Variation in origin of pectoralis minor muscle: a case report

Authors

  • Soujanya Agrawal Department of Anatomy, Pt. B. D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
  • Ritu Singroha Department of Anatomy, Pt. B. D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
  • Vipin Garsa Department of Anatomy, Pt. B. D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
  • Suresh K. Rathee Department of Anatomy, Pt. B. D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
  • Sukhdeep Sran Department of Anatomy, Pt. B. D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20251008

Keywords:

Pectoralis minor, Variation, Muscle origin

Abstract

Pectoralis minor is a slender, triangular muscle deep within the pectoralis major. It originates from the exterior surfaces of the third through fifth ribs, in the vicinity of their cartilages and fascia covering the adjacent external intercostal muscles. Under the pectoralis major's cover, its fibres climb laterally and converge into a flat tendon linked to the medial border and top surface of the scapula's coracoid process. A portion of the tendon may cross the coracoid process and enter the coracoacromial ligament. In regular dissection muscles of the pectoral region were observed and the pectoralis minor muscle variation was noted. Out of 10 cadavers, a male cadaver showed bilateral variation in the origin of the pectoralis minor muscle. In this case, we found the origin of the pectoralis minor muscle was from the outer surface of the second to fifth rib, near their cartilages. The present case is a rare anomaly and is being reported as this knowledge is of importance great importance to surgeons, orthopedics and sports medicine as it could lead to shoulder pain, rotator cuff pathologies, winging of scapula, impingement of neurovascular bundle knows as pectoralis minor syndrome.

 

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References

Standring S. Gray’s Anatomy - The Anatomical Basis of Clinical Practice. 42nd ed. London: Churchill Livingstone Elsevier. 2008;831.

AlHarbi Y. Anatomical Variations in the Pectoralis Minor Muscle Origin and Insertion: A Systematic Review. Cureus. 2023;15(10):e46329. DOI: https://doi.org/10.7759/cureus.46329

Sinha MB, Siddiqui AU, Rathore M, Trivedi S, Sharma D. Bilateral variation in origin of pectoralis minor. Int J Biomed Res. 2014;5(3):229. DOI: https://doi.org/10.7439/ijbr.v5i3.568

Motwani R, Kaliappan A, Chandrupatla M. Variant pectoralis minor muscle: a case study with clinical relevance. Anat Cell Biol. 2022;55(4):406-13. DOI: https://doi.org/10.5115/acb.22.076

Hojo T, Nakashima T, Tsuruno T. A statistical study on anatomical variation in the origin of the Japanese pectoralis minor muscle. J UOEH. 1987;9(3):315-9. DOI: https://doi.org/10.7888/juoeh.9.315

Uzel AP, Bertino R, Caix P, Boileau P. Bilateral variation of the pectoralis minor muscle discovered during practical dissection. Surg Radiol Anat. 2008;30(8):679-82. DOI: https://doi.org/10.1007/s00276-008-0382-x

Terfera DR, Alder A, Kelliher KR. Bilateral pectoralis minor muscle variant: a case report. Int J Anat Res. 2015;3(1):941-4. DOI: https://doi.org/10.16965/ijar.2015.122

Clark E. Congenital Variation of the Pectoral Muscles, with Report of a Case. J Anat Physiol. 1915;49(Pt 2):155-64.

Lambert AE. A rare variation in the pectoralis minor muscle. Anat Rec. 1925;31(3):93-200. DOI: https://doi.org/10.1002/ar.1090310303

Soni S, Rath G, Suri R, Kumar H. Anomalous pectoral musculature. Anat Science Int. 2008;83(4):310-3. DOI: https://doi.org/10.1111/j.1447-073X.2008.00234.x

Low SCS, Tan SC. Ectopic insertion of the pectoralis minor muscle with tendinosis as a cause of shoulder pain and clicking. Clin Radiol. 2010;65(3):254-6. DOI: https://doi.org/10.1016/j.crad.2009.11.004

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Published

2025-03-29

How to Cite

Agrawal, S., Singroha, R., Garsa, V., Rathee, S. K., & Sran, S. (2025). Variation in origin of pectoralis minor muscle: a case report. International Journal of Research in Medical Sciences, 13(4), 1721–1723. https://doi.org/10.18203/2320-6012.ijrms20251008

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Section

Case Reports