Poland syndrome

Case contributed by Maulik S Patel

Presentation

C/o relatively poor strengh of left arm. Patient was referred with chest wall asymmetry.

Patient Data

Age: 16 yrs
Gender: Male
ultrasound

On symptomatic LEFT side

- Clavicular head of pectoralis major is present.

- Sternal head pectoralis major is seen from menubrium.  

  No muscle origin from body of sternum.

- Costal head of pectoralis major is absent.

- Pectoralis major tendon is present but thiner than asymptomatic side.

- Pectoralis minor is present.

 

On asymptomatic RIGHT side

- All three heads ( clavicular, sternal, costal ) of pectoralis major are present.

- Pectoralis minor is present.

Case Discussion

Findings favor Poland syndrome.

Clinical examination by referring doctor showed presence of clavicular head of left pectoralis major.

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