Morphometric Study of Glenoid Cavity of Human Scapula in Central India

BACKGROUND The clavicle or collar bone is a modified long bone. It is the first bone to ossify in the membrane. The inferior surface of shaft of clavicle presents a subclavian groove. A nutrient foramen lies at the lateral end of the groove. The nutrient artery is derived from the supraclavicular or clavicular branch of thoracoacromial artery. A bone is supplied by a nutrient artery which passes through the small tunnel called as nutrient foramina. In orthopaedic procedures to preserve the circulation, the topographical knowledge of the nutrient foramen is important. The study was undertaken to analyse nutrient foramina in adult human clavicles in relation to their number, position, direction, and distribution over bone length. METHODS Our study consisted of 67 adult dry human clavicles (31 right sides and 36 left sides). The number, topography and direction of the foramina were studied. The distance of foramina from the sternal end & total length of the clavicles were measured in millimetres by using digital Vernier calipers. The foramen index was calculated by applying the Hughes formula: FI = (DNF TL) x 100. RESULTS Nutrient foramina were present in all the clavicles. Most of the clavicles have single nutrient foramen. We observed 62 (68.13 %) foramina on the posterior surface mostly in the middle 1 / 3rd region. All the nutrient foramina were directed towards acromial end and the foramina index (FI) was 50.2. CONCLUSIONS The topographical knowledge of the nutrient foramen is important in orthopaedic procedures like nail plating, K wire fixation, reduction, internal fixation devices for the treatment of fracture, coracoclavicular ligament repair and in free vascularized bone graft to preserve the circulation. KEY WORDS Clavicle, Nutrient Foramina, Nutrient Artery, Foramina Index (FI)

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Morphometric study of suprascapular notch

National Journal of Clinical Anatomy ◽

10.1055/s-0039-3401719 ◽

2013 ◽

Vol 02 (03) ◽

pp. 140-144

Author(s):

Vandana R. ◽

Sudha Patil

Keyword(s):

Suprascapular Nerve ◽

Critical Distance ◽

Safe Zone ◽

Medial Wall ◽

Morphometric Study ◽

Glenoid Cavity ◽

Suprascapular Notch ◽

Scapular Spine ◽

The Mean ◽

Spinoglenoid Notch

Abstract Background and aims: Suprascapular nerve may be compressed anywhere along its course but most commonly at the level of SSN (suprascapular notch) and spinoglenoid notch. The variation in the morphological and morphometric features of SSN, spinoglenoid notch, therefore plays a crucial role in the suprascapular nerve entrapment syndrome. The purpose of present study was to determine the variation in morphology and dimensions of SSN and to determine posterosuperior and posterior limits of safe zone for shoulder joint procedures from posterior approach. Material & methods: We conducted study on 134 dry scapulae of north Karnataka region and classified the SSN into various shapes according to Iqbal et al and I-VI types based on description by Natsis et al, along with this, the mean distance from the SSN to supraglenoid tubercle and the mean distance between posterior rim of glenoid cavity and medial wall of spinoglenoid notch at the base of scapular spine were also measured. Results: Based on Iqbal et al classification, 'U' shaped notch found to be most common (35%) whereas least common was W shaped (0.7%).The incidence of complete ossification of STSL was 12.6%. Based on Natsis classification most common was type II (TD>VL) seen in 69% and least common was type VI (notch & foramen) 0% .The mean distance from SSN to supraglenoid tubercle was 27.3 mms ± 1.7 and mean distance between posterior rim of glenoid cavity and medial wall of spinoglenoid notch at the base of scapular spine was 13mms ± 0.2 which are comparatively less than the other population studies which are mentioned in the article. Conclusions: There are variations in the shape and size of SSN and safe zone critical distance in different populations so it requires still more population specific studies on suprascapular notch.

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