scholarly journals Arthroscopic decompression of an entrapped suprascapular nerve due to an ossified superior transverse scapular ligament: a case report

Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
pp. 8200 ◽  
Author(s):  
Neoptolemos N Sergides ◽  
Dimitrios D Nikolopoulos ◽  
Euangelos Boukoros ◽  
George Papagiannopoulos
2015 ◽  
Vol 04 (03) ◽  
pp. 155-157
Author(s):  
Dibya Prabha Bara ◽  
Swagatika Pradhan ◽  
Rajashree Biswal ◽  
Chinmayi Mohapatra

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.


2016 ◽  
Vol 33 (03) ◽  
pp. 155-156
Author(s):  
O. Azu ◽  
D. Ofusori ◽  
E. Naidu ◽  
J. Naidu

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.


2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
José Aderval Aragão ◽  
Luiza Neves de Santana Teles ◽  
Ana Bárbara de Jesus Chaves ◽  
Jéssica Cândida Oliveira Prado ◽  
Priscila Soares Pereira ◽  
...  

Introduction. The superior transverse scapular ligament (STSL) links the margins of the suprascapular notch and converts it into a foramen, through which, the suprascapular nerve and, on some rare occasions, the suprascapular vessels pass. This conversion often results from partial or complete ossification of the STSL and may produce compressive symptoms in the suprascapular nerve. Material and Method. Twenty shoulders from human fetuses were dissected without the aid of optical instruments and, using a digital pachymeter of precision 0.01 millimeters, length measurements and thickness measurements were made. The fetal age was from 21 to 33 weeks of gestation, with a mean of 27.6±4.14 weeks. Results. There was no statistically significant difference in STSL length or any difference in the thicknesses at the medial and lateral extremities between the halves of the body (P≥0.05). However, in the left half of the body, the medial extremity of the STSL was significantly thinner than the lateral extremity (P≤0.05). Conclusion. Anatomical and morphometric details about the STSL were described in human fetuses. These findings, in fetuses, may encourage the pursuit of further studies to understand the morphofunctional role and meaning of this small ligament.


1996 ◽  
Vol 31 (3) ◽  
pp. 564
Author(s):  
Sung Ho Hahn ◽  
Bo Kyu Yang ◽  
Chi Hong Kim ◽  
Tae Woe Ahn ◽  
Tae Sung Kim

2006 ◽  
Vol 31 (10) ◽  
pp. 1698-1699 ◽  
Author(s):  
Robert J. Spinner ◽  
Kimberly K. Amrami

2019 ◽  
Vol 48 (2) ◽  
pp. 236-240 ◽  
Author(s):  
Christa L. LiBrizzi ◽  
Jorge L. Rojas ◽  
Nicholas C. Bontrager ◽  
Uma Srikumaran ◽  
Edward G. McFarland

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Michał Polguj ◽  
Marcin Sibiński ◽  
Andrzej Grzegorzewski ◽  
Michał Waszczykowski ◽  
Agata Majos ◽  
...  

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.


2013 ◽  
Vol 39 (2) ◽  
pp. 194-198 ◽  
Author(s):  
S. Hu ◽  
B. Chu ◽  
J. Song ◽  
L. Chen

The purpose of this study was to investigate the anatomical basis of intercostal nerve transfer to the suprascapular nerve and provide a case report. Thoracic walls of 30 embalmed human cadavers were used to investigate the anatomical feasibility for neurotization of the suprascapular nerve with intercostal nerves in brachial plexus root avulsions. We found that the 3rd and 4th intercostal nerves could be transferred to the suprascapular nerve without a nerve graft. Based on the anatomical study, the 3rd and 4th intercostal nerves were transferred to the suprascapular nerve via the deltopectoral approach in a 42-year-old man who had had C5-7 root avulsions and partial injury of C8, T1 of the right brachial plexus. Thirty-two months postoperatively, the patient gained 30° of shoulder abduction and 45° of external rotation. This procedure provided us with a reliable and convenient method for shoulder function reconstruction after brachial plexus root avulsion accompanied with spinal accessory nerve injury. It can also be used when the accessory nerve is intact but needs to be preserved for better shoulder stability or possible future trapezius transfer.


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