One Case of Langer's Axillary Arch(Axillopectoral Muscle)

랑거씨 액와 아치 1예

  • Yoo, Seung Woo (Department Otorhinolaryngology-Head and Neck Surgery, Hallym University College of Medicine) ;
  • Lee, Joong Sub (Department Otorhinolaryngology-Head and Neck Surgery, Hallym University College of Medicine) ;
  • Choi, Hyo Geun (Department Otorhinolaryngology-Head and Neck Surgery, Hallym University College of Medicine) ;
  • Park, Bumjung (Department Otorhinolaryngology-Head and Neck Surgery, Hallym University College of Medicine)
  • 유승우 (한림대학교 의과대학 이비인후과학교실) ;
  • 이중섭 (한림대학교 의과대학 이비인후과학교실) ;
  • 최효근 (한림대학교 의과대학 이비인후과학교실) ;
  • 박범정 (한림대학교 의과대학 이비인후과학교실)
  • Received : 2014.05.15
  • Accepted : 2014.09.12
  • Published : 2014.10.31

Abstract

Langer's axillary arch(axillopectoral muscle) is a rare disease. It is a variant muscular structure of the axilla, which was described as Langer's muscle by Ramsay and Langer. It could evoke chronic ambiguous neck pain. Therefore, it should be considered, when the patient failed to find the origin of neck pain which do not react any treatment. If it were diagnosed, it can be easily managed. However, it is not well known to otorhinololaryngologitis. Here we reports the 53 years old female who developed pain on supraclavicular area as a result of an Langer's axillary arch.

Keywords

References

  1. Bogduk N. The anatomy and pathophysiology of neck pain. Physical medicine and rehabilitation clinics of North America. 2003;14:455-472, v. https://doi.org/10.1016/S1047-9651(03)00041-X
  2. Herbst KA, Miller LS. Symptomatic axillopectoral muscle in a swimmer: a case report. The American Journal of Sports Medicine. 2013;41:1400-1403. https://doi.org/10.1177/0363546513486768
  3. Kafa IM, Bakirci S, Uysal M, Sendemir E. Langer's axillary arch(axillopectoral muscle) a variation of latissimus dorsi muscle. International Journal of Anatomical Variations. 2010;3:91-92.
  4. Jelev L, Georgiev GP, Surchev L. Axillary arch in human: common morphology and variety. Definition of "clinical" axillary arch and its classification. Annals of anatomy = Anatomischer Anzeiger: official organ of the Anatomische Gesellschaft. 2007;189:473-481. https://doi.org/10.1016/j.aanat.2006.11.011
  5. Besana-Ciani I, Greenall MJ. Langer's axillary arch: anatomy, embryological features and surgical implications. The surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland. 2005;3:325-327. https://doi.org/10.1016/S1479-666X(05)80111-8
  6. Bonastre V, Rodriguez-Niedenfuhr M, Choi D, Sanudo JR. Coexistence of a pectoralis quartus muscle and an unusual axillary arch: case report and review. Clinical Anatomy(New York, N.Y.). 2002;15:366-370. https://doi.org/10.1002/ca.10053
  7. Bergman RA. Doubled pectoralis quartus, axillary arch, chondroepitrochlearis, and the twist of the tendon of pectoralis major. Anatomischer Anzeiger. 1991;173:23-26.
  8. Guy MS, Sandhu SK, Gowdy JM, Cartier CC, Adams JH. MRI of the axillary arch muscle: prevalence, anatomic relations, and potential consequences. AJR. American Journal of Roentgenology. 2011;196:W52-W57. https://doi.org/10.2214/AJR.10.4380
  9. Perre CI, Zoetmulder FA. A bilateral axillopectoral muscle. The Netherlands Journal of Surgery. 1989;41:49.
  10. Turgut HB, Peker T, Gulekon N, Anil A, Karakose M. Axillopectoral muscle(Langer's muscle). Clinical anatomy(New York, N.Y.). 2005;18:220-223. https://doi.org/10.1002/ca.20077
  11. Hafner F, Seinost G, Gary T, Tomka M, Szolar D, Brodmann M. Axillary vein compression by Langer's axillary arch, an aberrant muscle bundle of the latissimus dorsi. Cardiovascular pathology: The Official Journal of the Society for Cardiovascular Pathology. 2010;19:e89-e90. https://doi.org/10.1016/j.carpath.2008.10.014
  12. Ang CY, Ng SW, Tan BK. A fan-shaped axillopectoral muscle: An unusual variant of the axillary arch. Annals of Plastic Surgery. 2009;63:541-542. https://doi.org/10.1097/SAP.0b013e31819349d3
  13. Magee C, Jones C, McIntosh S, Harkin DW. Upper limb deep vein thrombosis due to Langer's axillary arch. Journal of Vascular Surgery. 2012;55:234-236. https://doi.org/10.1016/j.jvs.2011.07.002
  14. Ko K, Han BK, Shin JH, Choe YH, Chung HW, Lee EH, et al. The axillopectoral muscle seen on mammography. Clinical Radiology. 2006;61:625-629. https://doi.org/10.1016/j.crad.2006.03.015