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Atrophy of a breast muscle with a single fibre type (M. pectoralis) in fasting willow grouse, Lagopus lagopus (L.).

The willow grouse (Lagopus lagopus) are arctic gallinaceous birds with small fat stores and large muscles. In winter, these birds may starve for periods of several days. It was important to know which energy reserves were utlized during periods of starvation. Body composition of female willow grouse and Bantam hens was studied before and after fasting. Grouse have much larger breast muscles than do Bantams, but reproductive organs are larger in hens. The relative amounts of adipose tissue are about equal in grouse and Bantams. When the birds had lost about 20% of their initial body weight due to fasting, Bantams had lost as much weight from their reproductive organs as from the adipose tissue, with little loss from the muscles. Grouse lost more weight from the pectoralis muscles alone than from the adipose tissue. Since the major component of muscle is protein, the grouse obtain a larger proportion of acloric needs during fasting from protein than do the Bantams. Grouse breast muscles are dark red, and the pectoralis consists homogeneously of type IIa (oxidative-glycolytic) fibres, assessed by ATPase and by Sudan Black staining. The supracoracoideus muscle has type II fibres, not resolvable in subtypes. The leg muscle biceps femoris contains the three fibre types I, IIa, and IIb. During fasting, the weight loss of the pectoralis muscle may be accounted for by all fibres losing some material.

Animals↗

[Efficiency of the combination of Mersilene-musculocutaneous flap in the reconstruction of full-thickness chest wall defects. A retrospective study of 14 cases].

SUBJECT: The tumors of chest wall can be responsible of large full-thickness defects. The skeletal stabilization by different synthetic materials with numerous modalities of use and the superficial coverage of the defect by a musculocutaneous flap are the two imperatives parts of this reconstruction. PATIENTS AND METHODS: From January 1997 to January 2006, 14 patients, 10 males and 4 females, aged between 17 and 63 years old and suffering from full-thickness chest wall defects secondary to tumor resection have benefited from a simple reconstruction, wherever the defect, by a Mersilene Mesh and a muscular or musculocutaneous flap. These defects measured between 8 x 12 cm and 14 x 16 cm and were located in the anterior part of the chest in 3 cases, with resection of the upper half of the sternum and the internal part of both clavicles and the first three ribs, and in the lateral part of the chest in 11 cases with resection between 3 and 5 ribs. The histological diagnoses of these tumors were 3 chondrosarcomas, 3 sternum and 1 rib metastases, 2 desmoid tumors, 1 Ewing's sarcoma, 4 benign tumors. The flaps used were pedicled in 13 cases and based on the latissimus dorsi muscle, the serratus muscle and the pectoralis major muscle; in 1 case, the latissimus dorsi musculocutaneous flap was free. RESULTS: The skeletal stabilisation seems satisfying. There was no problems with the pulmonary function except in 4 cases where a dyspnea appears in sustained effort. No vascular complication on these flaps was noted. With a mean follow up of 46 months, there was no local recurrence of the malignant tumors. Two patients were deceased 1 year after surgery.0. CONCLUSION: The Mersilene mesh associated with a locoregional musculocutaneous flap represent a simple and efficient solution for the treatment of such defects.

Adolescent↗

Effect of sex on muscular development of Muscovy ducks.

Muscovy ducks display marked sexual dimorphism. The aim of our study was to analyse the consequences of dimorphism on muscular growth and, particularly, on the myofibrillar typology of the Pectoralis major and Sartorius muscles. In the Pectoralis muscle, we only found two fibre types: red fast-twitch oxido-glycolytic fibres (about 90%) and white fast-twitch glycolytic fibres. In the Sartorius, the innermost part contained both white (30%) and red (55%) fast fibres and red slow-twitch oxidative fibres (15%). For both muscles, neither sex nor age had a significant effect on the percentage of each fibre type. The cross-sectional areas of fibres increased with age. The difference in muscle weight observed between sexes could be explained by a higher size and/or total fibre number in the male muscles.

Aging↗

Effects of dietary fat type and non-starch-polysaccharide-hydrolysing enzyme addition to rye-based diets on muscle protein turnover in broilers.

