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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Feigl, GC; Pixner, T.
The cleidoatlanticus muscle: a potential pitfall for the practice of ultrasound guided interscalene brachial plexus block.
Surg Radiol Anat. 2011; 33(9): 823-825.
Doi: 10.1007/s00276-011-0820-z
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PubMed
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- Leading authors Med Uni Graz
- Feigl Georg
- Co-authors Med Uni Graz
- Pixner Thomas
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- Abstract:
- INTRODUCTION: Image interpretation during ultrasound guided interscalene nerve blocks might be difficult and misleading due to rare anatomical variations of the sternocleidomastoid muscle. CASE REPORT: During a routine dissection, we found a cleidoatlanticus muscle, which originated lateral to the regular cleidomastoid portion of the sternocleidomastoid muscle. This muscle separated from the sternocleidomastoid muscle at level of the dorsally crossing omohyoid muscle to fuse with the levator scapulae muscle's origin at the transverse process of the atlas. CONCLUSION: As this muscle crosses at a level, where ultrasound guided interscalene blocks are performed, this unusual structure might lead to misinterpretation of the confusing ultrasound image, resulting in misguided needle positioning and consecutive inefficiency of the block technique.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged, 80 and over -
- Brachial Plexus -
- Female -
- Humans -
- Muscle, Skeletal - abnormalities
- Nerve Block -
- Ultrasonography, Interventional -
- Find related publications in this database (Keywords)
- Cleidoatlanticus muscle
- Interscalene plexus block
- Variation
- Ultrasound guided nerve block