https://www.ijmhr.org/ijar.htm editor_anatomy@ijmhr.org
ISSN:       2321-4281 (E) 2321-8967 (P)

IJAR.2019.306

DOWNLOAD PDF
Table of Contents

Type of Article:  Original Research

Volume 7; Issue 4.2 (November 2019)

Page No.: 7066-7069

DOI: https://dx.doi.org/10.16965/ijar.2019.306

STUDY ON THE INCIDENCE OF OCCURRENCE OF THE OSSIFICATION OF SUPERIOR TRANSVERSE SCAPULAR LIGAMENT WITH ITS CLINICAL IMPLICATIONS

Panjala Ashok *1, Shiny Vinila B H 2.

*1 Assistant Professor, Department of Anatomy, Deccan College of Medical Sciences, Hyderabad. Telangana, India

2 Senior Lecturer, Department of Anatomy, Panineeya Mahavidyalaya Institute of Dental Sciences, Hyderabad, Telangana, India

Corresponding author: Dr P Ashok, Assistant Professor, Department of Anatomy, Deccan College of Medical Sciences, DMRL X Road, Santosh nagar, Kanchan Bagh, Hyderabad, Telangana, India. Pin: 500058 Contact number: +919849078833 E-Mail: drashokpanjala123@gmail.com

ABSTRACT:

Introduction: Supra scapular notch is present on the superior border of the scapula. It gives passage to the suprascapular nerve. The supra scapular notch is bridged by the superior transverse scapular ligament and converted into supra scapular foramen. Ossification of this superior transverse scapular ligament may compress or entrap the suprascapular nerve which is passing through the foramen. The present study was undertaken to find out the incidence of occurrence of the ossification of superior transverse scapular ligament.

Materials and methods: 89 scapulae were collected from the Department of Anatomy, Deccan College of Medical Sciences, Hyderabad. Damaged scapulae were excluded. All the scapulae were examined to note the incidence of occurrence of the ossification of the transverse scapular ligament and also any variations of it.

Results: Out of 89 scapulae 15 scapulae of the scapulae were bearing ossified superior transverse scapular ligament in which 6 were of the right side and 6 were of the left side. Duplication of the superior transverse scapular ligament was observed in one left scapula. Incomplete ossification was observed in 2 scapulae 1 on the right and another on the left side.

Conclusion: Based on the results of the present study, ossification of the transverse scapular ligament is not very rare in this populations group. So, the knowledge about the ossification of superior transverse scapular ligament and the risk of supra scapular nerve entrapment is very much essential for the physicians and the surgeons while dealing with these cases.

Key words: Scapula, Ossification, Superior transverse scapular ligament, Nerve entrapment.

REFERENCES

  1. Standring S, Pectoral girdle and upper limb in Gray’s Anatomy: The Anatomical Basis of Clinical Practices, Johnson D & Collins P. , Eds. Churchill Livingtone, New York, USA, 40th ed, 2008; 793-821.
  2. Cohen, S. B.; Dnes, D.M. & Moorman, C.T. Familial calcification of the superior transverse scapula ligament causing neuropathy. Clin. Orthop. Rel. Res. 1997; 334:131-35.
  3. Khan, M. A. Complete ossification of the superior transverse scapular ligament in an Indian male adult. Int. J. Morphol. 2006; 24(2):195-6.
  4. Praisy Joy, Manisha B. Sinha, Bikash Chandra Satapathy. The Ossified Bifid Superior Transverse Scapular Ligament Causing a Double Suprascapular Foramen: A Case Report. Journal of Clinical and Diagnostic Research. 2015; 9(6): AD03-AD04.
  5. Ticker J. B.; Djurasovic M.; Strauch R. J.; April, E.W.; Pollock, R. G.; Flatow, E. L. & Bigliani, L.U. The incidence of ganglion cysts and variations in anatomy along the course of the suprascapular nerve. J. Shoulder Elbow Surg. 1998; 7(5):472-478.
  6. Harris RI, Vu DH, Sonnabend DH, Goldberg J A, Walsh WR. 2001. Anatomic variance of the coracoclavicular ligaments. J. Shoulder Elbow Surg. 10:585-8
  7. Dunkelgrun M, Iesaka K, Park SS, Kummer FJ, Zuckerman JD. 2003. Interobserver reliability and intraobserver reproducibility in suprascapular notch typing. Bull Hosp Joint Dis. 61:118-22.
  8. Rengachary SS, Burr D, Lucas S, Hassanein KM, Mohn MP, Matzke H. 1979. Suprascapular entrapment neuropathy: a clinical, anatomical, and comparative study. Part 2. Anatomical study. Neurosurg. 5:447-51.
  9. Pe´cina, C. A. Cummins, T. M. Messer, and G. W. Nuber, “Who really first described and explained the suprascapular nerve entrapment syndrome?” Journal of Bone and Joint Surgery. 2001; 83(8): 1273–1274.
  10. Gosk, M. Urban, and R.Rutowski, “Entrapment of the suprascapular nerve: anatomy, etiology, diagnosis, treatment” Ortopedia Traumatologia Rehabilitacja. 2007; 9(1): 68–74.
  11. H Zehetgruber, H Noske, T Lang, and C Wurnig. “Suprascapular nerve entrapment. A meta-analysis,” International Orthopaedics.2002; 26 (6): 339–343.
  12. Thompson W, Kopell H. Peripheral entrapment neuropathies of the upper extremity. N Engl J Med 1959; 260: 1261-1265.
  13. Kalpana Thounaojam, Renuca Karam, N. Saratchandra Singh. Ossification of transverse scapular ligament. Journal of Evolution of Medical and Dental Sciences. 2013; 2(12):1790-1791.
  14. Suman P, Mahato R, Sabita Singh, ArunKumar, Bilodi S. Complete ossification of superior transverse scapular ligament: incidence and its clinical implications. Int J Cur Res Rev.2013; 5 (13): 80-87.
  15. Rajeev R Desai, Manoj P Ambali, and Medha A Doshi. Incidence of ossification of superior transverse scapular ligament of scapula in Indian population. Int. J. Curr. Microbiol. App. Sci. 2014; 3(9): 1081-1084.
  16. Ashok Kumar Singh, Ritu. Ossification of Transverse Scapular Ligament in Population of Bihar & Its Clinical Implications. Journal of medical science and clinical research. 2018; 6(2): 1084-1089.
  17. J G Silva, M Abidu-Figueiredo, R M P Fernandesetal. “High incidence of complete ossification of the superior transverse scapular ligament in Brazilians and its clinical implications,” International Journal of Morphology. 2007; 25(4): 855–859.
  18. Hrdlicka A. The adult scapula. Additional observations and measurements. Am J Phys Anthropol. 1942; 29(3): 363–415.
  19. Wang HJ, Chen C, Wu LP, Pan CQ, Zhang WJ, Li YK. Variable morphology of suprascapular notch: an investigation and quantitative measurements in Chinese population. Clin Anat. 2011; 24: 47-55.
  20. Polguj M, Jedrzejewski K, Majos A, Topol M. Variations in bifid superior transverse scapular ligament as a possible factor of suprascapular entrapment: an anatomical study. Int Orthop. 2012; 36(10): 2095–100. 

Cite this article: Panjala Ashok, Shiny Vinila B H. STUDY ON THE INCIDENCE OF OCCURRENCE OF THE OSSIFICATION OF SUPERIOR TRANSVERSE SCAPULAR LIGAMENT WITH ITS CLINICAL IMPLICATIONS. Int J Anat Res 2019;7(4.2):7066-7069. DOI: 10.16965/ijar.2019.306