Quantitative anatomy of the infraspinatus muscle in the human fetus
Abstract
Background: The study presents one of the six scapulohumeral muscles, which occupies most of the osteofibrous infraspinatus compartment. Along with the supraspinatus, teres minor and subscapularis muscles, the infraspinatus muscle contributes to the rotator cuff. It protects the posterior aspect of the articular capsule of the shoulder joint, adducts and externally rotates the arm. The aim of the study was to perform the quantitative analysis of the infraspinatus muscle in human fetuses and to elaborate growth dynamics for its morphometric parameters.
Materials and methods: Using anatomical dissection, digital image analysis (NIS Elements AR 3.0) and statistics (Student’s t-test, regression analysis), the vertical, transverse and oblique diameters, muscle circumference and projection surface area of the infraspinatus muscle were measured in 36 human fetuses of both sexes (17♂, 19♀) aged 18–30 weeks. The infraspinatus muscle revealed neither sex nor laterality differences.
Results: All examined morphometric parameters of the infraspinatus muscle increased commensurately in accordance with the following linear functions: y = –4.024 + 0.903 × Age ± 0.621 (R2 = 0.96) for transverse diameter, y = –3.089 + 1.321 × Age ± 0.897 (R2 = 0.97) for vertical diameter, y = –1.161 + 0.632 × Age ± 0.444 (R2 = 0.97) for oblique diameter, y = –13.575 + 3.851 × Age ± 1.938 (R2 = 0.98) for muscle circumference and y = –293.512 + 23.228 × Age ±19.650 (R2 = 0.95) for projection surface area.
Keywords: infraspinatus musclemorphometric parametersgrowth dynamicsfetal development
References
- Abe S, Nakamura T, Rodriguez-Vazquez JF, et al. Early fetal development of the rotator interval region of the shoulder with special reference to topographical relationships among related tendons and ligaments. Surg Radiol Anat. 2011; 33(7): 609–615.
- Aboul-Mahasen LM, Sadek SA. Developmental morphological and histological studies on structures of the human fetal shoulder joint. Cells Tissues Organs. 2002; 170(1): 1–20.
- Ashaolu J, Abimbola O, Ukwenya V, et al. Aberrant rotator cuff muscles: coexistence of triple-tailed teres minor and bi-formed infraspinatus (major and minor). FMAR. 2015; 03(01): 20–24.
- Bacle G, Gregoire JM, Patat F, et al. Anatomy and relations of the infraspinatus and the teres minor muscles: a fresh cadaver dissection study. Surg Radiol Anat. 2017; 39(2): 119–126.
- Badura M, Grzonkowska M, Baumgart M, et al. Quantitative anatomy of the trapezius muscle in the human fetus. Adv Clin Exp Med. 2016; 25(4): 605–609.
- Badura M, Wiśniewski M, Szpinda M, et al. Developmental dynamics of the semimembranosus muscle in human foetuses. Med Biol Sci. 2011; 25: 13–16.
- Badura M, Wiśniewski M, Szpinda M, et al. The growth of the semitendinosus muscle in human foetuses. Med Biol Sci. 2011; 25: 17–21.
- Biernacki M, Badura M, Grzonkowska M, et al. Quantitative anatomy of the growing supraspinatus muscle in the human fetus. Folia Morphol. 2023; 82(4): 862–868.
- Clavert P, Bruyere A, Ollivier I, et al. SCRSFA group, Francophone Arthroscopy Society (SFA). An anatomical study of the fetal superior capsule of the glenohumeral joint. Orthop Traumatol Surg Res. 2021; 107(8S): 103073.
- de la Cuadra-Blanco C, Arráez-Aybar LA, Murillo-González JA, et al. Development of the human biceps brachii tendon and coracoglenoid ligament (7th-12th week of development). Cells Tissues Organs. 2017; 203(6): 365–373.
- Fukuda H, Hamada K, Nakajima T, et al. Pathology and pathogenesis of bursal-side rotator cuff tears viewed from en bloc histologic sections. Clin Orthop Relat Res. 1990(254): 75–80.
- Grzonkowska M, Badura M, Lisiecki J, et al. Growth dynamics of the triceps brachii muscle in the human fetus. Adv Clin Exp Med. 2014; 23(2): 177–184.
- Grzonkowska M, Baumgart M, Badura M, et al. Quantitative anatomy of the growing quadratus lumborum in the human foetus. Surg Radiol Anat. 2018; 40(1): 91–98.
- Henry BM, Vikse J, Pekala P, et al. Consensus guidelines for the uniform reporting of study ethics in anatomical research within the framework of the anatomical quality assurance (AQUA) checklist. Clin Anat. 2018; 31(4): 521–524.
