The co-occurrence of a four-headed coracobrachialis muscle, split coracoid process and tunnel for the median and musculocutaneous nerves: the potential clinical relevance of a very rare variation

Surg Radiol Anat. 2021 May;43(5):661-669. doi: 10.1007/s00276-020-02580-x. Epub 2020 Sep 26.

Abstract

The coracobrachialis muscle (CBM) originates from the apex of the coracoid process, in common with the short head of the biceps brachii muscle, and from the intermuscular septum. Both the proximal and distal attachment of the CBM, as well as its relationship with the musculocutaneus nerve demonstrate morphological variability, some of which can lead to many diseases. The present case study presents a new description of a complex origin type (four-headed CBM), as well as the fusion of both the short biceps brachii head, brachialis muscle and medial head of the triceps brachii. In addition, the first and second heads formed a tunnel for the musculocutaneus and median nerves. This case report has clear clinical value due to the split mature of the coracoid process, and is a significant indicator of the development of interest in this overlooked muscle.

Keywords: Anatomical variations; Coracobrachialis muscle; Median nerve; Musculocutaneus nerve; Split coracoid.

Publication types

  • Case Reports

MeSH terms

  • Anatomic Variation*
  • Cadaver
  • Coracoid Process / abnormalities*
  • Coracoid Process / innervation
  • Female
  • Humans
  • Median Nerve / anatomy & histology
  • Middle Aged
  • Muscle, Skeletal / abnormalities*
  • Musculocutaneous Nerve / anatomy & histology