Skip to main content

Advertisement

Log in

Morphometric properties of the levator scapulae, rhomboid major, and rhomboid minor in human fetuses

  • Original Article
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

Purpose

The main objective of this study is to showcase the growth dynamics of levator scapulae, rhomboid major, and rhomboid minor algebraically, to help plan surgeries on newborns and young infants.

Methods

Twenty-five formalin-fixed fetuses (11 male–14 female) with a mean gestational age of 21.80 ± 2.61 (range 18–27) weeks present in the inventory of Mersin University Faculty of Medicine Anatomy Department were dissected. Surface area of levator scapulae, rhomboid major, and rhomboid minor was calculated using digital image analysis software; width and length parameters were measured using digital calipers.

Results

Neither sex nor side significant differences were observed in relation with the numerical data of levator scapulae, rhomboid major, and rhomboid minor (p > 0.05). Algebraic parameters such as surface area, width and length were detected to exhibit a linear growth from 18th to 27th week. Linear functions for levator scapulae, rhomboid major and rhomboid minor surface areas were obtained as y = − 136.871 + 10.598 × age (weeks), y = − 480.567 + 33.147 × age (weeks) and y = − 128.090 + 8.843 × age (weeks), respectively.

Conclusion

The results and data of this study can potentially be beneficial in planning of surgeries for many infancy diseases such as trapezius paralysis, obstetrical brachial plexus palsy, Sprengel’s disease, or winged scapula. Linear functions calculated in this study are expected to provide a better understanding of the growth dynamics of levator scapulae, rhomboid major, and rhomboid minor in fetal term and more precise estimation of muscle sizes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Allouh M, Mohamed A, Mhanni A (2004) Compete unilateral absence of trapezius muscle. MJM 8:31–33

    Google Scholar 

  2. Badura M, Grzonkowska M, Baumgart M, Szpinda M (2016) Quantitative anatomy of the trapezius muscle in the human fetus. Adv Clin Exp Med 25(4):605–609

    Article  PubMed  Google Scholar 

  3. Beger O, Beger B, Uzmansel D, Erdoğan S, Kurtoğlu Z (2017) Morphometric properties of the latissimus dorsi muscle in human fetuses for flap surgery. Surg Radiol Anat. https://doi.org/10.1007/s00276-017-1946-4

    PubMed  Google Scholar 

  4. Bigliani JU, Compito CA, Duralde XA, Wolfe IN (1996) Transfer of the levator scapulae, rhomboid major, and rhomboid minor for paralysis of the trapezius. J Bone Jt Surg Am 78:1534–1540

    Article  CAS  Google Scholar 

  5. Chotai PN, Loukas M, Tubbs RS (2015) Unusual origin of the levator scapulae muscle from mastoid process. Surg Radiol Anat 37(10):1277–1281

    Article  PubMed  Google Scholar 

  6. Cutts A (1988) Shrinkage of muscle fibres during the fixation of cadaveric tissue. J Anat 160:75–78

    CAS  PubMed  PubMed Central  Google Scholar 

  7. Goodman AL, Donald PJ (1990) Use of the levator scapulae muscle flap in head and neck reconstruction. Arch Otolaryngol Head Neck Surg 116(12):1440–1444

    Article  CAS  PubMed  Google Scholar 

  8. Greitemann B, Rondhuis JJ, Karbowski A (1993) Treatment of congenital elevation of the scapula. 10 (2–18) year follow-up of 37 cases of Sprengel’s deformity. Acta Orthop Scand 64(3):365–368

    Article  CAS  PubMed  Google Scholar 

  9. Grzonkowska M, Badura M, Lisiecki J, Szpinda M, Baumgart M, Wiśniewski M (2014) Growth dynamics of the triceps brachii muscle in the human fetus. Adv Clin Exp Med 23(2):177–184

    Article  PubMed  Google Scholar 

  10. Grzonkowska M, Baumgart M, Badura M, Dombek M, Wiśniewski M, Paruszewska-Achtel M, Szpinda M (2017) Quantitative anatomy of the growing quadrates lumborum in the human foetus. Surg Radiol Anat. https://doi.org/10.1007/s00276-017-1901-4

    Google Scholar 

  11. Kędzia A, Janeczko M, Miśkiewicz K, Dudek K (2014) Morphometry of human musculus gluteus maximus in foetal period. Adv Clin Exp Med 23(1):9–16

    Article  PubMed  Google Scholar 

  12. Krespi YP, Oppenheimer RW, Flanzer JM (1988) The rhombotrapezius myocutaneous and osteomyocutaneous flaps. Arch Otolaryngol Head Neck Surg 114(7):734–738

