open access

Vol 82, No 3 (2023)
Case report
Submitted: 2022-05-27
Accepted: 2022-06-13
Published online: 2022-07-08
Get Citation

A unique variation of a four-bellied digastric muscle named “real quadrigastric muscle”: a case report and literature review

B. Landzhov1, L. Gaydarski1, R. S. Tubbs2, V. Kirkov3, G. P. Georgiev4
·
Pubmed: 35818809
·
Folia Morphol 2023;82(3):735-739.
Affiliations
  1. Department of Anatomy, Histology and Embryology, Medical University of Sofia, Bulgaria
  2. Department of Neurology, Tulane University School of Medicine, New Orleans, Louisiana, United States
  3. Department of Health Policy and Management, Medical University of Sofia, Bulgaria
  4. Department of Orthopaedics and Traumatology, University Hospital Queen Giovanna – ISUL, Medical University of Sofia, Bulgaria

open access

Vol 82, No 3 (2023)
CASE REPORTS
Submitted: 2022-05-27
Accepted: 2022-06-13
Published online: 2022-07-08

Abstract

From a topographical standpoint, the digastric muscle is key to the formation of
several triangles of the neck, which are of the utmost clinical significance. Herein,
we present a previously unrecognised variation of the digastric muscle: a quadrigastric
muscle with two accessory bellies originating from the body and angle of
the mandible and inserting to the intermediate tendon. Three new triangles are
demarcated between the four bellies of the aberrant muscle. Detailed knowledge
of variations of the digastric muscle, changing the borders and relationships of
the topographic triangles, is paramount for radiologists and surgeons operating
on the anterior region of the neck.

Abstract

From a topographical standpoint, the digastric muscle is key to the formation of
several triangles of the neck, which are of the utmost clinical significance. Herein,
we present a previously unrecognised variation of the digastric muscle: a quadrigastric
muscle with two accessory bellies originating from the body and angle of
the mandible and inserting to the intermediate tendon. Three new triangles are
demarcated between the four bellies of the aberrant muscle. Detailed knowledge
of variations of the digastric muscle, changing the borders and relationships of
the topographic triangles, is paramount for radiologists and surgeons operating
on the anterior region of the neck.

Get Citation

Keywords

neck topography, novel triangles, clinical significance

About this article
Title

A unique variation of a four-bellied digastric muscle named “real quadrigastric muscle”: a case report and literature review

Journal

Folia Morphologica

Issue

Vol 82, No 3 (2023)

Article type

Case report

Pages

735-739

Published online

2022-07-08

Page views

1020

Article views/downloads

540

DOI

10.5603/FM.a2022.0063

Pubmed

35818809

Bibliographic record

Folia Morphol 2023;82(3):735-739.

Keywords

neck topography
novel triangles
clinical significance

Authors

B. Landzhov
L. Gaydarski
R. S. Tubbs
V. Kirkov
G. P. Georgiev

References (24)
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  17. Pirogoff NI. Sectiones capitis, colli et columne vertebrarum triplici directioneductae. In: Pirogoff NI (ed.) Anatome topographica sectionibus per corpus humanum congelatum. Triplice directione ductis illustrate. First Ed. Typis Jacobi Trey, St. Petersburg 1852: 1–248.
  18. Sadler TW. Head and neck. In: Sadler TW (ed.) Langman's medical embryology, 10th ed. Lippincott Williams & Wilkins, Philadelphia 2006: 259–261.
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