Study of sternalis muscle in north Indian population- a cadaveric study

  • Dr. Sachin Soni Assistant Professor, Department of Anatomy, Veer Chandra Singh Garhwali Govt. Institute of Medical Science & Research, Srinagar, Pauri- Garhwal, Uttarakhand, India
  • Dr. Kamal Bhardwaj Lecturer, Department of Anatomy, S.N. medical College, Agra, UP, India
  • Dr. Shikky Garg Associate professor, Department of Anatomy, S.N. Medical College, Agra, UP, India
Keywords: Sternalis, Pectoral nerves, Intercostal nerves, Cadavers, Innervations

Abstract

Background: Sternalis is anatomic variant of anterior thoracic region generally encountered on routine dissection, imaging procedures or surgeries. Although here is sufficient text available regarding presence and extent of sternalis muscle but state of confusion still exist regarding its nerve supply.

Aim: In our study we have tried to find out the incidence of presence of sternalis muscle in north Indian population and through fine dissection, we have focused on the innervation received by the muscle.

Materials and Method: 48 human cadavers including both male and female were dissected at Veer Chandra Singh Garhwali Government Institute of medical Science & Research, Paui- Garhwal and Sarojini naidu Medical College Agra. Special emphasis was laid on innervations and through fine dissection, detailed picture about innervations was recorded. For cases with doubt, histological examination was done and final observations were recorded.

Result: Sternalis muscle was reported in 4 out of 48 cadavers. All cases presented with unilateral type of sternalis muscle. Three were present in male while one in female cadaver. In one cadaver, it was innervated by medial pectoral nerve while in two, innervations were provided by intercostals group of nerves. Only one cadaver presented with dual nerve supply.

Conclusion: in north Indian region, incidence of sternalis is 8.3 percent with dual innervation in single cadaver.

Downloads

Download data is not yet available.

References

Bilodi AS, Sasikala P, Anuradha P, Karthikeyan V. A study on muscle variant – rectus sternalis. World Journal of Pharmacy and Pharmaceutical Sciences. 2015;4(4):1035–40.

Pérez J, Pérez-Gumá JE, Correa R, Rivera M, Castro A, Cedeño J, López M, Nazario L, Otero K, Quiles J, Sánchez P. Breast mass or sternalis muscle? P R Health Sci J. 2008 Jun;27(2):185.

Hung LY, Lucaciu OC, Wong JJ. Back to debate: Sternalis muscle. Int. J. Morphol.2012;30(1):330-336.

Jelev L, Georgiev G, Surchev L. The sternalis muscle in the Bulgarian population: Classification of sternales. J Anat. 2001;199:359-63.

Young Lee, B.; Young Byun, J.; Hee Kim, H.; Sook Kim, H.; Mee Cho, S.; Hoon Lee, K.; Sup Song, K.; Soo Kim, B. & Mun Lee, J. The sternalis muscles: incidence and imaging findings on MDCT. J. Thorac. Imaging. 2006 Aug 21(3):179-83.

Saeed M, Murshid KR, Rufai AA, Elsayed SE, Sadiq MS. An anatomic variant of chest wall musculature. Neurosciences 2002 Dec;Vol. 7(4):248-255.

Kida MY, Izumi A, Tanaka S. Sternalis muscle: topic for debate. Clin Anat. 2000;13(2):138-40.

Sarikçıoglu, L., Demirel, B. M., Oguz, N. & Uçar, Y. Three sternalis muscles associated with abnormal attachments of the pectoralis major muscle. Anatomy. 2008; 2:67-71.

O'Neill, M. N. & Folan-Curran, J. Case report: bilateral sternalis muscles with a bilateral pectoralis major anomaly. J. Anat. 1998; 193(2):289-92.

Britton CA, Baratz AB, Harris KM. Carcinoma mimicked by the sternal insertion of the pectoral muscle. AJR 1989 Nov; 153: 955-956.

Britton CA. Subpectoral mass mimicking a malignant breast mass on mammography. AJR Am J Roentgenol. 1992 Jul;159(1):221.

Arráez-Aybar, L. A.; Sobrado-Perez, J. & Merida-Velasco, J. R. Left musculus sternalis. Clin. Anat., 2003 Jul; 16(4):350-4.

Turner W. On the Musculus Sternalis. J Anat Physiol. 1867;1(2):246-378.25.

Barlow, R. N. The sternalis muscle in American whites and negroes. Anat. Rec. 1935; 61(4):413-26.

Jeng H, Su SJ. The sternalis muscle: an uncommon anatomical variant among Taiwanese. J Anat. 1998 Aug;193 ( Pt 2):287-8.

Mehta V, Arora J, Yadav Y, Suri RK, Rath G. Rectus thoracis bifurcalis: a new variant in the anterior chest wall musculature. Rom J Morphol Embryol. 2010;51(4):799-801.

