75e7a54ca81242ed9ef1ade0cd06f78e2022-12-22T01:12:34ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2017-02-01112AC05AC0710.7860/JCDR/2017/24179.9276Biometrics of Pyramidalis Muscle and its Clinical ImportanceSushant Swaroop Das0Sandeep Saluja1Neelam Vasudeva2Senior Resident, Department of Anatomy, Maulana Azad Medical College, New Delhi, India.Assistant Professor, Department of Anatomy, G S Medical College and Hospital, Hapur, Uttar Pradesh, India.Director, Professor and Head, Department of Anatomy, Maulana Azad Medical College, New Delhi, India.Introduction: Pyramidalis is classified as a vestigial muscle which is frequently present. It is muscle of the anterior abdominal wall. It is thought to tense the linea alba. It has been used as a surgical landmark, source of muscle stem cells and in various surgical procedures. Aim: The aim of this study was to describe the morphometry and morphology of pyramidalis muscle in an adult Indian population and its correlation with the clinical significance. Materials and Methods: A cadaveric study on 25 formalin fixed cadavers (males-17, females-8) was conducted in context with prevalence, morphology and morphometry of pyramidalis muscle. Statistical analysis was done using the Chi-Square test and student’s t-test using SPSS version 23. Results: The pyramidalis muscle was present in 92% cases, usually bilaterally (72%) than unilaterally (20%) and more frequently in males (94.11%) than in females (87.5%). This study was conducted in Department of Anatomy, Maulana Azad Medical College, New Delhi, India from August 2014 to August 2016. Bilateral asymmetry was reported. The mean length of the muscle in males and females was 52.21±14.32 and 50.13±13.62mm on the right and 53.97±15.11 and 51.22±13.78mm on the left side. No significant gender predominance existed on the right and left-sided pyramidalis lengths. The mean width of the right-sided pyramidalis in males and females was 18.35±5.15 and 17.05±4.99mm and the left-sided was 17.8±4.80 and 16.21±4.23mm without gender dimorphism. The mean thickness of the right-sided pyramidalis in males and females was 4.91±1.33 and 4.53±1.29mm and the left-sided 4.33±1.28 and 4.38±1.27mm without gender differences. The mean pyramidalis-puboumbilical index was 35.15±4.38%, 36.01±4.97% in males and females respectively. No anatomical variations with regard to origin and insertion were seen. Conclusion: This study provides valuable information on pyramidalis muscle which may help in appropriate understanding of anatomy, functions and clinical significance of the muscle.https://jcdr.net/articles/PDF/9276/24179_CE[Ra1]_F(RK)_PF1(PI_RK)_PFA(AK)_PF2(PMS)_PF3(AG_OM).pdflinea albamorphometryrectus sheath
spellingShingle Sushant Swaroop Das
Sandeep Saluja
Neelam Vasudeva
Biometrics of Pyramidalis Muscle and its Clinical Importance
Journal of Clinical and Diagnostic Research
linea alba
morphometry
rectus sheath
title Biometrics of Pyramidalis Muscle and its Clinical Importance
title_full Biometrics of Pyramidalis Muscle and its Clinical Importance
title_fullStr Biometrics of Pyramidalis Muscle and its Clinical Importance
title_full_unstemmed Biometrics of Pyramidalis Muscle and its Clinical Importance
title_short Biometrics of Pyramidalis Muscle and its Clinical Importance
title_sort biometrics of pyramidalis muscle and its clinical importance
topic linea alba
morphometry
rectus sheath
url https://jcdr.net/articles/PDF/9276/24179_CE[Ra1]_F(RK)_PF1(PI_RK)_PFA(AK)_PF2(PMS)_PF3(AG_OM).pdf
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