IJAR.2019.377

Type of Article:  Original Research

Volume 8; Issue 1.2 (February 2020)

Page No.: 7342-7345

DOI: https://dx.doi.org/10.16965/ijar.2019.377

THE STUDY OF CORACOACROMIAL LIGAMENT MORPHOLOGY AND ITS CLINICAL ASPECTS

Sowmya S *1, Sharmada Kl 2, Meenakshi Parthasarathy 3.

*1 Associate professor, Dept of Anatomy, Bowring & Lady Curzon Medical College & Research Institute, Karnataka, India,

2 Tutor, Dept of Anatomy, Bowring & Lady Curzon Medical College & Research Institute, Karnataka, India.

3 Professor, Dept of Anatomy, Bowring & Lady Curzon Medical College & Research Institute, Karnataka, India.

Corresponding Author: Dr. Sowmya S, Associate professor, Dept of Anatomy, Bowring & Lady Curzon Medical College & Research Institute, Karnataka, India. E-Mail:  drsowmyanandan@gmail.com

ABSTRACT

Background: The coracoacromial ligament (CAL) as an integral component of the coracoacromial arch, plays an important role in shoulder biomechanics, joint stability, and proprioception thus maintains static restraint due to its dynamic interactions with ligaments, muscles and bony elements around the shoulder joint. Age-dependent changes due to chronic stress and cellular degradation cause thickening and stiffening of the CAL that may contribute to a spectrum of shoulder pathology from capsular tightness to rotator cuff tear arthropathy and impingement syndrome.

Objectives: This study conducted to observe the different types of CAL and its relationship with coracoacromial veil.

Materials and Methods: The study conducted on 50 upper limbs at Bowring & Lady Curzon medical college & research institute and Bangalore medical college & research institute. The upper limbs were dissected at the shoulder joint complex and acromion process and coracoid process were appreciated and coracoacromial ligaments were appreciated for their types and morphometry.

Results and Conclusion: Four types of CAL were observed in this study. These are Y shaped CAL in 12 (24%) upper limbs, broad banded in 8 (16%), quadrangular band shaped in 25 (50%) and multiple banded in 5(10%) upper limbs. Coracoacromial veil were observed. All the above ligaments were had normal attachments.

KEY WORDS: Coracoacromial ligament, coracoacromial arch, shoulder joint.

REFERENCES

  1. Glenn CT, Thomas MC. Functional Anatomy of the Shoulder. J athletic training, 2000; 35(3);248-245.
  2. Demir M, Güneri B. Geometric Morphology of the Coracoacromial Ligament: A Cadaveric Study. BioMed research international. 2019;2019.
  3. M Aurich, et al. Reconstruction of the coracoacromial ligament during a modified Latarjet procedure: a case series. BMC Musculoskeletal Disord,2015,16, 238.
  4. A Rothenburg et al.The Coracoacromial Ligament: Anatomy, Function, and Clinical Significance. Orthop J sports med. 2017;5(4).
  5. Moorman CT et al. Anatomy of the coracoacromial veil. J Surg Orthop adv, 2008;17(2): 69-73.
  6. M Vetter et al. “False” Ligaments: A Review of Anatomy, Potential Function, and Pathology. Cureus 2017;9(11);1853.
  7. Holt EM. Anatomic variants of the coracoacromial ligament. J shoulder elbow surg, 1995;4(5):370-5.
  8. Kesmezacar H et al. The coracoacromial ligament: the morphology and relation to rotator cuff pathology. J should elbow surg, 2008;17(1):182-8.
  9. Alraddadi A. Variability in attachment of the coracoacromial ligament in relation with its morphology. Surg Radiol Anat 2017 dec;39(12):1323-1330.                             

Cite this article: Sowmya S, Sharmada Kl, Meenakshi Parthasarathy. THE STUDY OF CORACOACROMIAL LIGAMENT MORPHOLOGY AND ITS CLINICAL ASPECTS. Int J Anat Res 2020;8(1.2):7342-7345. DOI: 10.16965/ijar.2019.377