1. Muscle protein turnover was measured in broilers fed on rye-based diets containing either beef tallow (T) or soybean oil (S) at an inclusion rate of 100 g/kg. Each of these diet types was tested either in the absence (S[-], T[-]) or presence (S[+], T[+]) of a xylanase-containing enzyme preparation. Protein turnover was measured in gastrocnemius muscle (GM) and pectoralis major muscle (PM). 2. Fractional rate of protein synthesis (FSR) was measured by the large dose technique using [15N]-labelled phenylalanine whereas fractional protein growth rate (FGR) was estimated by regressing tissue protein content over time. Fractional breakdown rates (FBR) were calculated by the difference between FSR and FGR. 3. In PM, FSR (%/d) was 22.1, 23.4, 21.5 and 24.4 in groups S[-], S[+], T[-] and T[+], respectively, and FBR (%/d) was 8.3, 9.8, 4.5 and 10.8 with the xylanase effect being significant. The FGR of 17.0%/d calculated for the broilers fed on the T[-] diet tended to be higher than for the other groups (13.6 to 13.8%/d). No significant effects were detected for these parameters in the GM. 4. The absolute amounts of protein which were synthesised daily and accreted in both muscles were significantly higher with xylanase supplementation in both fat type diets but at a significantly higher level when soybean oil was the dietary fat type. 5. The observed effects on protein turnover have to be seen in the context of an overall adverse effect of dietary soluble pentosans from rye in combination with tallow on physico-chemical chyme conditions, digestion and absorption of energy and nutrients and tissue-specific metabolic changes.

Animal Feed↗

Rectus abdominis muscle flaps used successfully for median sternotomy wounds after ipsilateral internal mammary artery ligation.

Use of the rectus abdominis muscle for reconstruction based on its superior blood supply has been said by some to be contraindicated if the ipsilateral internal mammary artery (IMA) has been divided for reasons such as coronary artery bypass grafting. The authors describe 5 patients in whom either both IMAs were used for coronary revascularization or in whom there was a contralateral subcostal incision, and they were thus compelled to perform sternal reconstruction using at least one rectus abdominis muscle ipsilateral to prior IMA ligation. In all patients the muscle flap was used to reconstruct an open median sternotomy wound successfully. An injection study as well as a fresh cadaveric dissection revealed rich collateral circulation to the superior epigastric vascular pedicle through the musculophrenic artery as well as through the lower intercostal arteries. This case report and the series of 5 patients indicate that if elevation of the rectus muscle and division of the lateral segmental vessels is done only up to the costal margin, one can reliably maintain a viable rectus muscle flap, even in the face of prior ipsilateral IMA ligation. This enables useful reconstruction to the lower half of a sternal wound using the rectus abdominis muscle, requiring a pectoralis major muscle flap for the superior part of the wound.

Adult↗

Inheritance of carcass variables when giant jungle fowl and broilers achieve a common physiological body weight.

Ten chicks each from Giant Jungle Fowl (JF), broiler breeders (BB), and the respective F1 cross between them, were reared under typical broiler management practices until they reached a market weight of approximately 1,818 g. When individual birds reached market weight they were killed by CO2 asphyxiation and variables (length and weight) associated with organ, muscle, and skeletal growth were measured. Age to market weight demonstrated parental and heterotic effects. The JF had more deboned leg muscle and less Pectoralis major muscle than BB. Abdominal fat was higher in BB and showed positive heterosis. Organ weights were consistently lower for JF than BB. Positive heterosis was observed for spleen and pancreas, and negative heterosis was indicated for heart, liver, and lung. The digestive tract generally weighed less and was shorter in length for JF than for BB. Positive heterosis was observed for proventriculus and gizzard weight, and negative heterosis was noted for duodenum and jejunum lengths. Parental line differences were observed for most bone variables, including weight and length. Parental lines differed for femur breaking strength, but not for tibiotarsus breaking strength. A large negative heterotic effect was observed for tibiotarsus bone breaking strength.

Age Factors↗

Stability and instability of the glenohumeral joint: the role of shoulder muscles.

