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Published online: 2023-12-05

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A previously undescribed case of the axillary arch muscle

Nicol Zielinska1, Bartłomiej Szewczyk1, Łukasz Olewnik1
Pubmed: 38078738

Abstract

The axillary arch muscle, also called Langer’s muscle, axillopectoralis, or pectodorsalis is a muscular variation of the latissimus dorsi muscle. During a standard anatomical dissection, the axillary arch muscle was found bilaterally. On both sides it originated from the latissimus dorsi as a muscle belly. Next it was passing into wide tendinous structure attached to the tendon of the pectoralis major muscle. Then, the narrow tendinous slip inserted into the coracoid process was found. The axillary arch muscle was innervated by the thoracodorsal nerve on both sides. Knowledge about morphological variations in this region is important since there is a direct relationship with neurovascular structures, e.g., ending branches of the brachial plexus, which may lead to paresthesia or muscle weakness.

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References

  1. Bergman R, Afifi A, Miyauchi R. Illustrated encyclopedia of human anatomic variations. Anatomy Atlas. Wiley & Sons, Hoboken 2017.
  2. Bertone VH, Ottone NE, Lo Tartaro M, et al. The morphology and clinical importance of the axillary arch. Folia Morphol. 2008; 67(4): 261–266.
  3. Iamsaard S, Uabundit N, Khamanarong K, et al. Duplicated axillary arch muscles arising from the latissimus dorsi. Anat Cell Biol. 2012; 45(4): 288–290.
  4. Karanlik H, Fathalizadeh A, Ilhan B, et al. Axillary arch may affect axillary lymphadenectomy. Breast Care (Basel). 2013; 8(6): 424–427.
  5. Kil WHo, Lee JE, Nam SJ, et al. Clinical significance of the axillary arch in sentinel lymph node biopsy. J Breast Cancer. 2014; 17(3): 244–249.
  6. Loukas M, Noordeh N, Tubbs RS, et al. Variation of the axillary arch muscle with multiple insertions. Singapore Med J. 2009; 50(2): e88–e90.
  7. Macalister A. Observations on muscular anomalies in the human anatomy. Third series with a catalogue of the principal muscular variations hitherto published. Trans Roy Irish Acad Sci. 1875; 25: 1–130.
  8. Magee C, Jones C, McIntosh S, et al. Upper limb deep vein thrombosis due to Langer's axillary arch. J Vasc Surg. 2012; 55(1): 234–236.
  9. Moore KL, Dalley AF. Clinical oriented anatomy. 4th ed. Lippincott Williams&Wilkins, Philadeplphia 1999.
  10. Rai R, Iwanaga J, Loukas M, et al. The role of the axillary arch variant in neurovascular syndrome of brachial plexus compression. Cureus. 2018; 10(6): e2875.
  11. Rajakulasingam R, Saifuddin A. Test yourself question: fullness in the left axilla. Skeletal Radiol. 2020; 49(10): 1657–1658.
  12. Rizk E, Harbaugh K. The muscular axillary arch. Oper Neurosurg. 2008; 63(4): 316–320.
  13. Sharma T, Singla RK, Agnihotri G, et al. Axillary arch muscle. Kathmandu Univ Med J (KUMJ). 2009; 7(28): 432–434.
  14. Turki MA, Adds PJ. Langer's axillary arch: a rare variant, and prevalence among Caucasians. Folia Morphol. 2017; 76(3): 536–539.
  15. Wood J. III. On some varieties in human myology. Proc R Soc London. 1864; 13: 299–303.
  16. Wood J. On human muscular variations and their relation to comperative anatomy. J Anat Physiol. 1867; 1(1): 44–59.
  17. Zielinska N, Tubbs RS, Podgórski M, et al. The subscapularis tendon: A proposed classification system. Ann Anat. 2021; 233: 151615.