Variation of axillopectoral muscle and surgical importance: a case report
M. axillopectoralis (MAP) farklı çalışmalarda, farklı isimlerle incelenen ve varyasyonu görülen bir kastır. Rutin olarak gerçekleştirilen diseksiyon çalışmalarında, 35-40 yaşlarındaki erkek kadavranın sol fossa axillaris'de, m. latissimus dorsi kasından orjin almış m. pectoralis major'e tutunan bir ark tespit edildi. Bu bölgede bulunan a. axillaris, v. axillaris ve plexus brachialis'in uç dallarının bu arkın altından geçtiği belirlendi. MAP, fossa axillaris bölgesinde cerrahi müdehale yapacak olan cerrahlar için klinik ve morfolojik öneme sahiptir. Bu yüzden cerrahlar bu kas yapısının bu bölgede olma ihtimalini göz önünde bulundurması gerekmektedir
Musculus axillopectoralis'in varyasyonu ve cerrahi önemi: bir vaka raporu
M. axillopectoralis (MAP) has been examined under different names and variations in different studies. In routinely conducted dissection studies, an arch holding onto great pectoral muscle originating from latissimus dorsi muscle was detected in the left fossa axillaris of a male cadaver aged 35-40. It was determined that the end branches of a. axillaris, v. axillaris, and plexus brachialis existing in that area passed through the underneath of that arch. MAP has a clinical and morphological importance for those surgeons that are to make surgical interventions in the fossa axillaris area. Thus, surgeons are required to consider the probability of such muscle structures in this area
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- Taner D. Fonksiyonel Anatomi Ekstremiteler ve Sırt Bölgesi. Ankara: HYB Basın Yayın;2013.
- Arıncı, K., Elhan, A. Anatomi (I. Cilt). Ankara: Güneş Kitabevi;2006.
- Del Sol M, Olave E. Elevator Muscle of the Tendon of Latissimus Dorsi Muscle. Clinical Anatomy. 2005;18(2):112-4.
- Bakirci S, Kafa IM, Uysal M, Sendemir E. Langer's axillary arch (axillopectoral muscle): a variation of latissimus dorsi muscle. International Journal of Anatomical Variations. 2010; 3:91-2.
- Bergman RA, Thompson SA, Afifi AK, Saadeh FA. Compendium of Human Anatomic Variation: Catalog, Atlas and World Literature. Urban & Schwarzenberg. Baltimore and Munich; 1988.
- Testut L. Les Anomalies Muscularies chez l'Homme Expliqués par I'Anatomie Compareé. Paris: Masson;1892.
- Jelev L, Georgiev GP, Surchev L. Axillary arch in human: common morphology and variety. Definition of "clinical" axillary arch and its classification. Ann Anat. 2007;189(5):473-81.
- Georgiev GP, Jelev L, Surchev L. Axillary arch in Bulgarian population: clinical significance of the arches. Clin Anat. 2007; 20(3):286-91.
- Besana-Ciani I, Greenall MJ. Langer's axillary arch: anatomy, embryological features and surgical implications. Surgeon 2005; 3:325-7.
- Loukas M, Noordeh N, Tubbs RS, Jordan R. Variation of the axillary arch muscle with multiple insertions. Singapore Med J. 2009;50(2):e88-90.
- Turgut HB, Peker T, Gulekon N, Anil A, Karakose M., Axillo pectoral muscle (Langer'smuscle). Clin Anat. 2005;18: 220-3.
- Daniels IR, dellaRovere GQ. The axillary arch of Langer: the most common muscular variation in the axilla. Breast Cancer Res Treat. 2000;59:77-80.
- Clarys JP, Barbaıx E, Van Rompaey H, Caboor D, Van Roy P. The muscular arch of the axilla revisited: its possible role in the thoracic outlet and shoulder instability syndromes. Man Ther. 1996;1(3):133-9.
- Van Hoof T, Vangestel C, Forward M, Verhaeghe B, Van Thılborgh L, Plasschaert F et al. The impact of muscular variation on the neurodynamic test for the median nevre in a healthy population with Langer's axillary arch. J Manipulative Physiol Ther. 2008;31(6):474-83.
- Lama P, Potu B. K., Bhat KMR. Chondrohumeralis and axillary arch of Langer: a rare combination of variant muscles with unique insertion. Romanian Journal of Morphology and Embryology. 2010;51(2):395-7.
- Magee C, Jones C, McIntosh S, Harkin DW. Upper limb deep vein thrombosis due to Langer's axillary arch. J Vasc Surg. 2012;55(1):234-6.
- Hafner F, Seinost G, Gary T, Tomka M, Szolar D, Brodmann M. Axillary vein compression by Langer's axillary arch, an aberrant muscle bundle of the latissimus dorsi. Cardiovasc Pathol. 2010;19(3):e89-90.
- Merida-Velasco JR, Rodriguez Vazquez JF, Merida Velasco JA, Sobrado Perez J, Jimenez Collado J. Axillary arch: potential cause of neurovascular compression syndrome. Clin Anat. 2003;16(6):514-9.
- Üçerler H, İkiz ZA, Pinan Y. Clinical Importance of the Muscular Arch of the Axilla (Axillopectoral muscle, Langer's Axillary Arch). Acta Chir Belg. 2005;105(3):326-8.
- 20-Yüksel M, Yüksel E, Sürücü S. An axillary arch. Clin Anat. 1996;9(4):252-4.
- Drahap A. An unusually medial axillary arch muscle. J Anat. 1994;184(Pt 3):639-41.