Abstract
Congenital variations of extraocular muscles are rare. We report a double-bellied superior rectus muscle, observed in an adult male cadaver aged 70 years. The superior rectus muscle had two equal-sized bellies, which took separate origins from the common tendinous ring and united to form a common belly 1 cm before the insertion. Due to the duplication, the muscle extended laterally beyond the levator palpebrae superioris. Both its bellies were supplied by oculomotor nerve. To the best of our knowledge, this is the first report on doubling of the belly of the superior rectus muscle.
Similar content being viewed by others
References
Bergman RA, Afifi AK, Miyauchi R (2018) Opus I: muscular system: alphabetical listing of muscle. In: Illustrated encyclopedia of human anatomic variation. Available via DIALOG. https://www.anatomyatlases.org/AnatomicVariants/MuscularSystem/Text/R/15Rectus.shtml, Accessed 15 Nov 2018
Bohnsack BL, Gallina D, Thompson H, Kasprick DS, Lucarelli MJ, Dootz G, Nelson C, McGonnell IM, Kahana A (2011) Development of extraocular muscles require early signals from periocular neural crest and the developing eye. Arch Ophthalmol 129:1030–1041
Cuttone JM, Brazis PT, Miller MT, Folk ER (1979) Absence of the superior rectus muscle in Apert’s syndrome. J Pediatr Ophthalmol Strabismus 16:349–354
Dobbs MD, Mawn LA, Donahue SP (2011) Anomalous extraocular muscles with strabismus. Am J Neuroradiol 32(9):E167–E168
Haładaj R, Wysiadecki G, Polguj M. Topol M (2018) Bilateral muscular slips between superior and inferior rectus muscles: case report with discussion on classification of accessory rectus muscles within the orbit. Surg Radiol Anat 40(7):855–862
Jordan DR, Stoica B (2017) The gracillimus orbitis muscle. Ophthal Plast Reconstr Surg 33(5):e120–e122
Kakizaki H, Zako M, Nakano T, Asamoto K, Miyaishi O, Iwaki M (2006) An anomalous muscle linking superior and inferior rectus muscles in the orbit. Anat Sci Int 81(3):197–199
Liao YJ, Hwang JJ (2014) Accessory lateral rectus in a patient with normal ocular motor control. J Neuroophthalmol 34(2):153–154
Molinari A, Plager D, Merino P, Galan MM, Swaminathan M, Ramasuramanian S, de Faber JT (2016) Accessory extraocular muscle as a cause of restrictive strabismus. Strabismus 24(4):178–183
Qi Y, Yu G, Wu Q, Cao WH, Fan YW (2011) Accessory extraocular muscle-a case report and review. Zhonghua Yan Ke Za Zhi 47(12):1111–1116
Shazly TA, Stefko ST (2017) Congenital entropion and hypotropia secondary to duplication of the inferior rectus muscle. J AAPOS 21(1):85–87
Talebnejad MR, Jamshidian M, Mosallaei M (2010) Familial presentation of monocular elevation deficiency syndrome due to hypoplasia and absence of superior rectus. Iran J Ophthalmol 22(3):53–56
Verma R, Hertle RW (2014) An interesting case of bilateral bifid insertion of superior rectus muscle as an intra-operative finding in a patient with oculocutaneous albinism. Surg Radiol Anat 36(6):605–606
von Lüdinghausen M (1998) Bilateral supernumerary rectus muscles of the orbit. Clin Anat 11(4):271–277
von Lüdinghausen M, Miura M, Wurzler N (1999) Variations and anomalies of the human orbital muscles. Surg Radiol Anat 21:69–76
Weinstock FJ, Hardesty HH (1965) Absence of superior recti in craniofacial dysostosis. Arch Ophthalmol 74:152–153
Whitnall SE (1921) Some abnormal muscles of the orbit. Anatom Record 21:142–152
Acknowledgements
The authors deeply acknowledge the help rendered by the management of the Institute and the supporting staff of the dissection hall in carrying out this research. The authors also acknowledge the contribution of Dr. Devadasa Shetty in preparation of the schematic diagram.
Author information
Authors and Affiliations
Contributions
SBN dissected the cadaver. He also took the photograph and labeled it and drafted the manuscript. SDS, NK, and AA helped in reviewing the literature, proof reading the manuscript, and final approval.
Corresponding author
Ethics declarations
Conflict of interest
All authors declare that they have no conflict of interest.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Nayak, S.B., Shetty, S.D., Kumar, N. et al. Double-bellied superior rectus muscle. Surg Radiol Anat 41, 713–715 (2019). https://doi.org/10.1007/s00276-019-02211-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00276-019-02211-0