Shoulder muscles contribute to both mobility and stability of the glenohumeral joint. To improve treatments for shoulder instability, we focused on the contribution of the shoulder muscles to glenohumeral joint stability in clinically relevant positions. Both computational and experimental models were used. A computational model of the glenohumeral joint quantified stability provided by active muscle forces in both mid-range and end-range glenohumeral joint positions. Compared with mid-range positions, the resultant joint force at end-range positions was more anteriorly directed, indicating that its contribution to glenohumeral joint stability was diminished. In end-range positions, simulated increases in rotator cuff muscle forces tended to improve stability whereas increases in deltoid or pectoralis major muscle forces tended to further decrease stability. To validate these results, a cadaveric model, simulating relevant shoulder muscles, was used to quantify glenohumeral joint stability. When infraspinatus muscle activity was decreased, compressive forces decreased. When pectoralis major muscle activity was increased, anteriorly directed forces increased. If anteriorly directed forces increase or compressive forces decrease, stability of the glenohumeral joint decreases. This cadaveric model was then used to evaluate the effect of placing the joint in the apprehension position of abduction, external rotation, and horizontal abduction. Consistent with the results of our computational model, apprehension positioning increased anteriorly directed forces. Knowledge gained from these models was then used to develop a cadaveric model of glenohumeral joint dislocation. Dislocation resulted from the mechanism of forcible apprehension positioning when the appropriate shoulder muscles were simulated and a passive pectoralis major muscle was included. Capsulolabral lesions resulted that were similar to those observed in vivo. Shoulder muscle forces are usually powerful stabilizers of the glenohumeral joint, especially in mid-range positions when the passive stabilizers are lax. However, muscle forces can contribute to instability as well. Certain muscle forces decrease glenohumeral joint stability in end-range positions. We found this to be the case with both active and passive pectoralis major forces. Improved understanding of the contribution of muscle forces not only toward stability but also toward instability will improve rehabilitation protocols for the shoulder and prove useful in the treatment of joint instability throughout the body.

Biomechanical Phenomena↗

Relationship between performance of selected scapular muscles and scapular abduction in standing subjects.

The purpose of this study was to examine the relationship between muscular forces generated by the middle trapezius and pectoralis minor muscles and the position of the scapula in relaxed standing. The muscular forces of 60 subjects were measured in standard manual muscle testing positions with a hand-held dynamometer. Scapular abduction in standing was measured with a tape measure. Each measurement was taken twice, and the measurements were shown to be reliable. The correlation between scapular abduction and middle trapezius muscle force was .20. The correlation between scapular abduction and pectoralis minor muscle force was .14. The correlation between scapular abduction and a ratio of middle trapezius muscle force to pectoralis minor muscle force was .01. The results indicate that no relationship exists between the position of the scapula in standing subjects and the muscular force produced by the middle trapezius and pectoralis minor muscles. Clinical practices based on an assumed relationship between these variables (eg, the practice of using middle trapezius muscle strengthening exercises to correct a forward shoulder position) should be reexamined in light of these findings.

Adult↗

[Poland syndrome (a case report)].

Poland syndrome is characterized with unilateral absence of pectoralis major muscle. Its incidence is one in 30000 live births. A 20 years old case with Poland syndrome is presented together with its clinical and laboratory features in this study. The case had anomaly of shortness of right hand fingers and syndactily between second and third fingers in addition to absence of right pectoralis muscle group. There was not another associated anomaly except aforementioned ones. Strength loss in abduction and adduction of right shoulder was detected with Cybex dynamometer. Furthermore decrease in predicted maximal inspiratory and expiratory pressures was detected.

Adult↗

The left sternalis muscle variation detected during mastectomy.

The sternalis muscle variation is a well-known anatomical situation. It is present in 8.7% of women and 6.4% of men, although the incidence varies according to sex, race and ethnicity. During a left modified radical mastectomy operation on a 46-year-old female patient a sternalis muscle was detected on the pectoralis major muscle in the superficial fascia. It was in craniocaudal position and was parallel to the body of the sternum. The cylindrical muscle was approximately 8 cm in length and 2 cm in diameter. Such variations are considered to have their origin in embryological development. Awareness of muscular variations and their identification is important both for procedure through the proper dissection planes during breast surgery and in radiological examination and follow-up.

Breast Neoplasms↗

Capillary rarefaction characteristic of the skeletal muscle of hypertensive patients.

