肱二头肌第三头及其临床重要性:病例研究

Anita Bochalya, Vikash Bhatnagar, Lahange Sandeep Madhukar, Shailza Bhatnagar, Tamanna Gumber, Anjali Sharma, Bhumika Rudani
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摘要

肱二头肌属于手臂屈肌群。肱二头肌是双头肌。就数量和形态而言,它是已知的人体可变肌肉之一。斋浦尔国立阿育吠陀学院(被视为大学)拉查纳-沙里尔系在对一具 84 岁男性尸体进行常规人体解剖时,发现了肱二头肌第三头的双侧。 肱二头肌通常有两个头,即长头和短头。在本尸体研究中,在对本科生进行常规解剖时发现了肱二头肌的第三个头。肉质近端附着在肱骨轴前表面的下 1/3 处。它与肱肌的上部一起起源,插入肱二头肌肌腱,深达肱二头肌的长头和短头。这第三个头由肌皮神经的分支提供。肱二头肌第三头可能是尸检或常规解剖时偶然发现的。除非有症状,否则在临床研究中可能不会发现肱二头肌第三头。肱二头肌变异可能会让在手臂上进行手术的外科医生感到困惑,并可能导致先天性损伤。外科医生和创伤学家必须牢记这种肌肉变异。因此,了解肱二头肌变异的存在对麻醉师和外科医生来说非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
THIRD HEAD OF BICEPS BRACHII MUSCLE AND ITS CLINICAL IMPORTANCE: A CASE STUDY
The Biceps brachii muscle belongs to the flexor group of muscles in the arm. As Biceps brachii is double headed muscle. It is one of the known variable muscles of the human body in terms of number and morphology. The third head of the biceps brachii muscle was identified bilaterally in an 84-year-old male cadaver during routine human cadaveric dissection for the purpose of education and learning of medical undergraduates in Department of Rachana Sharir, National Institute of Ayurveda, deemed to be university, Jaipur. Normally the Biceps brachii muscle has two heads i.e. Long and short head. In present cadaveric study third head of bicep brachii muscle has been identified while doing routine dissection for undergraduate scholars. The fleshy proximal attachment on lower 1/3 of anterior surface of shaft of humerus has been identified. It has been origin ate along with the superior part of the Brachialis and inserted into the bicipital aponeurosis, and deep to the long and short heads of the Biceps. This third head is supplied by a branch of the musculocutaneous nerve. The third head of biceps brachii may be an incidental finding at autopsy or during routine anatomical dissections. Unless symptomatic, the third head of biceps brachii may not be detected in clinical studies. Variant of biceps brachii may confuse a surgeon who performs procedures on the arm and may lead to iatrogenic injuries. The surgeons and traumatologists have to keep such muscular variations in mind. So, the knowledge of the existence of its variation is important for anesthetists and surgeons.
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