{"id":1617,"date":"2018-12-05T15:14:39","date_gmt":"2018-12-05T15:14:39","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=1617"},"modified":"2018-12-05T15:17:11","modified_gmt":"2018-12-05T15:17:11","slug":"ijar-2018-397","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2018-397","title":{"rendered":"IJAR.2018.397"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijar.6.4\/IJAR.2018.397.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-6-4.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 6; Issue 4.3 (December 2018)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a06018-6024<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2018.397<\/h3>\n<h3 style=\"text-align: justify;\">ANATOMIC STUDY OF THE CORACOID PROCESS: SAFETY MARGIN FOR OSTEOTOMY FOR SHOULDER SURGERY<\/h3>\n<p style=\"text-align: justify;\"><strong>Ayman Ahmed Khanfour <sup>1<\/sup>, Nehal Mohamed Nabil \u00a0*<sup>2,<\/sup> Bahaa Ahmed Motawea <sup>3<\/sup>.<\/strong><\/p>\n<p><sup>1<\/sup> Anatomy and Embryology department, Faculty of Medicine, Alexandria University, Alexandria, Egypt.<\/p>\n<p><sup>*2 <\/sup>Anatomy and Embryology department, Faculty of Medicine, Alexandria University, Alexandria, Egypt.<\/p>\n<p><sup>3 <\/sup>Orthopedic Surgery department, Faculty of Medicine, Alexandria University, Alexandria, Egypt.<\/p>\n<p style=\"text-align: justify;\"><strong>\u00a0*Correspondence Author:<\/strong> Nehal Mohamed Nabil, Anatomy and Embryology department, Faculty of Medicine, Alexandria University, Alexandria, Egypt.\u00a0<strong>E-Mail:<\/strong> nehalnabil895@gmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT:<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Background:<\/strong> Surgical procedures as coracoid osteotomy, transfer, and fixation are used for management of recurrent anterior shoulder instability. However, the peculiar anatomy of bony and soft tissue footprints of the coracoid, as they relate to these surgical procedures, need further detailed studies owing to its clinical importance.<\/p>\n<p style=\"text-align: justify;\"><strong>Aim of the work: <\/strong>to obtain safety margin for osteotomy of the coracoid process.<\/p>\n<p style=\"text-align: justify;\"><strong>Materials and methods:<\/strong> The material of this work included twenty upper limbs of formalin preserved specimens obtained from the dissecting room of anatomy department, faculty of medicine, Alexandria University. Dimensions of the coracoid process were recorded. Anatomical measurements between the tip of the coracoid process to the anterior and posterior margins of the tendon of pectoralis minor were recorded. Distances between the tip of the coracoid process and the anterior and posterior margins of coracoacromial ligament, coracohumeral ligament, and the most distal point of conoid and trapezoid ligaments were recorded.<\/p>\n<p style=\"text-align: justify;\"><strong>Results:<\/strong> The mean length, width, and height of the coracoid were 4.25, 1.4, 1.16 cm respectively. The mean distance between the tip of the coracoid process to the anterior and posterior margins of pectoralis minor were 1.07 and 2.04 cm respectively. The mean distance between tip of coracoid process and coracoacromial ligament (anterior and posterior margins), coracohumeral, conoid and trapezoid ligaments were 1.32, 2.19, 1.11, 3.70 and 2.73 cm respectively.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion: <\/strong>A safety margin of 2.35 cm from the tip of the coracoid process is recommended to avoid injury of coracoclavicular ligament. This distance was correlated with the distance between the tip and the posterior margin of pectoralis minor muscle.<\/p>\n<p style=\"text-align: justify;\"><strong>Key words:<\/strong> Coracoid process, Coracoclavicular ligament, Coracoid osteotomy.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">Terra BB,\u00a0Ejnisman B,\u00a0de Figueiredo EA,\u00a0Cohen C,\u00a0Monteiro GC,\u00a0de Castro Pochini A,\u00a0Andreoli CV,\u00a0Cohen M. Anatomic study of the coracoid process: safety margin and practical implications. Arthroscopy 2013; 29 (1):25-30.<\/li>\n<li style=\"text-align: justify;\">Fathi M, Hussin P, Nizlan N M, See C P, Ahmad U, San A A, AbdulRahim E, Othman F. Easy, fast and accessible dissecting approach to coracoid process of human scapula. Research Journal of Pharmaceutical, Biological and Chemical Sciences 2015; 6 (2):1279- 1283.