Sternalis muscle: A new crossed subtype, classification, and surgical applications

Athanasios Raikos, George K. Paraskevas, Faisal Yusuf, Panagiota Kordali, Orestis Ioannidis, Beate Brand-Saberi

Research output: Contribution to journalArticleResearchpeer-review

11 Citations (Scopus)

Abstract

The sternalis muscle is an anatomic variation well known to anatomists, but relatively unknown to clinicians and surgeons. It is localized superficially to the pectoralis major and can cause a diagnostic dilemma during breast surgery, mammography, and computed tomography and magnetic resonance imaging scans, as its appearance mimics tumor pathology of the region. We studied the presence of longitudinally placed muscles in the anterior thoracic wall in 45 cadavers (90 hemithoraces). In an 83-year-old white male, a rare case of crossed-type sternalis was detected on the left side. The muscle originated from the sternal head of the right sternocleidomastoid, crossed into the opposite parasternal half, and split into 2 tendons and 2 muscle bellies that inserted into the left subcostal arch region. This variant was not included in the available sternalis classifications, and an update is suggested. The muscle is of utmost importance and diagnostic value in routine mammogram screening. Moreover, it is of great value for the plastic surgeon, because identification of the variant can aid the differential diagnosis among other regional lesions. Likewise, its superficial location makes it an ideal candidate for utilization as a muscular flap in plastic reconstruction of the head and neck region.

Original languageEnglish
Pages (from-to)646-648
Number of pages3
JournalAnnals of Plastic Surgery
Volume67
Issue number6
DOIs
Publication statusPublished - Dec 2011
Externally publishedYes

Fingerprint

Muscles
Head
Anatomists
Anatomic Variation
Thoracic Wall
Mammography
Cadaver
Tendons
Breast
Differential Diagnosis
Neck
Tomography
Magnetic Resonance Imaging
Pathology
Neoplasms
Surgeons

Cite this

Raikos, Athanasios ; Paraskevas, George K. ; Yusuf, Faisal ; Kordali, Panagiota ; Ioannidis, Orestis ; Brand-Saberi, Beate. / Sternalis muscle : A new crossed subtype, classification, and surgical applications. In: Annals of Plastic Surgery. 2011 ; Vol. 67, No. 6. pp. 646-648.
@article{fb308fadf73a4f6b8d33a4ec74894795,
title = "Sternalis muscle: A new crossed subtype, classification, and surgical applications",
abstract = "The sternalis muscle is an anatomic variation well known to anatomists, but relatively unknown to clinicians and surgeons. It is localized superficially to the pectoralis major and can cause a diagnostic dilemma during breast surgery, mammography, and computed tomography and magnetic resonance imaging scans, as its appearance mimics tumor pathology of the region. We studied the presence of longitudinally placed muscles in the anterior thoracic wall in 45 cadavers (90 hemithoraces). In an 83-year-old white male, a rare case of crossed-type sternalis was detected on the left side. The muscle originated from the sternal head of the right sternocleidomastoid, crossed into the opposite parasternal half, and split into 2 tendons and 2 muscle bellies that inserted into the left subcostal arch region. This variant was not included in the available sternalis classifications, and an update is suggested. The muscle is of utmost importance and diagnostic value in routine mammogram screening. Moreover, it is of great value for the plastic surgeon, because identification of the variant can aid the differential diagnosis among other regional lesions. Likewise, its superficial location makes it an ideal candidate for utilization as a muscular flap in plastic reconstruction of the head and neck region.",
author = "Athanasios Raikos and Paraskevas, {George K.} and Faisal Yusuf and Panagiota Kordali and Orestis Ioannidis and Beate Brand-Saberi",
year = "2011",
month = "12",
doi = "10.1097/SAP.0b013e31820d688b",
language = "English",
volume = "67",
pages = "646--648",
journal = "Annals of Plastic Surgery",
issn = "0148-7043",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

Raikos, A, Paraskevas, GK, Yusuf, F, Kordali, P, Ioannidis, O & Brand-Saberi, B 2011, 'Sternalis muscle: A new crossed subtype, classification, and surgical applications' Annals of Plastic Surgery, vol. 67, no. 6, pp. 646-648. https://doi.org/10.1097/SAP.0b013e31820d688b

Sternalis muscle : A new crossed subtype, classification, and surgical applications. / Raikos, Athanasios; Paraskevas, George K.; Yusuf, Faisal; Kordali, Panagiota; Ioannidis, Orestis; Brand-Saberi, Beate.

In: Annals of Plastic Surgery, Vol. 67, No. 6, 12.2011, p. 646-648.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Sternalis muscle

T2 - A new crossed subtype, classification, and surgical applications

AU - Raikos, Athanasios

AU - Paraskevas, George K.

AU - Yusuf, Faisal

AU - Kordali, Panagiota

AU - Ioannidis, Orestis

AU - Brand-Saberi, Beate

PY - 2011/12

Y1 - 2011/12

N2 - The sternalis muscle is an anatomic variation well known to anatomists, but relatively unknown to clinicians and surgeons. It is localized superficially to the pectoralis major and can cause a diagnostic dilemma during breast surgery, mammography, and computed tomography and magnetic resonance imaging scans, as its appearance mimics tumor pathology of the region. We studied the presence of longitudinally placed muscles in the anterior thoracic wall in 45 cadavers (90 hemithoraces). In an 83-year-old white male, a rare case of crossed-type sternalis was detected on the left side. The muscle originated from the sternal head of the right sternocleidomastoid, crossed into the opposite parasternal half, and split into 2 tendons and 2 muscle bellies that inserted into the left subcostal arch region. This variant was not included in the available sternalis classifications, and an update is suggested. The muscle is of utmost importance and diagnostic value in routine mammogram screening. Moreover, it is of great value for the plastic surgeon, because identification of the variant can aid the differential diagnosis among other regional lesions. Likewise, its superficial location makes it an ideal candidate for utilization as a muscular flap in plastic reconstruction of the head and neck region.

AB - The sternalis muscle is an anatomic variation well known to anatomists, but relatively unknown to clinicians and surgeons. It is localized superficially to the pectoralis major and can cause a diagnostic dilemma during breast surgery, mammography, and computed tomography and magnetic resonance imaging scans, as its appearance mimics tumor pathology of the region. We studied the presence of longitudinally placed muscles in the anterior thoracic wall in 45 cadavers (90 hemithoraces). In an 83-year-old white male, a rare case of crossed-type sternalis was detected on the left side. The muscle originated from the sternal head of the right sternocleidomastoid, crossed into the opposite parasternal half, and split into 2 tendons and 2 muscle bellies that inserted into the left subcostal arch region. This variant was not included in the available sternalis classifications, and an update is suggested. The muscle is of utmost importance and diagnostic value in routine mammogram screening. Moreover, it is of great value for the plastic surgeon, because identification of the variant can aid the differential diagnosis among other regional lesions. Likewise, its superficial location makes it an ideal candidate for utilization as a muscular flap in plastic reconstruction of the head and neck region.

UR - http://www.scopus.com/inward/record.url?scp=82655181298&partnerID=8YFLogxK

U2 - 10.1097/SAP.0b013e31820d688b

DO - 10.1097/SAP.0b013e31820d688b

M3 - Article

VL - 67

SP - 646

EP - 648

JO - Annals of Plastic Surgery

JF - Annals of Plastic Surgery

SN - 0148-7043

IS - 6

ER -