PDF(Pubmed)
Abstract：
The current case report describes an uncommon insertion of the levator scapulae (LS), which broadly attaches to multiple structures, including the serratus posterior superior, ligamentum nuchae, and the 6th and 7th spinous processes of the cervical vertebrae. The most superior portion of this aponeurosis merged with the ligamentum nuchae at the C7 level. The middle and inferior portions of the head were inserted (or fused) into the tendon of the rhomboid minor as well as the fibers of the serratus posterior superior muscle. Consequently, recognizing this anatomical variation, characterized by an additional slip of the LS attaching to the 7th vertebra and other muscular structures, is crucial not only for anatomists but also for surgeons performing procedures on the posterior neck related to cervical or shoulder pain and cervical dystonia.
摘要：
目前的病例报告描述了一种罕见的肩胛骨提肌（LS）插入，广泛地附着在多个结构上，包括后上锯齿，颈韧带,颈椎的第6和第7个棘突.该腱膜的最上层部分与C7水平的韧带融合。将头部的中部和下部插入（或融合）到菱形小肌的肌腱以及锯齿后上肌的纤维中。因此,认识到这种解剖变化，其特征是LS附加滑移连接到第七椎骨和其他肌肉结构，这不仅对解剖学专家至关重要，而且对在颈后端进行与颈或肩疼痛和颈肌张力障碍相关的手术的外科医生也至关重要。