<\/li>\n<li style=\"text-align: justify;\">Sella\u00a0GDV,\u00a0Miyazaki\u00a0AN,\u00a0Nico\u00a0MAC,\u00a0Filho GH,\u00a0Silva LA,\u00a0Checchia SL. Study on the anatomic relationship between the clavicle and the coracoid process using computed tomography scans of the shoulder. Journal of shoulder and elbow surgery 2017; 26(10):1740-1747.<\/li>\n<li style=\"text-align: justify;\">Mohammed\u00a0H,\u00a0Skalski\u00a0MR,\u00a0Patel\u00a0DB,\u00a0TomasianA,\u00a0ScheinAJ,\u00a0White EA,\u00a0Hatch GF 3rd,\u00a0Matcuk GR Jr. Coracoid\u00a0Process: The\u00a0Lighthouse\u00a0of the\u00a0Shoulder. 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Anatomical study of the coracoid process in Mongolian male cadavers using the Latarjet procedure. Journal of Orthopaedic Surgery and Research 2016; 11:126.<\/li>\n<li style=\"text-align: justify;\">Imma ll, Nizlan NM, \u00a0Ezamin AR, ,\u00a0 Yusoff S, \u00a0Shukur MH. Coracoid Process Morphology using 3D-CT Imaging in a Malaysian Population. Malays Orthop J. 2017; 11(2): 30\u201335.<\/li>\n<li style=\"text-align: justify;\">Fathi M,\u00a0Cheah P S,\u00a0\u00a0Ahmad U,\u00a0Nizlan N M,San A A,\u00a0AbdulRahim E,\u00a0\u00a0Hussin P,\u00a0\u00a0Mahmud R,\u00a0\u00a0 Othman F<sup>. <\/sup>Anatomic Variation in Morphometry of Human Coracoid Process among Asian Population. \u00a0BioMed Research International, vol. 2017, Article ID 6307019, 10 pages.<\/li>\n<li style=\"text-align: justify;\">Terra BB,\u00a0 de Figueiredo EA, Marczyk CSF, \u00a0Monteiro GC, \u00a0Pochini AC,\u00a0 Andreoli CV,\u00a0 \u00a0Ejnisman B. Osteotomies of the coracoid process: an anatomical study. 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Arthroscopy 2010; 26:149-160.<\/li>\n<li style=\"text-align: justify;\">Lim TK,\u00a0Koh KH,\u00a0Yoon YC,\u00a0Park JH,\u00a0Yoo JC. Pectoralis\u00a0minor\u00a0tendon\u00a0in the\u00a0rotator\u00a0interval:\u00a0arthroscopic,\u00a0magnetic resonance imaging\u00a0findings, and\u00a0clinical\u00a0significance. J Shoulder Elbow Surg 2015; 24 (6):848-853.<\/li>\n<li style=\"text-align: justify;\">Goldman E,\u00a0Vasan C,\u00a0Lopez-Cardona H,\u00a0Vasan N. Unilateral ectopic\u00a0insertion\u00a0of the\u00a0pectoralis\u00a0minor: Clinical and functional significance. Morphologie.\u00a02016; 100 (328):41-44.<\/li>\n<li style=\"text-align: justify;\">Tubbs RS, Salter EG. Unusual attachment of the pectoralis minor muscle. Clinical Anatomy 2005; 18(4):302-304.<\/li>\n<li style=\"text-align: justify;\">Gregory MAC, Christophe T, Pascal B. Ectopic insertion of the pectoralis minor: implication in the arthroscopic treatment of shoulder stiffness. Knee Surgery Sports Trauma Arthroscopy 2008; 16:869-871.<\/li>\n<li style=\"text-align: justify;\">Lee CB,\u00a0Choi SJ,\u00a0Ahn JH,\u00a0Ryu DS,\u00a0Park MS,\u00a0Jung SM,\u00a0Shin DR. Ectopic\u00a0insertion\u00a0ofthe\u00a0pectoralis\u00a0minor\u00a0tendon:\u00a0interreader\u00a0agreement\u00a0and\u00a0 findings\u00a0in the\u00a0rotator\u00a0interval\u00a0on\u00a0MRI. Korean\u00a0J Radiol.\u00a02014; 15 (6):764-770.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> Ayman Ahmed Khanfour, Nehal Mohamed Nabil, Bahaa Ahmed Motawea. ANATOMIC STUDY OF THE CORACOID PROCESS: SAFETY MARGIN FOR OSTEOTOMY FOR SHOULDER SURGERY. Int J Anat Res 2018;6(4.3):6018-6024.\u00a0<strong>DOI:\u00a0<\/strong>10.16965\/ijar.2018.397\u00a0 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 6; Issue 4.3 (December 2018) Page No.:\u00a06018-6024 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2018.397 ANATOMIC STUDY OF THE CORACOID PROCESS: SAFETY MARGIN FOR OSTEOTOMY FOR SHOULDER SURGERY Ayman Ahmed Khanfour 1, Nehal Mohamed Nabil \u00a0*2, Bahaa Ahmed Motawea 3. 1 Anatomy and Embryology department, Faculty of Medicine, Alexandria University, Alexandria, Egypt. *2 Anatomy and Embryology department,<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2018-397\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1617"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=1617"}],"version-history":[{"count":2,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1617\/revisions"}],"predecessor-version":[{"id":1654,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1617\/revisions\/1654"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=1617"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}