Two Cases of Rectus Sternalis Muscle

The sternalis muscle, an uncommon anatomical variant of the chest wall musculature, though perhaps well known to anatomists, is quite unfamiliar to clinicians and radiologists despite attempts to highlight its clinical importance in recent years. During routine dissection for undergraduate medical...

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Main Authors: Minnie Pillay, Swapna Ramakrishnan, Mahendran Mayilswamy
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2016-01-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/7023/17196_CE(RA1)_F(T)_PF1(VIAK)_PFA(AK)_PF2(PAG).pdf
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author Minnie Pillay
Swapna Ramakrishnan
Mahendran Mayilswamy
author_facet Minnie Pillay
Swapna Ramakrishnan
Mahendran Mayilswamy
author_sort Minnie Pillay
collection DOAJ
description The sternalis muscle, an uncommon anatomical variant of the chest wall musculature, though perhaps well known to anatomists, is quite unfamiliar to clinicians and radiologists despite attempts to highlight its clinical importance in recent years. During routine dissection for undergraduate medical teaching, in the department of anatomy, we came across two cases of sternalis muscle. The first was a unique case of unilateral right sternalis with contralateral insertion on the left sternocleidomastoid, and the second case where bilateral presence of the muscle was noted with ipsilateral insertion. The former was supplied by medial pectoral nerve and the latter by lower intercostal nerves. Usually present between the pectoral and superficial fasciae, wide ranging prevalence and morphology have been attributed to this muscular variant. Opinions differ on its development and nerve supply. Its presence can be misdiagnosed as a wide range of benign and malignant anterior chest wall lesions and tumours, but it is also of great use as a pedicle flap or flap microvascular anastomosis in reconstructive surgeries of anterior chest wall, head and neck and breast. In this paper, two cases of sternalis muscle which presented very differently from each other are discussed.
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spelling doaj.art-a7310e04215a481fbd8b9645b5ea15002022-12-22T01:34:13ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-01-01101AD01AD0310.7860/JCDR/2016/17196.7023Two Cases of Rectus Sternalis MuscleMinnie Pillay0Swapna Ramakrishnan1Mahendran Mayilswamy2Professor, Department of Anatomy, Amrita School of Medicine, AIMS, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.Lecturer, Department of Anatomy, Amrita School of Medicine, AIMS, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.Tutor, Department of Anatomy, Amrita School of Medicine, AIMS, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.The sternalis muscle, an uncommon anatomical variant of the chest wall musculature, though perhaps well known to anatomists, is quite unfamiliar to clinicians and radiologists despite attempts to highlight its clinical importance in recent years. During routine dissection for undergraduate medical teaching, in the department of anatomy, we came across two cases of sternalis muscle. The first was a unique case of unilateral right sternalis with contralateral insertion on the left sternocleidomastoid, and the second case where bilateral presence of the muscle was noted with ipsilateral insertion. The former was supplied by medial pectoral nerve and the latter by lower intercostal nerves. Usually present between the pectoral and superficial fasciae, wide ranging prevalence and morphology have been attributed to this muscular variant. Opinions differ on its development and nerve supply. Its presence can be misdiagnosed as a wide range of benign and malignant anterior chest wall lesions and tumours, but it is also of great use as a pedicle flap or flap microvascular anastomosis in reconstructive surgeries of anterior chest wall, head and neck and breast. In this paper, two cases of sternalis muscle which presented very differently from each other are discussed.https://jcdr.net/articles/PDF/7023/17196_CE(RA1)_F(T)_PF1(VIAK)_PFA(AK)_PF2(PAG).pdfmammogrammuscular variantparasternalisrectus thoracicus superficialis
spellingShingle Minnie Pillay
Swapna Ramakrishnan
Mahendran Mayilswamy
Two Cases of Rectus Sternalis Muscle
Journal of Clinical and Diagnostic Research
mammogram
muscular variant
parasternalis
rectus thoracicus superficialis
title Two Cases of Rectus Sternalis Muscle
title_full Two Cases of Rectus Sternalis Muscle
title_fullStr Two Cases of Rectus Sternalis Muscle
title_full_unstemmed Two Cases of Rectus Sternalis Muscle
title_short Two Cases of Rectus Sternalis Muscle
title_sort two cases of rectus sternalis muscle
topic mammogram
muscular variant
parasternalis
rectus thoracicus superficialis
url https://jcdr.net/articles/PDF/7023/17196_CE(RA1)_F(T)_PF1(VIAK)_PFA(AK)_PF2(PAG).pdf
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AT mahendranmayilswamy twocasesofrectussternalismuscle