IJAR.2018.391

Type of Article:  Original Research

Volume 6; Issue 4.3 (December 2018)

Page No.: 5989-5993

DOI: https://dx.doi.org/10.16965/ijar.2018.391

MORPHOMETRIC STUDY OF SUPRASCAPULAR NOTCH IN DRY SCAPULAE BONES

Vidya H K *1, Nagashree M V 2, M.N.Koti 3.

*1 Assistant Professor, Department of Anatomy, Shridevi Institution of Medical Sciences and Research Hospital, Tumkur-572106, Karnataka, India.

2 Associate Professor, Department of Anatomy, Kvg Medical College and Hospital, Sullia, Karnataka, India.

3 Professor  and Head, Department of Anatomy, Shridevi Institute of Medical Sciences and Research Hopital, Tumkur, Karnataka, India.

Address for Correspondence: Dr. Vidya H K,Assistant Professor, Department of Anatomy, Shridevi Institution of Medical Sciences and Research Hospital, Tumkur-572106, Karnataka, India. E-Mail: vidyassmc@gmail.com

ABSTRACT:

Background: Suprascapular nerve most commonly compressed at the level of suprascapular notch (SSN) and spinoglenoid notch. Variation in morphological features of SSN and spinoglenoid notch plays a crucial role in suprascapular nerve entrapment syndrome.

Objective: Present study was conducted to find out the variation in morphology and dimension of SSN and to determine posterior safe zone for shoulder joint procedures from posterior approach.

Materials and Methods: In the present study 83 dry scapulae of south Karnataka region were studied and classified the SSN based on various shapes according to Iqbal et al and measurements according to Natis et al, along with this, the mean distance from SSN to supraglenoid tubercle and mean distance between posterior rim of glenoid cavity and medial wall of spinoglenoid  notch at the base of scapular spine were also measured .

Result: Based on Iqbal et al classification ‘U’ shaped notch found to be more common (43.37%) and ‘V’ shaped notch  and indentation found to be least common(3.6%). Complete ossification were observed in 3 scapulae bone(3.6%). Based on Natsis classification most common was found to be type –II (TD>VL) (84%) and type VI and IV were not observed. Mean distance between SSN and supraglenoid tubercle was 31.08 mm and mean distance between posterior rim of glenoid cavity and medial wall of spinoglenoid notch at base of scapular spine was 14.26mm.

Conclusion: Since variation in morphologoy of suprascapular notch and ossification of superior transverse  suprascapular ligament(STSL) can be a factor for suprascapular nerve entrapment syndrome and safe zone for different population varies. Hence knowing variations in shape and size of SSN, safe zone for different population is helpful. So this study may be useful for clinicians for better diagnosis and management. Still more population specific studies are required related to the morphology of suprascapular notch.

KEY WORDS: Suprascapular Notch, Suprascapular Nerve Entrapment Sundrome, Superior Transverse  Suprascapular Ligament.

REFERENCES

  1. Williams PL, Bamister LH, Bery M N, Gray’s Anatomy. 38th London:Churchill-Livingstone;2004.
  2. Kopell H P, Thompson W A. Pain and frozen shoulder. Surg Gynecol Obstet 1959;109:92-96.
  3. Polguj M, Jedrezejewski K, Podgorski M. Morphometric study of suprascapular notch : proposal of classification. Surg Radiol Anat2011; 33(9):781-787.
  4. Piasecki DP, Anthony AR, Bach BR Jr, Nicholson GP. Suprascapular neuropathy. J Am Acad Ortho Surg 2009;17(11):665-676.
  5. Iqbal K, Iqbal R, Khan SG. Anatomical variations in shape of suprascapular notch of scapula. J. Morphol Sci 2010;27:1-2.
  6. Natsis K, Totlis T, Tsikaras P, Appell HJ, Skandalakis P, Koebke J. Proposal for classification of suprascapular notch: study on 423 dry scapulae. Clinical Anatomy 2007;20(2):135-139.
  7. Figen AT. Morphometric dimension of the scapula. Ege Journal of Medicine 2003;73-80.
  8. Ticker JB, Djurasovic M, Strauch RJ, April EW, Pullock RG, Flatow EL, Bigliani LU. The incidence of ganglion cysts and other variations in anatomy along the course of the suprascapular notch. J Shoulder Elbow Surf. 1998; 7:472-478.
  9. Bayramoglu A, Demiryurek D, Tuccar E, Erbil M, Aldur MM, Tetik O, Doral MN. Variation in anatomy at the suprascapular notch possibly causing suprascapular nerve entrapment : an anatomical study. Knee Surg Sports Traumatol Arthroscopy. 2003;11:393-398.
  10. Sinkeet SR, Awori KO, Odula PO, Ogeng’o JA, Nwachaka PM. The suprascapular notch: its morphology and distance form glenoid cavity in Kenyan population. Folia Morphol 2010; 69(4):241-245.
  11. Gargi S, Malik VS, Shukla L, Chabbra S, Gaur N. Morphometric analyses of suprascapular notch. The internet journal of Biological Anthropology.2012;5(1).
  12. Vandana R, Sudha Patil. Morphometric study of suprascapular National journal of clinical anatomy. 2013;2(3):140-144.
  13. Dunkelgrun N, Lesaka K, Park SS, Kummer FJ, Zuckerman JD. Interobserver reliability and intra observer reproducibility in suprascapular notch typing. Bull Hosp Joint dis.2003;61:118-122.
  14. Vallois HV, L’os acromial dans les races humaine. L’Anthropologie.1925;35:977-1022.
  15. Rengachary SS, Neff JP, Singer PA, Brackett CF. Suprascapular nerve entrapment neuropathy: clinical, anatomical and comparative study. Part I: Clinical study. Neurosurg. 1979;5:441-446.
  16. Wang HJ, Chen C, Wu LP, Pan CQ, Zang WJ, Li YK. Variable morphology suprascapular notch: an investigation and quantative measurements in Chinese population. Clinical Anatomy 2011;24(1):47-55.
  17. Shishido H, Kikuchi S. Injury to suprascapular nerve during shoulder joint surgery: an anatomical study. J Shoulder Elbow Surg. 2001; 10:372-376.

Cite this article: Vidya H K, Nagashree M V, M.N.Koti. MORPHOMETRIC STUDY OF SUPRASCAPULAR NOTCH IN DRY SCAPULAE BONES. Int J Anat Res 2018;6(4.3):5989-5993. DOI: 10.16965/ijar.2018.391