- Hita-Contreras F, Sánchez-Montesinos I, Martínez-Amat A, et al. Development of the human shoulder joint during the embryonic and early fetal stages: anatomical considerations for clinical practice. J Anat. 2018; 232(3): 422–430.
- Iwanaga J, Singh V, Takeda S, et al. Acknowledging the use of human cadaveric tissues in research papers: Recommendations from anatomical journal editors. Clin Anat. 2021; 34(1): 2–4.
- Iwanaga J, Singh V, Takeda S, et al. Standardized statement for the ethical use of human cadaveric tissues in anatomy research papers: Recommendations from Anatomical Journal Editors-in-Chief. Clin Anat. 2022; 35(4): 526–528.
- Jernheden I, Szaro P. The internal structure of the infraspinatus muscle: a magnetic resonance study. Surg Radiol Anat. 2022; 44(11): 1439–1453.
- Kato A, Nimura A, Yamaguchi K, et al. An anatomical study of the transverse part of the infraspinatus muscle that is closely related with the supraspinatus muscle. Surg Radiol Anat. 2012; 34(3): 257–265.
- Kato A, Nimura A, Yamaguchi K, et al. An anatomical study of the transverse part of the infraspinatus muscle that is closely related with the supraspinatus muscle. Surg Radiol Anat. 2012; 34(3): 257–265.
- Koptas K, Zielinska N, Tubbs RS, et al. An unreported infraspinatus muscle variation-two-headed infraspinatus minor muscle and three-headed fusion with the teres minor muscle. Surg Radiol Anat. 2022; 44(9): 1305–1308.
- Lee JC, Guy S, Connell D, et al. MRI of the rotator interval of the shoulder. Clin Radiol. 2007; 62(5): 416–423.
- Matsuki K, Sugaya H, Watanabe A, et al. Infraspinatus muscle atrophy as a function of the sagittal extent of rotator cuff tears. Orthopedics. 2010; 33(5).
- Naidoo N, Lazarus L, Satyapal KS. The rotator cuff footprint: a cadaveric study of the morphometry and morphology. Int J Morphol. 2016; 34(3): 975–985.
- Ostör AJK, Richards CA, Prevost AT, et al. Diagnosis and relation to general health of shoulder disorders presenting to primary care. Rheumatology (Oxford). 2005; 44(6): 800–805.
- Redondo-Alonso L, Chamorro-Moriana G, Jiménez-Rejano JJ, et al. Relationship between chronic pathologies of the supraspinatus tendon and the long head of the biceps tendon: systematic review. BMC Musculoskelet Disord. 2014; 15: 377.
- Snow EL, Potthoff K, Adwer L. Cross-sectional and biomechanical investigation of concurrent infraspinatus and teres minor muscle variations: A case report. Transl Res Anat. 2024; 34: 1–9.
- Szpinda M, Paruszewska-Achtel M, Baumgart M, et al. Quantitative growth of the human deltoid muscle in human foetuses. Med Biol Sci. 2011; 25: 59–64.
- Szpinda M, Paruszewska-Achtel M, Dąbrowska M, et al. The normal growth of the biceps brachii muscle in human fetuses. Adv Clin Exp Med. 2013; 22(1): 17–26.
- Szpinda M, Wiśniewski M, Rolka Ł. The biceps femoris muscle in human foetuses — a morphometric, digital and statistical study. Adv Clin Exp Med. 2011; 20: 575–582.
- Szpinda M. Anatomia prawidłowa człowieka: podręcznik dla studentów medycyny i lekarzy. T1. Anatomia ogólna i systemowa, kończyna górna, kończyna dolna. Edra Urban & Partner, Wrocław 2022.
- Walch G, Nové-Josserand L, Liotard JP, et al. Musculotendinous infraspinatus ruptures: an overview. Orthop Traumatol Surg Res. 2009; 95(7): 463–470.
- Werthel JD, Boux de Casson F, Walch G, et al. CT-based volumetric assessment of rotator cuff muscle in shoulder arthroplasty preoperative planning. Bone Jt Open. 2021; 2(7): 552–561.
- Williams JM, Sinkler MA, Obremskey W. Anatomy, shoulder and upper limb, infraspinatus muscle. StatPearls [Internet], Treasure Island 2024.
- Wysiadecki G, Varga I, Klejbor I, et al. Reporting anatomical variations: Should unified standards and protocol (checklist) for anatomical studies and case reports be established? Transl Res Anat. 2024; 35: 100284.