Variation in origin of pectoralis minor muscle: a case report

Pectoralis minor is a slender, triangular muscle deep within the pectoralis major. It originates from the exterior surfaces of the third through fifth ribs, in the vicinity of their cartilages and fascia covering the adjacent external intercostal muscles. Under the pectoralis major's cover, its fibres climb laterally and converge into a flat tendon linked to the medial border and top surface of the scapula's coracoid process. A portion of the tendon may cross the coracoid process and enter the coracoacromial ligament. In regular dissection muscles of the pectoral region were observed and the pectoralis minor muscle variation was noted. Out of 10 cadavers, a male cadaver showed bilateral variation in the origin of the pectoralis minor muscle. In this case, we found the origin of the pectoralis minor muscle was from the outer surface of the second to fifth rib, near their cartilages. The present case is a rare anomaly and is being reported as this knowledge is of importance great importance to surgeons, orthopedics and sports medicine as it could lead to shoulder pain, rotator cuff pathologies, winging of scapula, impingement of neurovascular bundle knows as pectoralis minor syndrome.

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Publication Details

Journal
International Journal of Research in Medical Sciences
Published
2025-03-29
DOI
https://doi.org/10.18203/2320-6012.ijrms20251008
Primary Topic
Pectus Deformity Diagnosis and Treatment
Type
article
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article

Variation in origin of pectoralis minor muscle: a case report

Sukhdeep Sran, Vipin Kumar Garsa, Ritu Singroha, Soujanya Agrawal et al.
International Journal of Research in Medical Sciences
Pectus Deformity Diagnosis and Treatment
article

Variation in origin of pectoralis minor muscle: a case report

Sukhdeep Sran, Vipin Kumar Garsa, Ritu Singroha, Soujanya Agrawal, S.K. Rathee
article en

Abstract

Pectoralis minor is a slender, triangular muscle deep within the pectoralis major. It originates from the exterior surfaces of the third through fifth ribs, in the vicinity of their cartilages and fascia covering the adjacent external intercostal muscles. Under the pectoralis major's cover, its fibres climb laterally and converge into a flat tendon linked to the medial border and top surface of the scapula's coracoid process. A portion of the tendon may cross the coracoid process and enter the coracoacromial ligament. In regular dissection muscles of the pectoral region were observed and the pectoralis minor muscle variation was noted. Out of 10 cadavers, a male cadaver showed bilateral variation in the origin of the pectoralis minor muscle. In this case, we found the origin of the pectoralis minor muscle was from the outer surface of the second to fifth rib, near their cartilages. The present case is a rare anomaly and is being reported as this knowledge is of importance great importance to surgeons, orthopedics and sports medicine as it could lead to shoulder pain, rotator cuff pathologies, winging of scapula, impingement of neurovascular bundle knows as pectoralis minor syndrome.

International Journal of Research in Medical SciencesVol. 13(4)
Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences (IN)
Openalex Percentile: Top 90%
Pectus Deformity Diagnosis and Treatment
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