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Unilateral psoas minor: a case report

Krasimir Markov, Mihaela Zaharieva, Pamela Dragieva, Yordan Kozhuharov, Denitsa Nikolova, Radina Deltcheva, George St. Stoyanov

Abstract

Introduction:

The posterior abdominal wall is a complex region of human anatomy. It is formed by the lumbar vertebrae, pelvic girdle and the five main posterior abdominal muscles - the iliacus, psoas major, quadratus lumborum, the diaphragm, their associated fascia and the variable psoas minor and tertius muscles. The psoas muscle group is comprised of the long fusiform muscles - major, minor and tertius, with only the psoas major muscle being an obligatory muscle present in all individuals. The psoas muscle group however are extremely variable and have differences not only in their structure and morphology, but also in their innervation. The psoas minor is an extremely variable inconstant muscle, a prime example for a vestigial structure in the human body.

Case report:

During a standard posterior abdominal wall dissection of an adult female cadaver a unilateral right-sided psoas minor muscle was established, with a complete absence of the same muscle on the contralateral left side. The unilateral right-sided psoas minor muscle was located superficially and laterally to the psoas major muscle, it was fusiform in shape and its body measured 96 mm in length and 16mm in circumference.

Conclusion:

The psoas muscle group is one of the most variable muscle groups in the human body. It could be bilaterally - located on both sides of the vertebral column on the anterior surface of psoas major muscle. Our case is representative of one of the not so common variations of the psoas minor muscle with muscle morphology extremely representative of this type of unilateral variation.


Keywords

psoas minor, posterior abdominal wall, variations, morphology

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References

Jelev L, Shivarov V, Surchev L. Bilateral variations of the psoas major and the iliacus muscles and presence of an undescribed variant muscle – accessory iliopsoas muscle. Ann Anat 2005;187(3):281–6. doi: 10.1016/j.aanat.2004.10.006

Protas M, Voin V, Wang JM, Iwanaga J, Loukas M, Tubbs RS. A Rare Case of Double-Headed Psoas Minor Muscle with Review of its Known Variants. Cureus 2017; 9(6):e1312. doi: 10.7759/cureus.1312

Joshi SD, Joshi SS, Dandekar UK, Daini SR. Morphology of Psoas Minor and Psoas Accessorius. J Anat Soc India 2010;59(1):31–4. doi: 10.1016/S0003-2778(10)80008-5

Hanson P, Magnusson SP, Sorensen H, simonsen EB. Anatomical differences in the psoas muscles in young black and white men. J Anat 1999;194(2):303–7. doi: 10.1046/j.1469-7580.1999.19420303.x

Guerra RD, Reis PF, de Andrade Bastos A, Brito JC, dos Santos Silva JR, Aragão AJ. Anatomical Study on the Psoas Minor Muscle in Human Fetuses. Int J Morphol 2012;30(1):136–9.

Khalid S, Iwanaga J, Loukas M, Tubbs RS. Split Femoral Nerve Due to Psoas Tertius Muscle: A Review with Other Cases of Variant Muscles Traversing the Femoral Nerve. Cureus 2017;9(8):e1555. doi: 10.7759/cureus.1555.

Mori M. Statistics on the Musculature of the Japanese. Okajimas Folia Anat Jpn 1964;40(3):195–300. doi: 10.2535/ofaj1936.40.3_195

Seib GA. Incidence of the m. psoas minor in man. Am J Phys Anthropol 1934;19(2):229–46. doi: 10.1002/ajpa.1330190222




DOI: http://dx.doi.org/10.14748/ssvs.v1i1.4097

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