Skip to main content
Log in

Evidence of the sternalis muscle in two South African cadavers

  • Anatomic Variations
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

The sternalis muscle is an infrequent, non-pathological anatomical variant typically misrepresented in a clinical context. It presents with 3–8% prevalence, according to cadaveric studies. The muscles were identified during routine cadaver prosection at the School of Anatomical Sciences, University of the Witwatersrand. Here, we report two cases of the sternalis muscle in two South African White cadavers. Analysis of the sternalis muscles revealed unilaterally present, distinctly defined muscle masses on the right (case number 1, female) and left (case number 2, male) hemithorax, lateral to the sternum. The muscles occurred with a prevalence of 2.25% within the cadaveric population examined. The prevalence of the sternalis muscle is generally low, especially in the European population. Their presence represents the remnants of the cutaneous muscles in the ventral thorax of lower animals. Clinically, the sternalis muscle may be misinterpreted as a pathological mass or lesion, thus accurate knowledge regarding its variations and prevalence is of importance.

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

Similar content being viewed by others

References

  1. Bailey PM, Tzarnas CD (1999) The sternalis muscle: a normal finding encountered during breast surgery. Plast Reconstr Surg 103(4):1189–1190

    Article  CAS  Google Scholar 

  2. Bergman RA (1988) Compendium of human anatomic variation: text, atlas, and world literature. Urban and Schwarzenberg, Baltimore

    Google Scholar 

  3. Bradley FM, Hoover HC Jr, Hulka CA, Whitman GJ, McCarthy KA, Hall DA, Moore R, Kopans DB (1996) The sternalis muscle: an unusual normal finding seen on mammography. Am J Roentgenol 166(1):33–36

    Article  CAS  Google Scholar 

  4. Dudgeon SN, Marcotte KM, Fox GM, Alsup BK (2017) A previously unclassified variant of sternalis muscle. Surg Radiol Anat 7:1–3

    Google Scholar 

  5. Huntington GS (1904) The derivation and significance of certain supernumerary muscles of the pectoral region. J Anat Physiol 39(1):1

    CAS  PubMed  PubMed Central  Google Scholar 

  6. Jelev L, Georgiev G, Surchev L (2001) The sternalis muscle in the Bulgarian population: classification of sternales. J Anat 199(3):359–363

    Article  CAS  Google Scholar 

  7. Kida MY, Kudoh H (1991) Innervation of the sternalis muscle accompanied by congenital partial absence of the pectoralis major muscle. Okajimas Folia Anat Jpn 67:449–455

    Article  CAS  Google Scholar 

  8. Kida MY, Izumi A, Tanaka S (2000) Sternalis muscle: topic for debate. Clin Anat 13:138–140

    Article  CAS  Google Scholar 

  9. O’neill MN, Folan-Curran J (1998) Case report: bilateral sternalis muscles with a bilateral pectoralis major anomaly. J Anat 193(2):289–292

    Article  Google Scholar 

  10. Raikos A, Paraskevas GK, Tzika M, Faustmann P, Triaridis S, Kordali P, Kitsoulis P, Brand-Saberi B (2011) Sternalis muscle: an underestimated anterior chest wall anatomical variant. J Cardiothorac Surg 6:73–76

    Article  Google Scholar 

  11. Scott-Conner CE, Al-Jurf AS (2002) The sternalis muscle. Clin Anat 15:67–69

    Article  Google Scholar 

  12. Snosek M, Tubbs RS, Loukas M (2014) Sternalis muscle, what every anatomist and clinician should know. Clin Anat 27:866–884

    Article  Google Scholar 

Download references

Acknowledgements

The authors thank Dr. Carol Hartmann (School of Anatomical Sciences, University of the Witwatersrand) for her dissection assistance in this study. The authors express their gratitude for the individuals who donated their bodies for medical teaching purposes. Without these individuals, this publication would not be possible.

Author information

Authors and Affiliations

Authors

Contributions

JGD, NB and PM carried out the study design and drafting of the manuscript. JGD and NB performed data acquisition and analysis as well as cadaver dissection. JGD, NB and PM made a critical review of the manuscript. All authors have read and approved the final manuscript.

Corresponding author

Correspondence to Joshua G. Davimes.

Ethics declarations

Ethics clearance

The current study was conducted under the ethical clearance waiver number: W-CJ-140604-1 conferred to the School of Anatomical Sciences, University of the Witwatersrand.

Conflict of interest

The authors declare that they have no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Davimes, J.G., Bacci, N. & Mazengenya, P. Evidence of the sternalis muscle in two South African cadavers. Surg Radiol Anat 40, 1313–1317 (2018). https://doi.org/10.1007/s00276-018-2058-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-018-2058-5

Keywords

Navigation