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Czasopismo

2010 | 69 | 4 |

Tytuł artykułu

The suprascapular notch: its morphology and distance from the glenoid cavity in a Kenyan population

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
The morphology of the suprascapular notch has been associated with suprascapular entrapment neuropathy, as well as injury to the suprascapular nerve in arthroscopic shoulder procedures. This study aimed to describe the morphology and morphometry of the suprascapular notch. The suprascapular notch in 138 scapulae was classified into six types based on the description by Rengachary. The suprascapular notch was present in 135 (97.8%) scapulae. Type III notch, a symmetrical U shaped notch with nearly parallel lateral margins, was the most prevalent type, appearing in 40 (29%) scapulae. The mean distance from the notch to the supraglenoid tubercle was 28.7 ± 3.8 mm. This varied with the type of notch, being longest in type IV (30.1 ± 1.8 mm) and shortest in type III (27.3 ± 2.3 mm). The mean distance between the posterior rim of the glenoid cavity and the medial wall of the spinoglenoid notch at the base of the scapular spine was found to be 15.8 ± 2.2 mm. Type III notch was the most prevalent, as found in other populations. In a significant number of cases the defined safe zone may not be adequate to eliminate the risk of nerve injury during arthroscopic shoulder procedures, even more so with type I and II notches. (Folia Morphol 2010; 69, 4: 241–245)

Wydawca

-

Czasopismo

Rocznik

Tom

69

Numer

4

Opis fizyczny

p.241-245,fig.,ref.

Twórcy

autor
  • Department of Human Anatomy, University of Nairobi, P.O.Box 30197-00100, Nairobi, Kenya
autor
  • Department of Human Anatomy, Nairobi, Kenya
autor
  • Department of Human Anatomy, Nairobi, Kenya
  • Department of Human Anatomy, Nairobi, Kenya
  • Department of Human Anatomy, Nairobi, Kenya

Bibliografia

  • 1. Alon M, Weiss S, Fishel B, Dekel S (1988) Bilateral suprascapular nerve entrapment syndrome due to an anomalous transverse scapular ligament. Clin Orthop Relat Res, 234: 31–33.
  • 2. Bayramoglu A, Demiryurek D, Tuccar E, Erbil M, Aldur MM, Tetik O, Doral MN (2003) Variations in anatomy at the suprascapular notch possibly causing suprascapular nerve entrapment: an anatomical study. Knee Surg Sports Traumatol Arthrosc, 11: 393–398.
  • 3. Bigliani LU, Dalsey RM, McCann PD, April EW (1990) An anatomical study of the suprascapular nerve. Arthroscopy, 6: 301–305.
  • 4. Callahan JD, Scully TB, Shapiro SA, Worth RM (1991) Suprascapular nerve entrapment: a series of 27 cases. J Neurosurg, 74: 893–896.
  • 5. Cohen SB, Dines DM, Moorman CT III (1997) Familial calcification of the superior transverse scapular ligament causing neuropathy. Clin Orthop Relat Res, 334: 131–135.
  • 6. De Mulder K, Marynissen H, Van Laere C (1998) Arthroscopic transglenoid suture of Bankart lesions. Acta Orthop Belg, 64: 160–166.
  • 7. Kajava Y (1924) Uber den Schultergiirtel der Finen. Ann Acad Sci Fenn, 21 (series A): 1–69.
  • 8. Mohd AK (2006) Complete ossification of the superior transverse scapular ligament in an Indian male adult. Int J Morphol, 24: 195–196.
  • 9. Natsis K, Totlis T, Tsikaras P, Appell HJ, Skandalakis K (2007) Proposal for classification of the suprascapular notch: a study on 423 dried scapulas. Clin Anat, 20: 135–139.
  • 10. Odita JC, Ugbodaga CI, Omene JA, Okolo AA (1983) Humeral head and coracoid ossification in Nigerian newborn infants. Pediatric Radiol, 13: 276–278.
  • 11. Ofusori DA, Ude RA, Okwuonu CU, Olamide AA (2008) Complete absence of the suprascapular notch in a Nigerian scapula: a possible cause of suprascapular nerve entrapment. Int J Shoulder Surg, 2: 85–86.
  • 12. Rengachary SS, Burr D, Lucas S, Hassanein KM, Mohn MP, Matzke H (1979) Suprascapular entrapment neuropathy: a clinical, anatomical, and comparative study. Part 2: anatomical study. Neurosurgery, 5: 447–451.
  • 13. Rengachary SS, Neff JP, Singer PA, Brackett CF (1979) Suprascapular entrapment neuropathy: a clinical, anatomical, and comparative study. Part 1: clinical study. Neurosurgery, 5: 441–446.
  • 14. Shishido H, Kikuchi S (2001) Injury to the suprascapular nerve during shoulder joint surgery: an anatomical study. J Shoulder Elbow Surg, 10: 372–376.
  • 15. Standring SM, Ellis H, Healy JC, Johnson D, Williams A (2005) Gray’s anatomy. 39th Ed. Churchill-Livingstone, Edinburgh.
  • 16. Ticker JB, Djurasovic M, Strauch RJ, April EW, Pollock RG, Flatow EL, Bigliani LU (1998) The incidence of ganglion cysts and other variations in anatomy along the course of the suprascapular nerve. J Shoulder Elbow Surg, 7: 472–478.
  • 17. Vallois H (1926) Variations de l’enchancrure coracoidienne de l’omoplate. Ann Anat Pathol, 3: 411–413.
  • 18. Warner JJP, Krushell RJ, Masquelet A, Gerber C (1992) Anatomy and relationships of the suprascapular nerve: anatomical constraints to mobilization of the supraspinatus and infraspinatus muscles in the management of massive rotator-cuff tears. J Bone Joint Surg Am, 74: 36–45.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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