There is evidence that the rarefaction of the capillary bed is typical for the skeletal muscle of spontaneously hypertensive rats. We were therefore interested to learn whether there is also a rarefaction in skeletal muscle of human hypertensives. The number of capillaries was morphometrically analysed and counted in the quadriceps and the pectoralis major muscles of human normotensives (n = 12) and hypertensives (n = 15). The clinical diagnosis and certain pathological criteria, such as blood pressure (with or without antihypertensive therapy), heart weight, left ventricular wall thickness, the state of kidney arterioles and brain, and heart vessels, were used to classify the patients into two groups. The dissected tissue samples were prepared according to the GMA method and the capillary numbers per area were counted using light microscopy (250 x). The quadriceps muscle had a capillary density (per 2.5 mm2) of 442 +/- 51 in normotensives and 277 +/- 41 in hypertensive patients; in the pectoralis major muscle we counted 477 +/- 30 in controls and 232 +/- 28 in hypertensives. The rarefaction in the quadriceps muscle ranged by about 37%, in the pectoralis major muscle by about 51%. It is suggested that the reduction of the capillary surface area caused by the capillary rarefaction reduces the transcapillary fluid exchange and in that way prevents an overperfusion of the terminal vascular bed.

Capillaries↗

Late treatment of brachial plexus palsy secondary to birth injuries: rotational osteotomy of the proximal part of the humerus.

We retrospectively reviewed the results of rotational osteotomy that had been performed distal to the surgical neck of the humerus in twenty-two patients who had sustained an injury of the brachial plexus at birth. Eighteen patients had a lesion of the superior trunk of the brachial plexus (the fifth and sixth cervical nerve roots), and four had involvement of the entire brachial plexus. The patients ranged in age from four to seventeen years old (average age, ten years and three months old) at the time of the operation. The average duration of follow-up was fourteen years (range, two to thirty-one years). Preoperatively, the patients had been unable to perform self-care activities, such as grooming, feeding, and washing themselves, because of limited active external rotation or fixed internal rotation of the shoulder. All patients had decreased strength of the lateral rotator and abductor muscles and normal strength of the subscapularis and pectoralis major muscles. Radiographs showed some flattening of the humeral head, and four patients had posterior subluxation of the humeral head. A lateral rotational osteotomy of the proximal part of the humerus was performed between the insertions of the subscapularis and pectoralis major muscles. The site of the osteotomy was stabilized with catgut sutures in the periosteum in ten patients and with one or two staples in twelve. The extremity was immobilized in a plaster shoulder-spica cast for six weeks. At the latest follow-up evaluation, the average increase in active abduction was 27 degrees (range, 0 to 60 degrees) and the average increase in the arc of rotation was 25 degrees (range, 5 to 85 degrees). Supination of the forearm also had increased commensurate with the increase in external rotation. The appearance of the extremity had improved as well.

Activities of Daily Living↗

[Vascular considerations and technique-planning for pectoralis major myocutaneous island flaps (author's transl)].

The relevant distribution of the blood vessels originating from the thoracoacromial artery and the technique used to raise the pectoralis major myocutaneous island flap are described. The nutrient vessel to this flap is the thoracoacromial artery and its pectoral branches. After giving off its axillary vessels this artery with its vein crosses the upper edge of the pectoralis minor muscle and passes between the pectoralis major and minor muscles. There its branches extend over an area bordered by the second and sixth rib and the mammary and parasternal lines. The skin underlying this area is supplied by branches of the internal mammary artery and on its deep surface by branches of the thoracoacromial artery. Preservation of the thoracoacromial vein as well as artery is also necessary in this creation of a viable pectoralis major myocutaneous island flap.

Humans↗

[A case of spinal segmental myoclonus and propriospinal myoclonus: a neuroelectrophysiologic analysis].

