International Journal of Anatomy and Research



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Type of Article: Original Research

Year: 2016 | Volume 4 | Issue 2 | Page No. 2423-2428

Date of Publication: 30-06-2016

DOI: http://dx.doi.org/10.16965/ijar.2016.226


A STUDY OF MORPHOLOGICAL VARIATION OF PECTORAL REGION MUSCLE ‘RECTUS STERNALIS’ IN SOUTH GUJARAT REGION

Nisha D. Parmar *1, Deepa S. Gupta 2.

1 2ndYear Resident, Anatomy Department, Surat Municipal Institute Of Medical Education & Research Centre, Surat, Gujarat, India.

2 Professor & Head, Anatomy Department, Surat Municipal Institute Of Medical Education & Research Centre, Surat, Gujarat, India.

Address: Dr. Nisha D. Parmar, ‘A’ Block, Second Floor, Anatomy Department, SMIMER, Near Sahara Darwaja, Surat- 395010, Gujarat, India. Mobile No.: +919909150345
E-Mail: khernisha08@yahoo.in

ABSTRACT

Introduction: Rectus Sternalis muscle is an uncommon anatomical variant located over the human anterior pectoral wall, superficial to the Pectoralis major. Rectus Sternalis is highly variable in appearance about width, breadth and length. Its simulated appearance as breast mass on mammography demand acquaintance of its incidence and various configurations amongst radiologist and clinician for correct diagnosis and better postoperative management of breast cancer patient in its presence. Till now Rectus Sternalis is mainly described as case report and there are no study documented showing incidence and morphological features of Rectus sternalis in South Gujarat Region.
Materials and Methods: The study was carried out in 40 properly embalmed cadavers of Indian origin in Anatomy Department, SMIMER, Gujarat. Dissections of pectoral regions of these 40 cadavers were performed, to know the presence of Rectus Sternalis muscle and its morphology was noted.
Result: Out of 40 dissected cadavers, we found presence of Rectus Sternalis muscles in 2 cases. The muscles were parasternal and superficial to pectoralis major muscle on anterior wall of chest. It was unilateral in one case while bilateral and continuous with Sternocleidomastoid in another cadaver.
Conclusion: Current study has determined an incidence of the Rectus Sternalis muscle to be 5% and supported its origin from Sternocleidomastoid muscle. Findings of this study will add knowledge to south Gujarat radiologist about variable appearance of rectus sternalis and help in better interpretion of great number of mammography done every year. It will help clinician dealing pectoral region for interventional and diagnostic procedures in avoiding surgical complications and to decide better postoperative radiotherapy and reconstructive surgery management in breast cancer patient.
Key Words: Rectus Sternalis Muscle, Pectoralis Major Muscle, Cadaver.

REFERENCES

  1. Bailey, P.M. and Tzarnas, C.D. The sternalis muscle: a normal finding encountered during breast surgery. Plast. Reconstl.Surg. 1991;103:1189-1190.

  2. Williams, S.P.L., Bannister, I.H., Berry, M.M., Dyson, M., Dussek, J.E. and Ferguson, M.W. Gray's Anatomy - 38th Edition, Churchill Livingstone Edinburgh, Scotland, 1995.

  3. Marious: Sternalis muscle; a mystery still. Folia Morphol. 2003;63(2):147-149.

  4. Deepali UK, Umesh KK. Unilateral rectus sternalis muscle – A Case Report. Al Ameen Journal of Medical Sciences. 2010;3(2):169-171.

  5. Blees G. A peculiar type of sternalis muscle.ActaMorphol.Neerl.Scand. 1968;7:69-72.

  6. Novakov S.S., Yotova N.I., Petleshkova T.D., Muletarov S.M. Sternalis muscle - a riddle that still awaits an answer. Folia Med. (Plovdiv) 2008;50:63-66.

