title: Bilateral Chondroepitrochlearis Muscle: Case Report, Phylogenetic Analysis, and Clinical Significance.
abstract: Anomalous muscular variants of pectoralis major have been reported on several occasions in the medical literature. Among them, chondroepitrochlearis is one of the rarest. Therefore, this study aims to provide a comprehensive description of its anatomy and subsequent clinical significance, along with its phylogenetic importance in pectoral muscle evolution with regard to primate posture. The authors suggest a more appropriate name to better reflect its proximal attachment to the costochondral junction and distal attachment to the epicondyle of humerus, as "chondroepicondylaris"; in addition, we suggest a new theory of phylogenetic significance to explain the twisting of pectoralis major tendon in primates that may have occurred with their adoption to bipedalism and arboreal lifestyle. Finally, the clinical significance of this aberrant muscle is elaborated as a cause of potential neurovascular entrapment and as a possible hurdle during axillary surgeries (i.e., mastectomy).
authors.affiliation: School of Medicine, Griffith University, Gold Coast, QLD, Australia; Post Graduate Institute of Medicine, University of Colombo, Colombo, Sri Lanka.
authors.forename: Sujeewa P W
authors.initials: SP
authors.lastname: Palagama
authors.affiliation: School of Medicine, Griffith University, Gold Coast, QLD, Australia.
authors.forename: Raymond A
authors.initials: RA
authors.lastname: Tedman
authors.affiliation: Menzies Health Institute Queensland, Griffith University, Gold Coast, QLD, Australia.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Barton
authors.affiliation: Menzies Health Institute Queensland, Griffith University, Gold Coast, QLD, Australia; School of Medical Sciences, Griffith University, Gold Coast, QLD, Australia.
authors.forename: Mark R
authors.initials: MR
authors.lastname: Forwood