WordNet

put in the middle
time between the beginning and the end of a temporal period; "the middle of the war"; "rain during the middle of April"
the middle area of the human torso (usually in front); "young American women believe that a bare midriff is fashionable" (同)midriff, midsection
an intermediate part or section; "A whole is that which has beginning, middle, and end"- Aristotle
between an earlier and a later period of time; "in the middle years"; "in his middle thirties"
of a stage in the development of a language or literature between earlier and later stages; "Middle English is the English language from about 1100 to 1500"; "Middle Gaelic"
make ones way by force; "He muscled his way into the office"
animal tissue consisting predominantly of contractile cells (同)muscular_tissue
one of the contractile organs of the body (同)musculus
authority or power or force (especially when used in a coercive way); "the senators used their muscle to get the party leader to resign"
any commodity of intermediate quality or size (especially when coarse particles of ground wheat are mixed with bran)
any of four pairs of muscles extending from the cervical vertebrae to the second rib; involved in moving the neck and in breathing (同)scalene_muscle, musculus scalenus

PrepTutorEJDIC

(空間的に)『まん中の』 / (時間・順序・数量などが)『中間の』,まん中の / 『平均の』,中ぐらいの / 《M-》(言語史で)中期の / 《the~》(場所・地域の)『まん中』,『中央』《+『of』+『名』》 / (時間・順序などの)まん中,(行為などの)最中《+『of』+『名』+(do『ing』)》 / 《話》《the~,one's~》(人の)胴,腰
〈U〉(動物体の組織としての)『筋肉』,筋(きん);〈C〉(体の各部を動かす)筋肉 / 〈U〉力,(特に)筋力,腕力 / 《俗に》(…に)強引に割り込む《+『in on』(『into, through』)+『名』》
(大きさ・質・程度などが)中位の,普通の / 中ぐらいに,かなり
筋肉の,筋力のある / 力ずくの

UpToDate Contents

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1. 筋力低下の評価における筋力検査 muscle examination in the evaluation of weakness
2. 慢性閉塞性肺疾患（COPD）における呼吸筋のトレーニングおよび安静 respiratory muscle training and resting in copd
3. 神経筋疾患の評価における筋酵素 muscle enzymes in the evaluation of neuromuscular diseases
4. 救急外来における急性の筋力低下を訴える成人の評価 evaluation of the adult with acute weakness in the emergency department
5. 糖尿病性筋梗塞 diabetic muscle infarction

English Journal

The subclavius posticus muscle: an unusual cause of thoracic outlet syndrome.

Smayra T1, Nabhane L, Tabet G, Menassa-Moussa L, Hachem K, Haddad-Zebouni S.Author information 1Radiology Department, School of Medicine, Hôtel-Dieu de France Hospital, Saint Joseph University, Alfred Naccache street, Achrafieh, 16-6830, Beirut, Lebanon, tarek_smayra@hotmail.com.AbstractWe present the case of a 30-year-old female, complaining of thoracic outlet compression symptoms caused by a supernumerary muscle, the subclavius posticus, accompanied by a caudally inserted middle scalenus muscle on the second rib. This rare anatomic variant was clearly shown on CT angiography and MRI images and surgical treatment was successful. As first described by Rosenmuller in 1800, subclavius posticus is a supernumerary muscle originating from the cranial surface of the sternal end of the first rib, running laterodorsally beneath the clavicle, and inserting into the superior border of the scapula. Its role in thoracic outlet syndrome has been seldom demonstrated in living patients nor described in imaging, although it is theoretically easily recognizable on modern imaging modalities. It should be taken into account during workout of patients with thoracic outlet syndrome, since it can be potentially treated.
Surgical and radiologic anatomy : SRA.Surg Radiol Anat.2013 Oct 29. [Epub ahead of print]
We present the case of a 30-year-old female, complaining of thoracic outlet compression symptoms caused by a supernumerary muscle, the subclavius posticus, accompanied by a caudally inserted middle scalenus muscle on the second rib. This rare anatomic variant was clearly shown on CT angiography and
PMID 24166072

Role of dorsal scapular nerve entrapment in unilateral interscapular pain.

Sultan HE1, Younis El-Tantawi GA.Author information 1Faculty of Medicine, Physical Medicine, Rheumatology, and Rehabilitation Department, Main University Hospital, Alexandria University, Alexandria, Egypt.AbstractOBJECTIVE: To determine the contribution of dorsal scapular nerve (DSN) entrapment to interscapular pain.
Archives of physical medicine and rehabilitation.Arch Phys Med Rehabil.2013 Jun;94(6):1118-25. doi: 10.1016/j.apmr.2012.11.040. Epub 2012 Dec 6.
OBJECTIVE: To determine the contribution of dorsal scapular nerve (DSN) entrapment to interscapular pain.DESIGN: A descriptive research study.SETTING: Institutional practice.PARTICIPANTS: Consecutive patients with unilateral interscapular pain (n=55) were evaluated and were compared with healthy con
PMID 23220342

Identification of continuity of transected nerve on sonography after neck dissection: direct sign of traumatic neuroma.

Ha EJ1, Lee JH, Lim HK, Bae Kim W, Baek JH.Author information 1Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Songpa-gu, Seoul, Korea.AbstractBACKGROUND: Traumatic neuroma can be confused with a metastatic lymph node after neck dissection for malignancy, thereby increasing patient anxiety and necessitating fine needle aspiration (FNA). To date, however, there have been no reports showing a direct ultrasonographic (US) sign of traumatic neuroma that could help distinguish it from a metastatic lymph node after neck dissection. Here, we describe a patient with traumatic neuroma who showed a direct US sign after total thyroidectomy with modified radical neck dissection (MRND).
Thyroid : official journal of the American Thyroid Association.Thyroid.2011 Dec;21(12):1385-7. doi: 10.1089/thy.2011.0207. Epub 2011 Nov 8.
BACKGROUND: Traumatic neuroma can be confused with a metastatic lymph node after neck dissection for malignancy, thereby increasing patient anxiety and necessitating fine needle aspiration (FNA). To date, however, there have been no reports showing a direct ultrasonographic (US) sign of traumatic ne
PMID 22066478

Japanese Journal

長胸神経・前鋸筋の解剖と臨床

浜田純一郎,小川清久,秋田恵一
肩関節 = Shoulder joint 34(3), 861-865, 2010-08-04
… The LTN consisted of C5, C6, and C7 in 87% of sides, C5 and /or C6 penetrated the scalenus medius in 64 dissections, and descended for 24 cm posterolateral thorax. … The upper part of the SA tilted the scapula anteriorly, the middle abducted, and lower rotated upwardly. … The 3 critical points of The LTN have been documented in the literature: in the scalenus medius; …
NAID 10027676155

前鋸筋の機能解剖学的研究

浜田純一郎,秋田恵一
肩関節 31(3), 629-632, 2007
… To clarify the anatomy of the long thoracic nerve (LTN) and functional anatomy of 3 parts of the serratus anterior muscle (SA) from innervations and the shape of each fiber. … The upper, middle, and lower parts of SA were classified according to the Eisler's definition. … The long thoracic nerve consisted of C6 and 7 fibers innervated middle and lower parts. …
NAID 130000104184