Browsing by Author "Tramolao Osses, Jaritza Andrea"

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    Absence of musculocutaneous nerve associated with the presence of an accessory head of the biceps brachii muscle: report of a bilateral case and its clinical implications
    (2023) Farfán Cabello, Emilio Erasmo; Araya, Felipe; Barroilhet Castillo, Manuel; Cornejo, Francisco; Gutierrez, Agustin; Vergara, Matias; Inzunza Hernández, Oscar Alejandro; Sanchez, Natalia; Tramolao Osses, Jaritza Andrea; Inostroza, Veronica
    The anatomical variants of the biceps brachii muscle (BBM) are frequent, mostly unilaterally than bilaterally, and are associated with supernumerary muscle bellies, the total absence of the muscle or one of its heads, and variations in the points of origin and insertion. In the same way, the variants of the musculocutaneous nerve (MCN) can include alterations in its course, number of branches, or anatomical relations, whereas its absence is considered an atypical variation. The aim of this work was to report the absence of musculocutaneous nerve associated with the presence of one accessory head of the biceps brachii muscle. Dissection of a female cadaver, fixed in 10% buff- ered formaldehyde, which did not present previous surgeries in the studied area was performed. Variations were noted in both upper limbs related to accessory muscle bellies and change in innervation. Anatomical relations of muscles and nerves were determined by following proximal to distal ends, relation, vascularization, and innervation pattern. The absence of MCN associated with the presence of one accessory head of the BBM were found bilaterally. These anatomical variations are atypical. Clinically, these variations can produce compressive symptoms that could generate confusing diagnostics and conduce to unnecessary procedures on the arm, inducing iatrogenic actions.
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    Bilateral Variation of the Vertebral Artery: Report of a Case and its Clinical ImplicationVariación Bilateral de la Arteria Vertebral; Reporte de un Caso y su Implicancia Clínica
    (2023) Inostroza Rosales, Verónica Francisca; Araya, Paulina; González, Sofia; Inzunza Hernández, Óscar Alejandro; Tramolao Osses, Jaritza Andrea; Farfan Cabello, Emilio Erasmo
    There are many reports on anatomical variations of the vertebral arteries, which may be related to origin, trajectory, caliber, and side. Bilateral variations are less frequent, however, and less common are bilateral variants that differ from each other. The aim of this work was to report the presence of a bilateral variation of the vertebral artery and its functional and clinical implications. Dissection of a female cadaver, fixed in 10 % buffered formaldehyde, which had not undergone any previous surgeries in the study area and had anatomical variations in both vertebral arteries. In each one, follow-up was done from its origin to its end, determining its trajectory, diameters, branching, and anatomical relations. A left vertebral artery was found, starting in the aortic arch and making a sinuous trajectory of 4 curvatures to enter the transverse foramen of C4. The right vertebral artery began as the first branch of the subclavian artery. Its initial trajectory was rectilinear, followed by a right concave curve, a 360° loop that included a second ascending curve, and ended straight before entering the transverse foramen of C6. The coexistence of bilateral variations in the vertebral arteries is possible. This atypical situation can potentially generate vascular and neurological pathologies, but with different symptoms and causes. Knowing these variations and deliberately searching for them will enable the specialist to make a suitable differential diagnosis.
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    Common Arterial Trunk for the Branches of the Third Portion of the Axillary Artery. Description of a Case and its Clinical Application
    (Soc. Chilena Anatomía, 2022) Farfan Cabello, Emilio Erasmo; Inzunza, Oscar; Tramolao Osses, Jaritza Andrea; Leyton Ensignia, Guillermo; Inostroza R, Veronica
    Variations of the axillary artery may have clinical implications capable of generating unexpected situations during surgical procedures of arterial reconstruction or vascular catheterization. The objective of this work was to report the finding of an anatomical variant of the axillary artery, which may have clinical and surgical implications. A descriptive study was conducted, in which a unilateral vascular variation found during a routine dissection in a right upper limb of a male cadaver was reported. From the second portion of the axillary artery originated a common arterial trunk that gave rise to the subscapular, anterior humeral circumflex, posterior humeral circumflex and deep brachial arteries. The third portion of the axillary artery did not emit branches. The common arterial trunk originated from the second portion, 62.64 mm from the beginning of the axillary artery. Its total length was 23.72 mm and its thickness was 6.1 mm. The caliber of the branches originating from the common arterial trunk was: subscapular artery 5.1 mm, anterior humeral circumflex of 1.66 mm, posterior humeral circumflex 3.18 mm and deep brachial 3.73 mm. The vascular variant detected altered the anatomical relationship of the axillary artery with the brachial plexus, generating a modification in the position of the fascicles and their terminal branches. Anatomical variations of the axillary artery are not infrequent, knowing them may be necessary during surgical procedures or anatomical dissections.
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    Músculo esternal bilateral. Descripción de un caso e implicancias clínicas
    (2023) Farfan, Emilio; Echeverría M., Mark; Inzunza, Oscar; Inostroza Rosales, Verónica Francisca; Tramolao Osses, Jaritza Andrea
    El músculo esternal corresponde a una variante muscular supernumeraria de la musculatura torácica, cuya descripción más antigua se remonta al año 1604. A lo largo de la historia ha sido denominado músculo “epiesternal”, “preesternal”, “recto torácico” o “recto esternal”. Se ubica entre la fascia superficial y el músculo pectoral mayor, tiene una prevalencia de entre 3 % y 8 % en la población general, se presenta de forma unilateral o bilateral exhibiendo una alta variabilidad interracial y puede ser motivo de dilemas diagnósticos durante cirugías y exámenes de imagen. Disección en un cadáver adulto de sexo masculino. Se encontraron dos músculos esternales conectados superiormente por un tendón central. El músculo esternal derecho se extendía desde el manubrio esternal hasta el séptimo cartílago costal derecho. El músculo esternal izquierdo se extendía desde el manubrio esternal hasta el sexto cartílago costal izquierdo. Su inervación estaba dada por ramos cutáneos anteriores de los nervios intercostales y su vascularización por ramas perforantes provenientes de los vasos torácicos internos. El músculo esternal presenta una alta variabilidad morfológica y su prevalencia se ve influenciada por factores raciales. Conocer esta variación muscular enriquece la capacidad diagnóstica y quirúrgica reduciendo la posibilidad de iatrogenia.