Analyse anthropométrique de la projection cutanée palpée du bord antérieur du grand dorsal chez la femme. Étude clinique. À propos de 50 cas

The purpose of this anthropometric forward-looking study was to estimate the projection perceived by the previous edge of the latissimus dorsi muscle according to the morphology of the patients. Fifty women were included in this study. We performed thoracic measurements: chest (sub-mammary groove), waist and the middle-hip circumference measurement as well as the anterior rim projection, of the latissimus dorsi, felt at three levels: sub-mammary groove, waist as well as the middle-hip area. We then conducted studies on the variation of these measurements according to the morphology of the patients represented by the variation of the ratio circumference of waist/circumference of chest (TT/TP). By this, we concluded there exists in fact a correlation between the decrease of the ratio TT/TP and the recession of the perceived anterior rim of the latissimus dorsi. The more the report TT/TP decreases, the more the anterior rim of the latissimus dorsi is posterior. In conclusion, because the anterior rim of the latissimus dorsi is the main anatomical mark for the drawing of the musculocutaneous flap, it is therefore necessary to take extra care when assessing slim-waisted women: the drawing must be done in a posterior position.