Mishra BD. The sternalis muscle. J Anat Soc India 1954; 3: 47-48.

Shah AC. The sternalis muscle. Indian J Med Sci. 1968 Jan;22(1):46-7.

Bailey PM, Tzarnas CD. The sternalis muscle: a normal finding encountered during breast surgery. Plast Reconstr Surg. 1999 Apr;103(4):1189-90.

Humphry GM. Lectures on the Varieties in the Muscles of Man. Br Med J. 1873 Jun 21;1(651):693-6.

Gray's anatomy: the anatomical basis of clinical practice Standring, Susan; Gray, Henry, 1825-1861Anatomy. 40th ed., anniversary ed. [Edinburgh]: Churchill Livingstone/Elsevier, 2008.

Wallace D. Nerve Supply of Musculus Sternalis. J Anat Physiol. 1886 Oct;21(Pt 1):153-4.

Kumar, H.; Rath, G.; Sharma, M.; Kohli, M. & Rani, B. Bilateral sternalis with unusual left-sided presentation: a clinical perspective. Yonsei Med. J. 2003 Aug; 44(4):719-22.

Shen CL, Chien CH, Lee SH. A Taiwanese with a pair of sternalis muscles. Kaibogaku Zasshi. 1992 Oct;67(5):652-4.

Shepherd FJ. Musculus Sternalis and its Nerve-Supply. J Anat Physiol. 1889 Jan;23(Pt 2):303-7.

Shepherd FJ. The Musculus Sternalis and its occurrence in (Human) Anencephalous Monsters. J Anat Physiol. 1885 Apr;19(Pt 3):310.2-319.

Jeng H, Su SJ. The sternalis muscle: an uncommon anatomical variant among Taiwanese. J Anat. 1998 Aug;193 ( Pt 2):287-8.

Loukas M, Bowers M, Hullett J. Sternalis muscle: a mystery still. Folia Morphol (Warsz). 2004 May;63(2):147-9.

Windle BC. The Myology of the Anencephalous Foetus. J Anat Physiol. 1893 Apr;27(Pt 3):348-53.

Harish K, Gopinath KS. Sternalis muscle: importance in surgery of the breast. Surg Radiol Anat. 2003 Jul-Aug;25(3-4):311-4. Epub 2003 Aug 1.

Harper WF. The Sternalis Muscle in the Anencephalous Foetus. J Anat. 1936 Jan;70(Pt 2):317-20.

Zaher, W. A.; Darwish, H. H.; Abdalla, A, M. E.; Vohra, M. S. & Khan, M. M. Sternalis: A Clinically Important Variation. Pak. J. Med. Sci. 2009; 25(2):325-8.

Kirk TS. Sternalis Muscle (in the Living). J Anat. 1925 Jan;59(Pt 2):192.

Rahman NA, Das S, Maatoq Sulaiman I, Hlaing KP, Haji Suhaimi F, Latiff AA, Othman F. The sternalis muscle in cadavers: anatomical facts and clinical significance. Clin Ter. 2009;160(2):129-31.

Nuthakki S, Gross M, Fessell D. Sonography and helical computed tomography of the sternalis muscle. J Ultrasound Med. 2007 Feb;26(2):247-50.

Goktan, C.; Orguc, S.; Serter, S. & Ovali, G. Y. Musculus sternalis: a normal but rare mammographic finding and magnetic resonance imaging demonstration. Breast J. 2006; 12(5):488-9.

Pojchamarnwiputh, S.; Muttarak, M.; Na-Chiangmai, W. & Chaiwun, B. Benign breast lesions mimicking carcinoma at mammography. Singapore Med. J. 2007; 48(10):958-68.

Harish K, Gopinath KS. Sternalis muscle: importance in surgery of the breast. Surg Radiol Anat. 2003 Jul-Aug;25(3-4):311-4. Epub 2003 Aug 1.

Kabay B, Akdogan I, Ozdemir B, Adiguzel E. The left sternalis muscle variation detected during mastectomy. Folia Morphol (Warsz). 2005 Nov;64(4):338-40.

Schulman, M. R. & Chun, J. K. The conjoined sternalis-pectoralis muscle flap in immediate tissue expander reconstruction after mastectomy. Ann. Plast. Surg. 2005 Nov; 55(6):672-5.

Study of sternalis muscle in north Indian population- a cadaveric study
CITATION
DOI: 10.17511/ijmrr.2017.i05.02
Published: 2017-05-31
How to Cite
1.
Soni S, Bhardwaj K, Garg S. Study of sternalis muscle in north Indian population- a cadaveric study. Int J Med Res Rev [Internet]. 2017May31 [cited 2024Apr.19];5(5):448-54. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/864
Section
Original Article