A Study on Suprascapular Foramen and Its Clinical Importance: A Cadaveric Study in Western Part of Tamilnadu, India

2021 ◽  
Vol 9 (3.3) ◽  
pp. 8086-8090
Author(s):  
Vijaianand M ◽  
◽  
Sakthivel M ◽  
Keyword(s):  
Imaging Techniques ◽  
Age Groups ◽  
Clinical Importance ◽  
Suprascapular Nerve ◽  
Nerve Entrapment ◽  
Suprascapular Notch ◽  
Suprascapular Nerve Entrapment ◽  
Shoulder Region ◽  
Suprascapular Foramen ◽  
Pass Through

Background: Suprascapular notch is present along the superior border of the scapula close to the lateral angle, which is converted into a Suprascapular foramen by the transverse Suprascapular ligament. Normally the Suprascapular nerve and vein pass through the foramen below the ligament, while the Suprascapular artery runs above the ligament. Suprascapular nerve entrapment is an interesting clinical condition which is widely involved in this area. Aim of the study: To find out the presence of Suprascapular artery passing along with the Suprascapular nerve and vein within the foramen and any pathology associated with it. Materials and Methods: The proposed study is carried out in the Department of Anatomy, Karpagam Faculty of Medical Sciences and Research, Coimbatore, where 51 well embalmed cadavers of both the sexes and various age groups was utilised. Results: Out of 51 cadavers dissected, we found Suprascapular artery was found passing along with the Suprascapular nerve and vein in 2 of the cadavers, of which one each is found in a male and a female cadaver with an incidence of 3.92%. Conclusion: Studies done earlier pointed out the importance of Suprascapular nerve entrapment, the various causes and predisposing factors responsible for it ,and a knowledge of safe zone around the shoulder region should be known well to the operating surgeon and the available imaging techniques should be utilised by the radiologists in order to avoid the complications while dealing with the Suprascapular nerve entrapment. KEY WORDS: Cadaver, Suprascapular foramen, Suprascapular artery, Nerve entrapment, Transverse Suprascapular ligament.

scholarly journals Ossification of the superior transverse ligament in a South African scapula: a factor to be considered in the diagnosis of suprascapular nerve entrapment

2016 ◽  
Vol 33 (03) ◽  
pp. 155-156
Author(s):  
O. Azu ◽  
D. Ofusori ◽  
E. Naidu ◽  
J. Naidu
Keyword(s):  
South African ◽  
Critical Factor ◽  
Suprascapular Nerve ◽  
Nerve Entrapment ◽  
Clinical Anatomy ◽  
Shape Variation ◽  
Suprascapular Notch ◽  
Suprascapular Nerve Entrapment ◽  
Shoulder Region ◽  
Superior Transverse Scapular Ligament

Abstract Introduction: Ossification of the superior transverse scapular ligament is one of the factors considered in the classification of the suprascapular notch based on shape. Variation in morphology of the superior transverse scapular ligament is always considered a critical factor in the diagnosis of suprascapular nerve entrapment syndrome. Case Report: This study reports the complete ossification of the superior transverse scapular ligament in a South African scapula and a note on its clinical anatomy. Conclusion: This anatomical knowledge is of extreme clinical relevance to surgeons in relation to various syndromes associated with the shoulder region in the South African population.

scholarly journals Morphological and Radiological Study of Ossified Superior Transverse Scapular Ligament as Potential Risk Factor of Suprascapular Nerve Entrapment

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Michał Polguj ◽  
Marcin Sibiński ◽  
Andrzej Grzegorzewski ◽  
Michał Waszczykowski ◽  
Agata Majos ◽  
...  
Keyword(s):  
Risk Factor ◽  
Potential Risk ◽  
Suprascapular Nerve ◽  
Nerve Entrapment ◽  
Potential Risk Factor ◽  
Suprascapular Notch ◽  
Suprascapular Nerve Entrapment ◽  
Suprascapular Foramen ◽  
The Right ◽  
Superior Transverse Scapular Ligament

The suprascapular notch is covered superiorly by the superior transverse scapular ligament. This region is the most common place of suprascapular nerve entrapment formation. The study was performed on 812 specimens: 86 dry scapulae, 104 formalin-fixed cadaveric shoulders, and 622 computer topography scans of scapulae. In the cases with completely ossified superior transverse scapular ligament, the following measurements were performed: proximal and distal width of the bony bridge, middle transverse and vertical diameter of the suprascapular foramen, and area of the suprascapular foramen. An ossified superior transverse scapular ligament was observed more often in men and in the right scapula. The mean age of the subjects with a completely ossified superior transverse scapular ligament was found to be similar than in those without ossification. The ossified band-shaped type of superior transverse scapular ligament was more common than the fan-shaped type and reduced the space below the ligament to a significantly greater degree. The ossified band-shaped type should be taken into consideration as a potential risk factor in the formation of suprascapular nerve entrapment. It could explain the comparable frequency of neuropathy in various populations throughout the world despite the significant differences between them in occurrence of ossified superior transverse scapular ligament.

