ANATOMICAL CHARACTERISTICS OF THE SERRATUS ANTERIOR MUSCLE IN ADULT VIETNAMESE

Mỹ Phạm Việt, Lâm Nguyễn Văn, Trang Võ Huỳnh, Hạ Nguyễn Thị Giao, Thọ Vũ Tấn, Hưởng Trần Đức, Lành Đặng Văn, Dũng Thạch Văn, Anh Trần Hoàng, Tú Hoàng Minh

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Abstract

Introduction: The anatomical features of the vascular pedicles supplying the serratus anterior muscle (SAM) play a crucial role in the success of reconstructive surgeries and increase flap survival rates. Objective: To describe the anatomical characteristics of the serratus anterior muscle in adult Vietnamese individuals. Subjects and Methods: A descriptive cross-sectional study was conducted on 120 cadaveric specimens from the Department of Anatomy, University of Medicine and Pharmacy at Ho Chi Minh City and Can Tho University of Medicine and Pharmacy. Results: Among the specimens, 69.2% (83/120) had eight digitations, 27.5% (33/120) had nine digitations, and 3.3% (4/120) had 10 digitations. The first digitations are inserted in the 1st and 2nd ribs and the intercostal fascia, while the remaining are inserted into the external surfaces of the ribs. The arteries giving off branches to supply the SAM originated from five main sources: subscapular artery (6.67%), superior thoracic artery (20%), latissimus dorsi artery (23.33%), lateral thoracic artery (86.7%), and thoracodorsal artery (100%). The artery most consistently supplying the lower part of the serratus anterior was the thoracodorsal artery (100%). Branches also arose from the subscapular and lateral thoracic arteries. These branches were classified into five types, with the single-branch type being the most common (40%). Conclusion: The large number of muscle digitations and the diverse arterial supply indicate that the serratus anterior muscle is a promising and reliable option for reconstructive surgery.

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References

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