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Variation in morphology of suprascapular notch as a factor of suprascapular nerve entrapment

PURPOSE: The shape and size of the suprascapular notch (SSN) is one of the most important risk factors in suprascapular nerve entrapment. The aim of the study was to perform a morphological study of SSN variations. METHODS: A total of 616 computer tomography scans of scapulae were retrospectively an...

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Autores principales: Polguj, Michał, Sibiński, Marcin, Grzegorzewski, Andrzej, Grzelak, Piotr, Majos, Agata, Topol, Mirosław
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3824898/
https://www.ncbi.nlm.nih.gov/pubmed/23892466
http://dx.doi.org/10.1007/s00264-013-2005-3
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author Polguj, Michał
Sibiński, Marcin
Grzegorzewski, Andrzej
Grzelak, Piotr
Majos, Agata
Topol, Mirosław
author_facet Polguj, Michał
Sibiński, Marcin
Grzegorzewski, Andrzej
Grzelak, Piotr
Majos, Agata
Topol, Mirosław
author_sort Polguj, Michał
collection PubMed
description PURPOSE: The shape and size of the suprascapular notch (SSN) is one of the most important risk factors in suprascapular nerve entrapment. The aim of the study was to perform a morphological study of SSN variations. METHODS: A total of 616 computer tomography scans of scapulae were retrospectively analysed in 308 patients. The examination focused on the suprascapular region. The type of suprascapular notch was determined by using a classification based on three geometrical measurements: maximal depth (MD), superior (STD) and middle (MTD) transverse diameters. RESULTS: In the scans, five types of SSN were noted. In type I (24.18 %) maximal depth was greater than superior transverse diameter. Type II (1.95 %) has equal MD, STD and MTD. In type III (56.16 %) the superior transverse diameter was greater than the maximal depth. Scapulae with bony foramen were classified as type IV (4.72 %). In type V a discrete notch (12.99 %) was found. Additionally, types I and III were divided into three subtypes: A, B and C. The frequency of type I and IV was lower in females than in males, but type III was more common in females than males. Distribution of other types of SSN in both groups was similar. CONCLUSION: Knowledge of the anatomical variations of the suprascapular notch described in this study should be helpful in endoscopic and open procedures of the suprascapular region and also may increase the safety of operative decompression of the suprascapular nerve.
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spelling pubmed-38248982013-11-19 Variation in morphology of suprascapular notch as a factor of suprascapular nerve entrapment Polguj, Michał Sibiński, Marcin Grzegorzewski, Andrzej Grzelak, Piotr Majos, Agata Topol, Mirosław Int Orthop Original Paper PURPOSE: The shape and size of the suprascapular notch (SSN) is one of the most important risk factors in suprascapular nerve entrapment. The aim of the study was to perform a morphological study of SSN variations. METHODS: A total of 616 computer tomography scans of scapulae were retrospectively analysed in 308 patients. The examination focused on the suprascapular region. The type of suprascapular notch was determined by using a classification based on three geometrical measurements: maximal depth (MD), superior (STD) and middle (MTD) transverse diameters. RESULTS: In the scans, five types of SSN were noted. In type I (24.18 %) maximal depth was greater than superior transverse diameter. Type II (1.95 %) has equal MD, STD and MTD. In type III (56.16 %) the superior transverse diameter was greater than the maximal depth. Scapulae with bony foramen were classified as type IV (4.72 %). In type V a discrete notch (12.99 %) was found. Additionally, types I and III were divided into three subtypes: A, B and C. The frequency of type I and IV was lower in females than in males, but type III was more common in females than males. Distribution of other types of SSN in both groups was similar. CONCLUSION: Knowledge of the anatomical variations of the suprascapular notch described in this study should be helpful in endoscopic and open procedures of the suprascapular region and also may increase the safety of operative decompression of the suprascapular nerve. Springer Berlin Heidelberg 2013-07-27 2013-11 /pmc/articles/PMC3824898/ /pubmed/23892466 http://dx.doi.org/10.1007/s00264-013-2005-3 Text en © The Author(s) 2013 https://creativecommons.org/licenses/by-nc/2.0/ Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Original Paper
Polguj, Michał
Sibiński, Marcin
Grzegorzewski, Andrzej
Grzelak, Piotr
Majos, Agata
Topol, Mirosław
Variation in morphology of suprascapular notch as a factor of suprascapular nerve entrapment
title Variation in morphology of suprascapular notch as a factor of suprascapular nerve entrapment
title_full Variation in morphology of suprascapular notch as a factor of suprascapular nerve entrapment
title_fullStr Variation in morphology of suprascapular notch as a factor of suprascapular nerve entrapment
title_full_unstemmed Variation in morphology of suprascapular notch as a factor of suprascapular nerve entrapment
title_short Variation in morphology of suprascapular notch as a factor of suprascapular nerve entrapment
title_sort variation in morphology of suprascapular notch as a factor of suprascapular nerve entrapment
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3824898/
https://www.ncbi.nlm.nih.gov/pubmed/23892466
http://dx.doi.org/10.1007/s00264-013-2005-3
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