Anatomic basis for the construction of a musculotendinous flap derived from the pectoralis major muscle
Tóm tắt
The vascularization, innervation and termination of the clavicular portion of the pectoralis major muscle were studied by dissection of 7 adult subjects and 2 fetuses. The vascular and nervous autonomy of the clavicular portion was confirmed. Blood-supply was effected by 2 arteries and innervation by an idependent nerve. The exact distribution of the fibers composing the Pectoralis major and their complex insertion are described. It is concluded that the clavicular portion can be employed as an active muscle transplant to the head of the humerus when the short rotator muscles of the shoulder are ineffective.
Tài liệu tham khảo
Ariyan S (1979) The pectoralis major myocutaneous flap. A versatile flap for reconstruction in the head and neck. Plast Reconstr Surg 63: 73–81
Arnold PG, Pairolero PC (1979) Use of pectoralis major muscle flaps to repair defects of anterior chest wall. Plast Reconstr Surg 63: 205–213
Baek SM, Lawson W, Biller HF (1982) An analysis of 133 pectoralis major myocutaneous flaps. Plast Reconstr Surg 69: 460–469
Bashir AH (1976) Transposition of the sterno-costal head of the pectoralis major in extensive burn contractures of the axilla. Br J Plast Surg 29: 377–381
Dautry P, Apoil A, Moinet F, Koechlin P (1977) Paralysie radiculaire supérieure du plexus brachial, traitement par transpositions musculaires associées; résultats de 7 cas. Rev Chir Orthop 63: 399–407
Desphieux JL, Ducasse A, Delattre J.F., Legros M, Longuebray A, Mambie JJ (1984) Lambeau musculo-cutané de grand pectoral, étude anatomique. Ann Chir Plast Esthet 29: 23–26
Ducasse A, Desphieux JL, Palot JP, Delattre JF, Flament JB (1984) Anatomical basis for the use of the pectoralis major myocutaneous flap in reconstructive surgery. Anat Clin 5: 245–249
Hurwitz DJ (1979) Complicated neck contracture treated with pectoralis major myocutaneous. Plastic Reconstr Surg 63: 843–846
Ikuta V, Kubo T, Tsuge K (1976) Free muscle transplantation by micro-surgical technique to treat severe Volkmann's contracture. Plast Reconstr Surg 58: 407–411
Luce EA, Gottlieb SF (1982) The pectoralis major island flap for coverage in the upper extremity. J Hand Surg 7: 156–159
Manktelow RT, McKee NH, Vettese T (1980) An anatomical study of the pectoralis major muscle as related to functioning free muscle transplantation. Plast Reconstr Surg 65: 610–615
Mathes SJ, Nahai F (1981) Classification of the vascular anatomy of muscles: Experimental and clinical correlation. Plast Reconstr Surg 67: 177–187
Mathes SJ, Vasconez LO, Jurkiewiecz MJ (1977) Extensions and further applications of muscle flap transposition. Plast Reconstr Surg 60: 6–13
Merle D'Aubigné R, Deburge A (1967) Traitements des paralysies du plexus brachial. Rev Chir Orthop 53: 199–214
Soussaline M, Guedon C, Petoin B, Brunais B (1984) Bilan de l'utilisation du lambeau musculo-cutané acromio-thoracique en carcinologie cervico-faciale, à propos de 137 cas. Ann Chir Plast Esthét 29: 135–139
Taylor GI, Daniel RK (1975) The anatomy of several free flap donor sites. Plast Reconstr Surg 56: 243–253