  7. Barlow R.N. The sternalis muscle in American whites and Negroes. Anat. Rec. 1935;61: 413-426.

  8. Testut L.,Les Anomalies musculaires chez l’homme, expliquées par l’anatomiecomparée. Masson, Paris:1884

  9. Sadler T.W.,Langman’s Essential Medical Embryology. Lippincott Williams & Wilkins, Baltimore and Philadelphia,1995: p- 37.

  10. Arraez-Aybar LA, Sobrado-Perez J, Merida-Velasco JR. Left musculussternalis. Clin Anat. 2003;16(4):350–354. doi: 10.1002/ca.10120.

  11. Jelev. The Sternalis muscle in the Bulgarian population:Classification of Sternalis. J Anat 2001:199:359-363.

  12. Loukas M, Bowers M, Hullett J. Sternalis muscle: a mystery still. Folia Morphol (Warsz)2004;63(2):147–9.

  13. ONeil MN, Folan-Curran J. Case report: Bilateral sternalis muscle with a bilateral pectoralis major anomaly. J Anat. 1998;193(Pt2):289–292.

  14. Turner W.M. On the musculussternalis. J. Anat. Physiol.1867;1:246-253.

  15. Ruge G. Der Hautrumpfmuskel der Saugetiere:der M. sternalis under Achselbogen des Menschen. Morph Jahrb 1905;33:379-531.

  16. Clemente CD Muscle and fasciae. Gray’s Anatomy, 30th American edn, Philadelphia: Lea and Febiger. 1985;520.

  17. Sarikcioglu L, Demirel BM, Ocuz N, Uçar Y. Three Sternalis muscles associated with abnormal attachments of the pectoralis major muscle. I J ExpClin Anat. [Internet]. 2008;2:67-71.

  18. Mishra BD. The Sternalis muscle. J Anat Soc. India.1954;3:47–48.

  19. Shah AC. The Sternalis muscle. Indian J Med Sci. 1968;22(1):46–47.

  20. Mehta V, Arora J, Yadav Y. Rectus thoracisbifurcalis: a new variant in the anterior chest wall musculature. Rom J MorpholEmbryol.[Internet].2010;51(4):799-801.

  21. Young LB, Young BJ. The sternalis muscles: its incidence and imaging finding on MDCT. J Thoracic Imaging, 2006;21:179-83.

  22. Kulkarni DU, Kulkarni UK. Unilateral rectus Sternalis muscle- a case report.Al Ameen J Med Sci. 2010;3(2):169-71.

  23. SrivastavaMonika, AbhijeetYadav, Baweja Sonia, Sharma Vandana, Dixit Asha. A Case report on bilateral rectus sternalis muscles: A mysterious muscles. J Pharm Biomed Sci 2014;04(02):80-83.

  24. SeyedHadiAnjamrooz, Biceps sternalis: a Y-shaped muscle on the anterior chest wall,Journal of Cardio thoracic surgery 2013;8:38.

  25. Stines J, Tristant H. The normal breast and its variations in mammography.Eur J Radiol.2005;54(1):26-36.

  26. Cawson JN, Papadopoulos T. Variants of sternal insertions of the pectoral muscle on mammography: a pictorial review. ClinRadiol. 2002;57(6):442-448.

  27. Raikos A, Paraskevas GK, Tzika M, Faustmann P. Sternalis muscle: an underestimated anterior chest wall anatomical variant. J Cardiothorac Surg. 2011;6:73.

  28. Young Lee B, Young Byun J, Hee Kim H. The sternalis muscles: incidence and imaging findings on MDCT. J Thorac Imaging. 2006;21(3):179–183.

  29. Schulman MR, Chun JK. The conjoined sternalis-pectoralis muscle flap in immediate tissue expander reconstruction after mastectomy. Ann Plast Surg. 2005;55(6):672–675.

 

Nisha D. Parmar, Deepa S. Gupta. A STUDY OF MORPHOLOGICAL VARIATION OF PECTORAL REGION MUSCLE ‘RECTUS STERNALIS’ IN SOUTH GUJARAT REGION. Int J Anat Res 2016;4(2):2423-2428. DOI: 10.16965/ijar.2016.226

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