    Article  CAS  PubMed  Google Scholar 

  13. Kuhn JE, Plancher KD, Hawkins RJ (1995) Scapular Winging. J Am Acad Orthop Surg 3(6):319–325

    Article  CAS  PubMed  Google Scholar 

  14. Lucas AE, Snow N, Tobin GR, Flint LM Jr (1982) Use of the rhomboid major muscle flap for esophageal repair. Ann Thorac Surg 33(6):619–623

    Article  CAS  PubMed  Google Scholar 

  15. Martin RM, Fish DE (2008) Scapular winging: anatomical review, diagnosis, and treatments. Curr Rev Musculoskelet Med 1(1):1–11

    Article  PubMed  Google Scholar 

  16. Min W, Price AE, Alfonso I, Ramos L, Grossman JA (2011) Hypoplasia of the trapezius and history of ipsilateral transient neonatal brachial plexus palsy. Pediatr Neurol 44(3):225–228

    Article  PubMed  Google Scholar 

  17. Richardson JD (2005) Management of esophageal perforations: the value of aggressive surgical treatment. Am J Surg 190(2):161–165

    Article  PubMed  Google Scholar 

  18. Romero J, Gerber C (2003) Levator scapulae and rhomboid transfer for paralysis of trapezius: the Eden-Lange procedure. J Bone Jt Surg Br 85:1141–1145

    Article  CAS  Google Scholar 

  19. Selden BR (1935) Congenital absence of trapezius and rhomboideus major muscles. J Bone Jt Surg 17(4):1058–1059

    Google Scholar 

  20. Standring S, Borley NR, Collins P, Crossman AR, Gatzoulis MA, Healy JC (2008) Gray’s anatomy: the anatomical basis of clinical practice, 40th edn. Elsevier, Churchill Livingstone, London

    Google Scholar 

  21. Teboul F, Bizot P, Kakkar R, Sedel L (2004) Surgical management of trapezius palsy. J Bone Jt Surg Am 86:1884–1890

    Article  Google Scholar 

  22. Terzis JK, Papakonstantinou KC (2002) Outcomes of scapula stabilization in obstetrical brachial plexus palsy: a novel dynamic procedure for correction of the winged scapula. Plast Reconstr Surg 109(2):548–561

    Article  PubMed  Google Scholar 

  23. Tubbs RS, Shoja MM, Loukas M (2016) Bergman’s comprehensive encyclopedia of human anatomic variation. Wiley-Blackwell, New Jersey

    Google Scholar 

  24. Vacher C (2008) The osteo-muscular dorsal scapular (OMDS) flap. Anatomic basis of a new pedicled flap for mandibular reconstruction. Surg Radiol Anat 30:233–238

    Article  CAS  PubMed  Google Scholar 

  25. Wiśniewski M, Baumgart M, Grzonkowska M, Małkowski B, Flisiński P, Dombek M, Szpinda M (2017) Quantitative anatomy of the growing clavicle in the human fetus: CT, digital image analysis, and statistical study. Surg Radiol Anat. https://doi.org/10.1007/s00276-017-1821-3

    Google Scholar 

  26. Witbreuk MM, Lambert SM, Eastwood DM (2007) Unilateral hypoplasia of the trapezius muscle in a 10-year-old boy: a case report. J Pediatr Orthop [B] 16:229–232

    Article  Google Scholar 

  27. Woodward JW (1961) Congenital elevation of the scapula. J Bone Jt Surg (Am) 43:219–228

    Article  Google Scholar 

  28. Yiyit N, Işıtmangil T, Oztürker C (2014) The abnormalities of trapezius muscle might be a component of Poland’s syndrome. Med Hypotheses 83(5):533–536

    Article  PubMed  Google Scholar 

Download references

Funding

None.

Author information

Authors and Affiliations

Authors

Contributions

OB: project development, data collection, data analysis, manuscript writing, and manuscript editing. UD: project development, data collection, data analysis, manuscript writing, and manuscript editing. BB: project development, data analysis, manuscript writing, and manuscript editing. DU: project development, data analysis, manuscript writing, and manuscript editing. ZK: project development, data analysis, manuscript writing, and manuscript editing.

Corresponding author

Correspondence to Orhan Beger.

Ethics declarations

Conflict of interest

The authors declare that they have no competing interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Beger, O., Dinç, U., Beger, B. et al. Morphometric properties of the levator scapulae, rhomboid major, and rhomboid minor in human fetuses. Surg Radiol Anat 40, 449–455 (2018). https://doi.org/10.1007/s00276-018-2002-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-018-2002-8

Keywords

Navigation