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Czasopismo

2016 | 75 | 4 |

Tytuł artykułu

A quantitative study of the arrangement of the suprascapular nerve and vessels in the suprascapular notch region: new findings based on parametric analysis

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Background: When closed by the superior transverse scapular ligament (STSL), the suprascapular notch (SSN) creates an osseo-fibrous tunnel which acts as a pathway for the suprascapular nerve (SN). Anatomical variations are common in this region, and these can increase the risk of neuropathy by restricting the space for nerve passage. The aim of this study is to identify any correlation between the area reduction coefficient parameters and the SN and vessel arrangements in the SSN region. Material and methods: The SSN region was dissected in 88 formalin-fixed cadaveric shoulders (40 left and 48 right). During dissection, the topography of the SN, artery and vein was evaluated. Quantitative visual data analysis software was used to measure the areas of the STSL and the anterior coracoscapular ligament (ACSL), as well as the diameters of the SN and associated vessels, and to assign those structures to existing classifications. The area reduction coefficient (ARC) was calculated for each shoulder. Results: The area of the STSL (aSTSL) and ACSL (aACSL) were significantly larger in Type IV than Type I of the triad. Similarly, the aSTSL and area of the SSN (aSSN) were found to be significantly larger in Type IV than Type III. However, no significant differences were found in the ARC of the STSL (ARCSTSL), the ARC of the ACSL (ARCACSL) or the total ARC (ARCtotal). Conclusions: Although the aSTSL, aACSL and aSSN varied according to the type of SN and vessel arrangement, coefficient analysis (ARCSTSL, ARCACSL and ARCtotal) indicated that combined effect of these variations did not significantly affect SSN morphology. (Folia Morphol 2016; 75, 4: 454–459)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

75

Numer

4

Opis fizyczny

p.454-459,fig.,ref.

Twórcy

autor
  • Department of Angiology, Interfaculty Chair of Anatomy and Histology, Medical University of Lodz, Lodz, Poland
  • Department of Normal and Clinical Anatomy, Interfaculty Chair of Anatomy and Histology, Medical University of Lodz, Lodz, Poland
autor
  • Clinic of Orthopaedic and Paediatric Orthopaedics, Medical University of Lodz, Lodz, Poland
autor
  • Clinic of Orthopaedic and Paediatric Orthopaedics, Medical University of Lodz, Lodz, Poland
autor
  • Department of Normal and Clinical Anatomy, Interfaculty Chair of Anatomy and Histology, Medical University of Lodz, Lodz, Poland
autor
  • Department of Normal and Clinical Anatomy, Interfaculty Chair of Anatomy and Histology, Medical University of Lodz, Lodz, Poland
autor
  • Department of Angiology, Interfaculty Chair of Anatomy and Histology, Medical University of Lodz, Narutowicza 60, 90–136 Lodz, Poland

Bibliografia

  • 1. Antoniadis G, Richter HP, Rath S, Braun V, Moese G (1996) Suprascapular nerve entrapment: experience with 28 cases. J Neurosurg. 85: 1020–1025.
  • 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 Sport Trum Arthrosc, 11: 393–398.
  • 3. Boykin RE, Friedman DJ, Zimmer ZR, Oaklander AL, Higgins LD, Warner JJ (2011) Suprascapular neuropathy in a shoulder referral practice. J Shoulder Elbow Surg, 20: 983–988.
  • 4. Chen D, Adds P (2011) Accessory suprascapular artery. Clin Anat, 24: 498–500.
  • 5. Goubier JN, Teboul F (2015) Transfer of the rhomboid nerve to the suprascapular nerve: An anatomical feasibility study. Chir Main, 34: 182–185.
  • 6. Greiner A, Golser K, Wambacher M, Kralinger F, Sperner G (2003) The course of the suprascapular nerve in the supraspinatus fossa and its vulnerability in muscle advancement. J Shoulder Elbow Surg, 12: 256–259.
  • 7. Harmon D, Hearty C (2007) Ultrasound-guided suprascapular nerve block technique. Pain Physician, 10: 743–746.
  • 8. Hirokawa D, Eliezri Y, Desciak E, Campanelli C (2010) Suprascapular nerve injury during Mohs surgery and review of the surgical anatomy of the nervous structures of the supraclavicular triangle. Dermatol Surg, 36: 1756–1758.
  • 9. Lee JJ, Yoo YS, Hwang JT, Kim DY, Jeon SJ, Hwang SM, Jang JS (2015) Efficacy of direct arthroscopy-guided suprascapular nerve block after arthroscopic rotator cuff repair: a prospective randomized study. Knee Surg Sports Traumatol Arthrosc, 23: 562–566.
  • 10. Piyawinijwong S, Tantipoon P (2012) The anterior coracoscapular ligament in Thais: possible etiological factor of suprascapular nerve entrapment. Siriraj Med J, 64: S12–S14.
  • 11. Podgórski M, Topol M, Sibiński M, Grzelak P, Stefańczyk L, Polguj M (2014) New parameters describing morphological variations in the suprascapular notch region as potential predictors of suprascapular nerve entrapment. BMC Musc Disord, 15: 396.
  • 12. Polguj M, Jędrzejewski K, Majos A, Topol M (2012) Variations in bifid superior transverse scapular ligament as a possible factor of suprascapular entrapment: an anatomic study. Int Orthopaed, 36: 2095–2100.
  • 13. Polguj M, Jędrzejewski K, Podgórski M. Topol M (2011) Correlation between morphometry of the suprascapular notch and antropometrical measurments of the scapula. Folia Morphol, 70: 109–115.
  • 14. Polguj M, Jędrzejewski K, Topol M (2013) Variable morphology of the anterior coracoscapular ligament: a proposal of classification. Ann Anat, 195: 77–81.
  • 15. Polguj M, Podgórski M, Jędrzejewski K, Topol M (2012) The double suprascapular foramen: unique anatomical variation and the new hypothesis of its formation. Skel Rad, 41: 1631–1636.
  • 16. PolgujM, Rożniecki J, Sibiński M, Grzegorzewski A, MajosA, Topol M (2015) The variable morphology of suprascapular nerve and vessels at the suprascapular notch: a proposal for classification and its potential clinical implications Knee Surg Sports Traumatol Arthrosc, 23: 1542–1548.
  • 17. Reineck JR, Krishnan SG (2009) Subligamentous suprascapular artery encountered during arthroscopic suprascapular nerve release: a report of three cases. J Shoulder Elbow Surg, 18: e1–3.
  • 18. 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.
  • 19. Ringel SP, Treihaft M, Carry M, Fisher R, Jacobs P (1990) Suprascapular neuropathy in pitchers. Am J Sports Med, 18: 80–86.
  • 20. Tubbs RS, Smyth MD, Salter G, Oakes WJ (2003) Anomalous traversement of the suprascapular artery through the suprascapular notch: a possible mechanism for undiagnosed shoulder pain? Med Sci Monit, 9: BR116–BR119.
  • 21. Urguden M, Ozdemir H, Donmez B, Bilbasar H, Oguz N (2004) Is there any effect of suprascapular notch type in iatrogenic suprascapular nerve lesions? An anatomical study. Knee Surg Sports Traumatol Arthrosc, 12: 241–245.
  • 22. Yang HJ, Gil YC, Jin JD, Ahn SV, Lee HY (2012) Topographical anatomy of the suprascapular nerve and vessels at the suprascapular notch. Clin Anat, 25: 359–365.
  • 23. Zehetgruber H, Noske H, Lang T, Wurnig C (2002) Suprascapular nerve entrapment: a meta-analysis. Int Orthop, 26: 339–343.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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