scholarly journals SUPRASCAPULAR NOTCH AND ITS ANATOMICAL VARIANTS

2019 ◽  
pp. 7-8
Author(s):  
Nowsheeba Khurshid ◽  
Manmeet Kaur
Keyword(s):  
Suprascapular Nerve ◽  
Nerve Entrapment ◽  
Suprascapular Notch ◽  
Anatomical Variants ◽  
Medical College ◽  
Suprascapular Nerve Entrapment ◽  
Suprascapular Foramen

Introduction: The suprascapular notch is situated medial to the root of coracoid and covered by a variable transverse scapular ligament to form a suprascapular foramen, Various shapes of suprascapular notch are observed. Material and Method: The material for the present study comprised of 30 adult scapulae of unknown sex, obtained from the Department of Anatomy, Skims Medical College, Srinagar. Various shapes of suprascapular notch are observed. Result: Suprascapular notches of following shapes were observed: U, V, J. Some scapulae without notches and foramen were also seen. Conclusion: shape of suprascapular notch is important to understand suprascapular nerve entrapment which causes the supraspinatus and infraspinatus muscles to waste.

scholarly journals Morphometric study of suprascapular notch and scapular dimensions in Ugandan dry scapulae with specific reference to the incidence of completely ossified superior transverse scapular ligament

2020 ◽  
Author(s):  
Adesanya Olamide Adewale ◽  
Okeniran Olatayo Segun ◽  
Ibe Michael Usman ◽  
Ann Lemuel Monima ◽  
Eric Simidi Kegoye ◽  
...  
Keyword(s):  
Correlation Coefficient ◽  
Suprascapular Nerve ◽  
Nerve Entrapment ◽  
Population Characteristics ◽  
Specific Reference ◽  
Suprascapular Notch ◽  
Entrapment Syndrome ◽  
Suprascapular Nerve Entrapment ◽  
Superior Transverse Scapular Ligament ◽  
Nerve Entrapment Syndrome

Abstract Background: Understanding of suprascapular notch (SSN) anatomy and relationship with scapular dimensions are vital in diagnosis, prevention, and assessment of suprascapular nerve entrapment syndrome. The study aimed to assess morphometry of suprascapular notch and scapular dimensions in Ugandan dry scapulae with specific reference to scapulae with completely ossified superior transverse scapular ligaments. Methods: This was a cross-sectional analytical study conducted on 50 Ugandan dry scapulae. SSN types and prevalence of completely ossified superior transverse scapular ligament among dry scapulae were quantified and compared with previous data. Scapular dimensions were assessed by measuring scapular length (A), scapular width (B), glenoid length (C), and glenoid width (D). One-way ANOVA was used to compare scapular dimensions of scapulae with different SSN types, and Spearman’s correlation coefficient was used to evaluate the correlation coefficient of scapular dimensions amongst groups. Results: Superior transverse scapular ligament (STSL) was completely ossified in 8% of cases. There was no significant (P > 0.05) difference between scapular dimensions of scapulae with completely ossified STSL compared to scapulae with other SSN types. Scapulae with completely ossified STSL showed strong negative (r = -0.89137, r = -0.877) correlations for its A, B respectively compared against D, this finding was not true to scapulae of other SSN types. Also, there were strong positive or negative (r > 0.7, r > -0.7) correlations: for A, types I and III compared to type VI; for B, types I, III compared to VI; for C, type IV and VI; and for D, type III and VI. Conclusions: The prevalence of completely ossified STSL is moderately high in the Ugandan population. Characteristics of the scapula (scapular dimensions) are not ‘vital’ but rather important or relevant for shoulder pathology with specific reference to suprascapular nerve entrapment syndrome due to completely ossified superior transverse scapular ligaments. Further correlation analyses of scapular dimensions of different SSN types in different populations are important.

scholarly journals Ossification of superior transverse scapular ligament - a case report

2015 ◽  
Vol 04 (03) ◽  
pp. 155-157
Author(s):  
Dibya Prabha Bara ◽  
Swagatika Pradhan ◽  
Rajashree Biswal ◽  
Chinmayi Mohapatra
Keyword(s):  
Case Report ◽  
Suprascapular Nerve ◽  
Nerve Entrapment ◽  
Suprascapular Notch ◽  
Orthopaedic Surgeons ◽  
Suprascapular Nerve Entrapment ◽  
Superior Transverse Scapular Ligament

AbstractSuperior transverse scapular ligament (STSL), a small ligament which bridges over the suprascapular notch bears enormous stress during shoulder movements. This causes the ligament to ossifY thereby compressing the suprascapular nerve which passes beneath it. The ossification can occur partially or cnmpletely. Different shape of ossified STSL also affects the rate of compression of the nerve. Knowledge of ossified STSL may be helpful for radiologists, neurosurgeons and orthopaedic surgeons in dealing with patients of suprascapular nerve entrapment.

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