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Medial Accessory Belly of the Brachialis Muscle in the Korean Population: A Case Report

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초록

The brachialis muscle (BR) is a powerful flexor located in the anterior part of the brachial region. It is supplied with blood from the brachial artery and is innervated by the musculocutaneous nerve. BR variation is rare, but tends to divide the muscle into two or more, or to attach the accessory belly to other muscles around it. Here, we reported an accessory belly of BR (AcBr) in Korean cadaver. Under the bicep brachii muscle, AcBr was originated from the medial side of the BR. It continued 151.8 mm more and inserted between the tendon of the biceps brachii muscle and the biceps aponeurosis. The length from the origin of the BR to the origin of AcBr was 30.1 mm. It crossed superficially the brachial artery and median nerve. This rare variation of BR cannot rule out the possibility of neuropathy, and may help improve our understanding of neuralgia. Here, we introduced rare variation of BR and discussed its clinical and embryological significance.

Abstract

The brachialis muscle (BR) is a powerful flexor located in the anterior part of the brachial region. It is supplied with blood from the brachial artery and is innervated by the musculocutaneous nerve. BR variation is rare, but tends to divide the muscle into two or more, or to attach the accessory belly to other muscles around it. Here, we reported an accessory belly of BR (AcBr) in Korean cadaver. Under the bicep brachii muscle, AcBr was originated from the medial side of the BR. It continued 151.8 mm more and inserted between the tendon of the biceps brachii muscle and the biceps aponeurosis. The length from the origin of the BR to the origin of AcBr was 30.1 mm. It crossed superficially the brachial artery and median nerve. This rare variation of BR cannot rule out the possibility of neuropathy, and may help improve our understanding of neuralgia. Here, we introduced rare variation of BR and discussed its clinical and embryological significance.

참고문헌 (8)

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  4. Tonse M, "Incidence of Accessory Brachialis Muscle, Variations in its Insertion and Relation with Surrounding Neurovascular Structures", Muscles Ligaments Tendons J, 11, pp.759~765 (2021)
  5. Townsend CM, "Sabiston textbook of surgery" (2004), Elsevier Saunders
  6. Flory PJ, "The accessory brachial tendon-a rare cause of pronator teres syndrome", Handchir Mikrochir Plast Chir, 17, pp.270~272 (1985)
  7. Vadgaonkar R, "A case report on accessory brachialis muscle", Rom J Morphol Embryol, 49, pp.581~583 (2008)
  8. Dharap AS, "An anomalous muscle in the distal half of the arm", Surg Radiol Anat, 16, pp.97~99 (1994)

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