The current study describes a case of an aberrant cleido-occipital muscle. In particular, this muscle was arising from the middle part of the clavicle, inserted into the medial part of the upper trapezius muscle, and crossed over the supraclavicular nerves with possible compression of them, especially during shoulder abduction. Knowledge of the muscular variability of the posterior cervical triangle is crucial for supraclavicular nerve entrapment syndrome diagnosis and treatment. The appearance of aberrant muscular fascicles may lead to misinterpretation of neck imaging, as well as difficulties during surgical procedures undertaken in the region.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370505PMC
http://dx.doi.org/10.7759/cureus.40982DOI Listing

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The current study describes a case of an aberrant cleido-occipital muscle. In particular, this muscle was arising from the middle part of the clavicle, inserted into the medial part of the upper trapezius muscle, and crossed over the supraclavicular nerves with possible compression of them, especially during shoulder abduction. Knowledge of the muscular variability of the posterior cervical triangle is crucial for supraclavicular nerve entrapment syndrome diagnosis and treatment.

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Bilateral supernumerary clavicular heads of sternocleidomastoid muscle in a Korean female cadaver.

Surg Radiol Anat

June 2019

Department of Anatomy, School of Medicine, Jeju National University, Jeju-Do, 63243, Republic of Korea.

Many anatomical variants on the sternocleidomastoid muscle have been reported. In this study, supernumerary clavicular heads of sternocleidomastoid muscle in a Korean female cadaver were bilaterally displayed. The observed supernumerary heads were classified as follows: one sterno-mastoid, one cleido-occipital and one cleido-mastoid on the right side, and one sterno-mastoid-occipital, four cleido-occipitals, and one cleido-mastoid on the left side.

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Purpose: The fascicular morphology of the sternocleidomastoid (SCM) is not well described in modern anatomical texts, and the biomechanical forces it exerts on individual cervical motion segments are not known. The purpose of this study is to investigate the fascicular anatomy and peak force capabilities of the SCM combining traditional dissection and modern imaging.

Methods: This study is comprised of three parts: Dissection, magnetic resonance imaging (MRI) and biomechanical modelling.

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Bilateral four heads of the sternocleidomastoid muscle.

Surg Radiol Anat

September 2015

Medical Course, School of Medicine, Jeju National University, Jeju, Jeju, Republic of Korea.

The sternocleidomastoid muscle shows a wide range of variations including supernumerary muscular heads. We found a rare variation in the sternocleidomastoid muscle with bilateral supernumerary heads in a 67-year-old Korean male cadaver. Bilateral four muscle bellies were recorded: two sternomastoids, one cleido-occipital and one cleido-mastoid occipital on the right side, and one sternomastoid, one cleido-occipital and two cleido-mastoids on the left side.

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An aberrant muscular fascicle, the so-called "accessory cleido-occipital muscle", originated from the anterior border of the cleido-occipital portion of the right trapezius muscle, was detected during a routine dissection of a female cadaver. The aforementioned muscular bundle coursing in the posterior cervical triangle, almost parallel to the anterior border of the trapezius muscle, inserted ultimately to the clavicle's medial third. In addition, prior to its insertion, the muscle provided a fibrous arch attached to the midportion of clavicle, overlying the main trunk of supraclavicular nerves.

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