A CLINICO-ANATOMICAL REPORT OF AN ACCESSORY MUSCLE FASCICLE EMANATING FROM SARTORIUS MUSCLE. Informe anatomo-clínico de un fascículo muscular accesorio que emana del músculo sartorio

Autores/as

  • Vandana Mehta Department of Anatomy, Vardhaman Mahavir Medical College & Safdarjung Hospital, New Delhi
  • Ashwini Kumar Department of Anatomy, Vardhaman Mahavir Medical College & Safdarjung Hospital, New Delhi
  • Jyoti Arora Department of Anatomy, Vardhaman Mahavir Medical College & Safdarjung Hospital, New Delhi
  • R K Suri Department of Anatomy, Vardhaman Mahavir Medical College & Safdarjung Hospital, New Delhi
  • Gayatri Rath Department of Anatomy, Vardhaman Mahavir Medical College & Safdarjung Hospital, New Delhi

DOI:

https://doi.org/10.31051/1852.8023.v4.n3.14036

Palabras clave:

accessory, sartorius, fascicle, thigh, vastus medialis, accesorio, sartorio, fascículo, muslo, vasto medial

Resumen

Los fascículos musculares accesorios se observan raras veces en relación al músculo sartorio (MS) de la extremidad inferior. La descripción del caso existente informa una presencia poco común de un fascículo muscular accesorio visto pasar del MS al músculo vasto medial (VM) encontrado unilateralmente en la cara anterior del muslo derecho de un cadáver masculino indio adulto. La anomalía fue observada por accidente mientras se mostraba la cara extensora del muslo a los estudiantes de pregrado. Deseamos llamar la atención sobre los diversos aspectos de los usos clínicos de tal músculo supernumerario. Los ecografistas deben ser conscientes de la posible presencia de fascículos musculares accesorios mientras investigan esta región antes de la anestesia o de la exploración de esta área. Este músculo accesorio poco común se debe citar en los textos clínicos para advertir a los cirujanos reconstructivos y a los radiólogos. 

 

Accessory muscle fascicles are rarely observed in relation to the sartorius muscle (SM) of the lower extremity. The existing case description reports a rare presence of an accessory muscle fascicle seen to pass from the SM to the vastus medialis muscle (VM) found unilaterally in the anterior aspect of the right thigh of an adult Indian male cadaver. The anomaly was observed accidentally while demonstrating the extensor aspect of the thigh to the undergraduate students. We wish to bring attention to the various aspects of clinical usages of such a supernumerary muscle. Ultrasonologists should be aware of the possible presence of accessory muscle fascicles while investigating this region prior to anesthesia or exploration of this area. This unusual accessory muscle should be cited in clinical texts for cautioning the reconstructive surgeons and the radiologists.

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Citas

Ahmad QG, Reddy M, Shetty KP, Prasad R, Bhathena MH. 2004. Groin reconstruction by anterolateral thigh flap-review of 16 cases. Ind J Plast Surg 37: 34-39.

Buckland A, Pan WR, Dhar S, Edwards G, Rozen WM, Ashton MW, Taylor GI. 2009. Neurovascular anatomy of sartorius muscle flaps: implications for local transposition and facial reanimation. Plast Reconstr Surg 123: 44-54.

Burnet NG, Britton TB, Hoole ACF, Jefferies SJ, Parkin IG. 2004. The anatomy of Sartorius muscle and its implications for sarcoma radiotherapy. Sarcoma 8: 7-12.

Horn JL, Pitsch T, Salinas F, Benninger B. 2009. Anatomic basis to the ultrasound-guided approach for saphenous nerve blockade. Reg Anesth Pain Med 34: 486-9.

Jokuszies A, Niederbichler AD, Hirsch N, Kahlmann D, Herold C, Vogt PM. 2010. The pedicled groin flap for defect closure of the hand. 2010. Oper Orthop Traumatol. 22: 440-51.

Landry GJ, Carlson JR, Liem TK, Mitchell EL, Edwards JM, Moneta GL. 2009. The sartorius muscle flap: an important adjunct for complicated femoral wounds involving vascular grafts. Am J Surg 197: 655-9.

Le Corroller T, Lagier A, Pirro N, Champsaur P. 2011.Anatomical study of the infrapatellar branch of the saphenous nerve using ultrasonography. Muscle Nerve. Jul 44: 50-4.

Master V, Ogan K, Kooby D, Hsaio W, Delamn K. 2009. Leg endoscopic groin lymphadenectomy (LEG procedure) Step by step approach to a straight forward technique. Eur Urol 56: 821-828.

Mendis MD, Wilson SJ, Stanton W, Hides JA. 2010. Validity of real-time ultrasound imaging to measure anterior hip muscle size: a comparison with magnetic resonance imaging. J Orthop Sports Phys Ther. Sep 40: 577-81.

Mojallal A, Wong C, Shipkov C, Hocuoq C, Recchiuto J, Brown S, Rohrich RJ, Saint-Cyr M. 2011.Redefining the vascular anatomy and clinical applications of the sartorius muscle and myocutaneous flap. Plast Reconstr Surg 127: 1946-57.

Oeckl K, Hohenberger W. 2011. Modified incomplete sartorius muscle flap for femoral vessel protection. Chirurg. Feb 23. [Epub ahead of print]

Ossendorf C, Scheyerer MJ, Wanner GA, Simmen HP, Werner CML. 2010. Treatment of femoral neck fractures in elderly patients over 60 years of age - which is the ideal modality of primary joint replacement?. Pat Saf Surg 4: 16.

Saranteas T, Anagnostis G, Paraskeuopoulos T, Koulalis D, Kokkalis Z, Nakou M, Anagnostopoulou S, Kostopanagiotou G. 2011. Anatomy and clinical implications of the ultrasound-guided subsartorial saphenous nerve block. Reg Anesth Pain Med 36: 399-402.

Sinnatamby C. 1999. Last’s anatomy. Regional and applied. 19 th ed. London: Churchill Livingstone. p: 141.

Wong JJ, Daly B, Krebs TL, Elias EG, Jacobs SC. 1996. Surgical transfer of the Sartorius muscle to groin after lymphadenectomy or debridement: CT findings. Am J Roent 166: 109-12.

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Publicado

2016-03-28

Cómo citar

Mehta, V., Kumar, A., Arora, J., Suri, R. K., & Rath, G. (2016). A CLINICO-ANATOMICAL REPORT OF AN ACCESSORY MUSCLE FASCICLE EMANATING FROM SARTORIUS MUSCLE. Informe anatomo-clínico de un fascículo muscular accesorio que emana del músculo sartorio. Revista Argentina De Anatomía Clínica, 4(3), 106–109. https://doi.org/10.31051/1852.8023.v4.n3.14036

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Presentación de Casos