A 37-year-old male patient with spinal segmental myoclonus and propriospinal myoclonus was described. He was admitted to our hospital because of paroxysmal axial myoclonus, which first appeared one month before. He denied any significant accident such as trauma or fever. Apart from myoclonus, no abnormal findings were observed by physical and neurological examinations, routine laboratory investigations and MRI of the cervical and thoracic spinal cords. The myoclonus consisted of continuous rhythmic contractions of the bilateral thoracal and abdominal muscles. Its frequency was approximately 0.3Hz. The clinical findings were typical of spinal segmental myoclonus. In addition, the myoclonus started in the thoracal muscles and frequently spread up to the neck muscles and down to the leg muscles. The myoclonus disappeared in sleep. Polymyography revealed the following findings: (1) The jerks were found on the bilateral axial muscles including sternocleidomastoid, biceps, triceps, pectoralis major, abdominal muscles and quadriceps. (2) Homologous muscles were activated synchronously. (3) The duration of bursts was variable ranging 100 to 400msec. (4) The jerks in the pectoralis muscle preceded those in other muscles. The latencies of the jerks in the other muscles increased with their distance from pectoralis, based on the linear regression analysis of the onset of jerks in the various muscles. (5) The jerks were induced by tapping or electrical stimulation anywhere on the body including the face, but not by flash or sound. From the above polymyographical findings, the myoclonus seems to originate in the T3 spinal cord and slowly up and down the spinal cord at 0.6-1.6 m/sec, suggesting that it is mediated by the propriospinal tract.

Adult↗

[Reconstruction of chest wall deformity in Poland's syndrome with soft silicone prosthesis].

OBJECTIVE: To explore a method for reconstruction of Poland's chest wall deformity. METHODS: The customized, textured silicone prosthesis was fabricated from a soft silicone polymer that approximated to the softness of the pectoralis major muscle. A lateral incision of 6 cm on the affected chest was made. After a subcutaneous pocket above the ribs was created through the incision, the prosthesis was placed in the pocket. RESULTS: Since October 2000, chest wall reconstruction for Poland's syndrome deformity has been performed in 7 male patients (18 to 45 years) with the customized soft silicone prosthesis. Follow-up for 3 to 17 months showed that all patients were satisfied with the aesthetical results. Seroma occurred in 2 patients, and needle aspiration was used to solve the problem. CONCLUSION: This method is simple and less traumatic. The reconstructed chest wall approximates to the softness and appearance of the contralateral pectoralis muscle.

Adolescent↗

Resting position variables at the shoulder: evidence to support a posture-impairment association.

BACKGROUND AND PURPOSE: A relationship between posture and impairment at the shoulder is theorized, but not supported by evidence. It is proposed that posture and impairment are not directly related, but linked by movement dysfunction. The purpose of this analysis was to explore the relationships among posture, pectoralis minor muscle length, and movement alterations at the shoulder. SUBJECTS: Subjects who were asymptomatic for shoulder pathology were divided into 2 groups of 25 subjects each based on normalized pectoralis minor muscle resting length. METHODS: Scapula orientation, thoracic kyphosis, and pectoralis minor muscle lengths were measured, and ratios and indexes of postural variables were calculated. All variables were analyzed for correlations and group differences. RESULTS: Significant group differences were demonstrated for several posture variables, including thoracic spine kyphosis and scapular internal rotation. The distance from the sternal notch to the coracoid process demonstrated the highest correlation with pectoralis minor muscle length. DISCUSSION AND CONCLUSION: The findings indicate a relationship between posture and pectoralis minor muscle length and support a proposed model linking posture, an anatomical variable, movement dysfunction, and impairment.

Adult↗

Force and histochemical changes in rabbit pectoral muscle induced by chronic electrical stimulation for use in cardiac assistance.

Before the application of skeletal muscle in a cardiac-assist device, a preconditioning procedure is required in order to overcome the easy fatigability of this muscle. We evaluated the effect of preconditioning muscles while keeping their collateral blood supply. In 15 male rabbits, a skeletal muscle ventricle (SMV) was constructed from silicone and pectoralis major muscle with minimal dissection. In six rabbits, the muscle was electrically preconditioned. The pressure generated by the SMV was measured under various conditions. Histochemical fiber grouping was performed using myosin ATPase staining. The pressure rose with preconditioning despite an increase in slow-twitch fibers. The cross-sectional area of both slow-twitch and fast-twitch fibers increased significantly. The rise in pressure is attributable to muscle hypertrophy. The use of muscles with minimal dissection may avoid or shorten the vascular delay because of a well maintained blood supply and nearly isometric preconditioning.

Animals↗