IJAR.2017.287
Type of Article: Original Research
Volume 5; Issue 3.2 (August 2017)
Page No.: 4212-4215
DOI: https://dx.doi.org/10.16965/ijar.2017.287
MORPHOLOGICAL AND MORPHOMETRIC STUDY OF SUPRA SCAPULAR NOTCH AND INCIDENCE OF OSSIFIED SUPERIOR TRANSVERSE SCAPULAR LIGAMENT IN HUMAN DRY SCAPULAE AND ITS CLINICAL IMPLICATION
Brijeshkumar R. Aghera *1, Sami Ahmed 2, Mayank Javia 3, G.C.Agarwal 4.
*1 Assistant professor, Department of Anatomy, Pacific Medical College and hospital , Udaipur (Rajasthan), India.
2 Demonstrator, Department of Anatomy, Pacific Medical College and hospital , Udaipur (Rajasthan), India.
3 Assistant Professor, Department of Anatomy, Gujarat Adani Institute of Medical Science, Bhuj, India.
4 Professor and HOD, Department of Anatomy, Pacific Medical College and hospital , Udaipur (Rajasthan), India.
Corresponding Author Address: Dr Brijeshkumar R. Aghera, C/ O:- Denish D Vachhani, B-304, Megh Mayur Malhar Apartment, Behind Sneh Sankul Wadi, Anand Mahal Road, Adajan, Surat (Gujarat), Pincode – 395009 Mobile No:- 8696234166 , 9558731155.
E-Mail: drbrijeshaghera@gmail.com
Abstract:
Background: The supra scapular notch is the common site of supra scapular nerve entrapment causing supra scapular neuropathy. The supra scapular notch present in the superior border of the scapula is roofed by the Superior Transverse Scapular Ligament (STSL) which ossified in some scapulae and form supra scapular foramen.
Aim and objective: In present study we analyze, Morphological and Morphometric variations of supra scapular notch and ossified superior transverse scapular ligament in human dry scapulae.
Materials and Methods: In present study, we studied 136 dry human scapulae of unknown sex. We noted incidence of ossified superior transverse scapular ligament and Morphometric parameters analyzed.
Result: In present study we found 10 scapulae with complete ossified suprascapular ligament and 6 scapulae with partial ossified suprascapular ligament out of 136 dry human scapulae.
Conclusion: Ossified superior transverse scapular ligament is known factor for supra scapular nerve entrapment neuropathy so knowledge of incidence of STSL and anatomy of supra scapular region very useful for clinician, surgeons and orthopaedicians.
KEY WORDS: Supra Scapular Notch, Supra Scapular Nerve, Supra Scapular Neuropathy, Transverse Scapular Ligament.
REFERENCES
- Standring S Ellis H, Healy J, Johnson D, Williams A. Pectoral girdle,shoulder region and axilla. Gray’s Anatomy – The Anatomical Basis of Clinical Practice. 39th ed. New York: Elsevier Churchill Livingstone; 2005;821-2.
- Khan, M. A. Complete ossification of the superior transverse scapular ligament in an Indian male adult. Int. J. Morphol. 2006;24(2):195-6.
- Edelson JG. 1995. Bony bridges and other variations of the suprascapular notch. J Bone Joint Surg Br. 77:505–6.
- Dunkelgrun M, Iesaka K, Park SS,Kummer FJ, and Zuckerman JD. Interobserver reliability and intraobserver reproducibility in suprascapular notch typing. Bull Hosp Joint Dis.2003;61:118-22.
- Rengachary, S. S., Burr, D.; Lucas, S., Hassanein, K.M., Mohn, M.P, Matzke, H. Suprascapular entrapment neuropathy: a clinical, anatomical, and comparative study. Part 2. Anatomical study Neurosurg.,1979;5:447-51.
- Charalambos P. Economides et al. An unusual case of suprascapular nerve neuropathy: a case report. Journal of Medical Case Reports 2011;5:419.
- Ticker JB, Djurasovic M, Strauch RJ, April EW, Pollock RG, Flatow EL, Bigliani LU. The incidence of ganglion cysts and other variations in anatomy along the course of the suprascapular nerve. J Shoulder Elbow Surg. 1998;7:472-478
- Paolo Albino, Stefano Carbone, Vittorio Candela, Valerio Arceri, Anna Rita Vestri, Stefano Gumina. Morphometry of the suprascapular notch: correlation with scapular dimensions and clinical relevance. BMC Musculoskelet Disord. 2013;14:172.
- Sinkeet SR, Awori KO, Odula PO, Ogeng’o JA, Mwachaka PM. The Suprascapular notch: its Morphology and distance from the glenoid cavity in a Kenyan population. Folia Morphol. 2010;69:241-5.
- Mestdagh M, Drizenko A, Ghestem P. Anatomical basis of suprascapular nerve syndrome. Anat Clin 1981; 3:67- 71.
- Thompson WAL, Kopell HP. Peripheral entrapment neuropathies of the upper extremities. N Engl J Med 1959; 260:1261-1265.
- MichaB Polguj,1 Marcin SibiNski,2 Andrzej Grzegorzewski at al, Morphological and Radiological Study of Ossified Superior Transverse Scapular Ligament as Potential Risk Factor of Suprascapular Nerve Entrapment. BioMed Research International; 1155/2014/613601
- G Soni VS Malik, L Shukla, S Chabbra, N Gaur. Morphometric Analysis of the Suprascapular Notch. The Internet Journal of Biological Anthropology. 2012;5(1):DOI:10.5580/2B19
- Sandow, M.J. & Ilic, J. Suprascapular nerve rotator cuff compression syndrome in volleyball players. J. Shoulder Elbow Surg., 1998;7(5):516-21.
- Gosk, M. Urban, and R. Rutowski, “Entrapment of the suprascapular nerve: anatomy, etiology, diagnosis, treatment,” Ortopedia Traumatologia Rehabilitacja 2007;9(1):68-74.
- Sangam MR, Devi SS, Krupadanam K, Anasuya K. A study on the morphology of the suprascapular notch and its distance from the glenoid cavity. Journal of clinical and diagnostic research: JCDR. 2013 Feb;7(2):189.