The deltoid muscle: a proposed classification system on human fetuses
Abstract
Background: The deltoid muscle originates from the spine of the scapula, the lateral border of the acromion and the lateral third of the clavicle. It inserts on the deltoid tuberosity. It is divided into three parts: spinal, acromial and clavicular. Our research shows that each part of the deltoid muscle can have up to three bellies during prenatal life.
Materials and methods: The material included 80 upper limbs of spontaneously-aborted human fetuses (32 male, 48 female; Central European population), 18–38 weeks of gestation at the time of death.
Results: Each part had one (Type I), two (Type II) or three (Type III) bellies. In all parts, the most common form was Type I: it was present in 81.25% of cases in the clavicular part, 73.75% in the acromial part and 57.5% in the spinal part. In contrast, Type III was the rarest form in all parts: it was present in 3.75% of cases in the clavicular part, 12.5% in the acromial part and 7.5% in the spinal part.
Conclusions: The deltoid muscle is characterized by morphological variability, even in fetuses.
Keywords: deltoid muscleshoulder girdlehuman fetusesprenatal development
References
- Aasar YH. Anatomical anomalies. Fouad I University Press, Cairo 1947.
- Bardeen CR. Development and variation of the nerves and the musculature of the inferior extremity and of the neighboring regions of the trunk in man. Am J Anat. 1906; 6.
- Bardeen CR. The development of the thoracic vertebræ in man. Am J Anat. 1905; 4(2).
- Buck FM, Jost B, Hodler J. Shoulder arthroplasty. Eur Radiol. 2008; 18(12): 2937–2948.
- Chudzinski T. Une anomalie du muscle deltoïde. Bull Mem Soc Anthropol. 1885; 8(1): 10–11.
- Coughlin RP, Crapser A, Coughlin K, et al. Open bankart revisited. Arthrosc Tech. 2017; 6(1): e233–e237.
- Elzanie A, Varacallo M. Anatomy, shoulder and upper limb, deltoid muscle. StatPearls [Internet], Treasure Island 2022: StatPearls.
- Fick RA. Handbuch der Anatomie und Mechanik der Gelenke: T. Spezielle Gelenk- und Muskelmechanik. G. Fischer, Stuttgart 1911: Fischer.
- Gruber W. Mangel der mittleren Portion des Musculus deltoideus. Arch für Pathol Anat und Physiol und für Klin Med. 1871; 54(1-2): 184–185.
- Haładaj R, Wysiadecki G, Clarke E, et al. Anatomical variations of the pectoralis major muscle: notes on their impact on pectoral nerve innervation patterns and discussion on their clinical relevance. Biomed Res Int. 2019; 2019: 6212039.
- Hecker A, Aguirre J, Eichenberger U, et al. Deltoid muscle contribution to shoulder flexion and abduction strength: an experimental approach. J Shoulder Elbow Surg. 2021; 30(2): e60–e68.
- Hue E, Gagey O, Mestdagh H, et al. The blood supply of the deltoid muscle: Application to the deltoid flap technique. Surg Radiol Anat. 1998; 20(3): 161–165.
- Jenty, C.N., 1757. A Course of Anatomico-physiological Lectures on the Human Structure and Animal Oeconomy: Interspersed with Various Critical Notes,... Including Whatever is Most Valuable in the Works of All the Eminent Professors on These Subjects. Particularly Winslow, H. James Rivington and James Fletcher.
- Karauda P, Shane Tubbs R, Polguj M, et al. Morphological variability of the extensor hallucis longus in human fetuses. Ann Anat. 2021; 234: 151627.
- Kulkarni RR, Nandedkar AN, Mysorekar VR. Position of the axillary nerve in the deltoid muscle. Anat Rec. 1992; 232(2): 316–317.
- Larionov A, Yotovski P, Link K, et al. Innervation of the clavicular part of the deltoid muscle by the lateral pectoral nerve. Clin Anat. 2020; 33(8): 1152–1158.
- Lorne E, Gagey O, Quillard J, et al. The fibrous frame of the deltoid muscle. Its functional and surgical relevance. Clin Orthop Relat Res. 2001(386): 222–225.
- 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: 1–134.
- Maffet MW, Jobe FW, Pink MM, et al. Shoulder muscle firing patterns during the windmill softball pitch. Am J Sports Med. 1997; 25(3): 369–374.
- McQuivey KS, Brinkman JC, Tummala SV, et al. Arthroscopic remplissage using knotless, all-suture anchors. Arthrosc Tech. 2022; 11(4): e615–e621.
- Moore KL, Dalley AF, Agur AMR. Clinically oriented anatomy. Lippincott Williams & Wilkins, Philadelphia 2013.
- Moradi M, Hadadnezhad M, Letafatkar A, et al. Efficacy of throwing exercise with TheraBand in male volleyball players with shoulder internal rotation deficit: a randomized controlled trial. BMC Musculoskelet Disord. 2020; 21(1): 376.
- Mori M. Statistics on the musculature of the japanese. Okajimas Folia Anat Jpn. 1964; 40: 195–300.
- Natsis K, Tsakotos G, Vlasis K, et al. Absence of the deltopectoral groove. ANZ J Surg. 2011; 81(3): 204.
- Otto AW. Lehrbuch der pathologischen Anatomie des Menschen und der Thiere. August Rücker, Berlin 1830.
- Perrin B. Notes on some variations of the pectoralis major, with its associate muscles. J Anat Physiol. 1871; 5(233).
- Peterson SL, Rayan GM. Shoulder and upper arm muscle architecture. J Hand Surg Am. 2011; 36(5): 881–889.
- Williams PL. Gray’s Anatomy. London, Churchill Livingstone 1980.