Buradasınız

Variant heads of biceps brachii muscle with clinical importance

Variant heads of biceps brachii muscle with clinical importance

Journal Name:

Publication Year:

Abstract (2. Language): 
Introduction: Our aim was to study the occurrence of the variant heads of biceps brachii muscle. Materials and Methods: The 50 specimens of the 25 donated embalmed cadavers were dissected and observed for variations in the origin and insertion of biceps brachii muscle bilaterally in the department of Anatomy at K.J.Somaiya Medical College, Sion, Mumbai, INDIA. The dissection of arm and forearm was done meticulously in all the 50 specimens. The photographs of the supernumerary head of biceps brachii muscle were taken for proper documentation and for ready reference. Results / Observations: Out of 50 specimens, the supernumerary head was found in six specimens. In all six specimens, the supernumerary head joined with the other two heads and form a common tendon which got inserted into the radial tuberosity of the radius and bicipital aponeurosis. In the present study the incidence of supernumerary head of biceps brachii was 12%. In all the six specimens, the supernumerary head was found unilaterally (5 males & 1female specimen). In three specimens (50%) the supernumerary head was supplied by median nerve, the musculocutaneous nerve was absent in that specimen while in all other specimens the muscles of front of arm were supplied as usual by musculocutaneous nerve. The blood supply of the supernumerary head was from the brachial artery and vein. There was no variation in the vascular pattern of arm and forearm in all the specimens. Conclusion: Topographical anatomy and variations in the heads of the biceps brachii muscle is clinically important for surgeons, orthopaedicians and radiologists.
245-250

REFERENCES

References: 

1. Standring S, Ellis H, Healy JC, Johnson D et al. Gray’s
Anatomy. In: General organisation and surface anatomy of the
upper limb.39th ed. Philadelphia Elsevier Churchill Livingstone,
2005: 803-4.
2. Testut, L. & Latarjet, A. Compendio de anatomia descriptive.
22nd Ed. Buenos Aires, Salvat, 1981.
3. Asvat, R.; Candler, P. & Sarmiento, E. E. High incidence of the
third head of biceps brachii in South African populations. J. Anat.,
182:101-4, 1993.
4. Nakatani, T.; Tanaka, S. & Mizukami, S. Bilateral fourheaded
biceps brachii muscles: the median nerve and brachial artery
passing through a tunnel formed by a muscle slip from the
supernumerary head. Clin. Anat., 11:209-12, 1998.
5. Nayak, S. R.; Ashwin, K.; Madhan, K. S. J.; Latha, V. P.;
Vasudha, S. & Merin, M. T. Four-headed biceps and triceps brachii
muscles with neurovascular variation.Anat. Sci. Intl., 83:107-11,
2008.
6. Sargon, M. F.; Tuncali, D. & Celik, H. H. An unusual origin for
the supernumerary head of biceps brachii muscle. Clin. Anat.,
9:160-2, 1996.
7. Khaledpour, C. Anomalies of the biceps muscle of the arm.
Anat. Anz., 158:79-85, 1985
8. Kopuz, C.; Sancack, B. & Ozbenli, S. On the incidence of the
third head of biceps brachii in Turkish neonates and adults. Acta.
Anat. Nippon., 74:301-5, 1999
9. Rai, R.; Ranade, A. V.; Prabhu, L. V. & Prakash, M. M. P. Third
head of Biceps brachii: A study in Indian population. Singapore
Med. J., 48:929-31, 2007.
10. Bergman, R. A.; Thompson, S. A.; Afifi, A. K. & Saadeh, FA.
Compendium of human anatomic variation. 1st Ed. Baltimore,
Urban and Schwarzenberg, 1988.
11. Torre, F. R. L.; Cegarra, J. N. & Berruezo, J. P. Biceps brachii
muscle attached to the extensor carpii radialis brevis muscle: an
unreported anatomical variation in humans. Anat. Anz., 176:319-
21, 1994.
12. Kosugi, K.; Shibata, S. & Yamashita, H. Supernumerary head
of biceps brachii and branching pattern of the musculocutaneous
nerve in Japanese. Surg. Rad. Anat., 14:175-85, 1992.
Indian Journal of Basic & Applied Medical Research; September 2012: Vol.-1, Issue-4, P. 245-250
250
www.ijbamr.com
13. Kumar, H.; Das, S. & Rath, G. An anatomical insight into
the third head of biceps brachii muscle. Bratisl. Lek. Listy.,
109:76-8, 2008.
14. Tountas, C. P. & Bergman, R. A. Anatomic variations of
the upper extremity. New York, Churchill Livingstone, 1993.
15. Rincon, F.; Rodriquez, I. Z. & Sanchez A. The anatomic
characteristics of the third head of biceps brachii muscle in
Colombian population. Rev. Chil. Anat., 20:197-200, 2002.
16. Swieter, M. G. & Carmichael, S. W. Bilateral threeheaded
biceps brachii muscles. Anat. Anz., 148:346-9, 1980.
17. Santo Neto, H.; Camilli, J. A.; Andrade, J. C.; Meciano,
F. J. & Marques, M. J. On the incidence of the biceps brachii
third head in Brazilian white and blacks. Anat. Anz., 180:69-
71, 1998.
18. Warner, J. P.; Palleta, G. A. & Warren, R. F.
Supernumerary Head of the Biceps brachii, Case report
demonstrating clinical relevance. Clin. Ortho. Res., 280:179-
81, 1992.
19. Le Minor JM. A rare variant of the median and
musculocutaneous nerves in man. Archieves Anatomy
Histology Embryology 1992; 73: 33-42.
20. Venierators D and Anangnastopoulou S classification of
communication between the musculocutaneous and median
nerves. Clincal Anatomy. 1998; 11: 327-331.
21. Roberts, W. H. Anomalous course of the median nerve
medial to the trochlea and anterior to the medial epicondyle
of the humans. Anat. Anz., 174:309-11, 1992.

Thank you for copying data from http://www.arastirmax.com