The variable morphology of suprascapular nerve and vessels at suprascapular notch: a proposal for classification and its potential clinical implications

Verfasser / Beitragende:
[Michał Polguj, Jacek Rożniecki, Marcin Sibiński, Andrzej Grzegorzewski, Agata Majos, Mirosław Topol]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/5(2015-05-01), 1542-1548
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-014-2937-1  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2937-1 
245 0 4 |a The variable morphology of suprascapular nerve and vessels at suprascapular notch: a proposal for classification and its potential clinical implications  |h [Elektronische Daten]  |c [Michał Polguj, Jacek Rożniecki, Marcin Sibiński, Andrzej Grzegorzewski, Agata Majos, Mirosław Topol] 
520 3 |a Purpose: The most common place for suprascapular nerve entrapment is the suprascapular notch. The aim of the study was to determine the morphological variation of the location of the suprascapular nerve, artery and vein, and measure the reduction in size of the suprascapular opening in each type of the passage. Methods: A total of 106 human formalin-fixed cadaveric shoulders were included in the study. After dissection of the suprascapular region, the topography of the suprascapular nerve, artery and vein was evaluated. Additionally, the area of the suprascapular opening was measured using professional image analysis software. Results: Four arrangements of the suprascapular vein, artery and nerve were distinguished with regard to the superior transverse scapular ligament: type I (61.3%) (suprascapular artery was running above ligament, while suprascapular vein and nerve below it), type II (17%) (both vessels pass above ligament, while nerve passes under it), type III (12.3%) (suprascapular vessels and nerve lie under ligament) and type IV (9.4%), which comprises the other variants of these structures. Statistically significant differences regarding the suprascapular opening were observed between the specimens with types II and III. Anterior coracoscapular ligaments were present in 55 from 106 shoulders. Conclusion: The morphological variations described in this study are necessary to better understand the possible anatomical conditions which may promote suprascapular nerve entrapment (especially type III). They may be useful during open and endoscopic procedures at the suprascapular notch to prevent such complications as unexpected bleeding. 
540 |a The Author(s), 2014 
690 7 |a Suprascapular nerve entrapment  |2 nationallicence 
690 7 |a Anatomical variation  |2 nationallicence 
690 7 |a Suprascapular nerve  |2 nationallicence 
690 7 |a Suprascapular artery  |2 nationallicence 
690 7 |a Suprascapular vein  |2 nationallicence 
700 1 |a Polguj  |D Michał  |u Department of Angiology, Medical University of Łódź, Narutowicza 60, 90-136, Łódź, Poland  |4 aut 
700 1 |a Rożniecki  |D Jacek  |u Department of Neurology, Medical University of Łódź, Łódź, Poland  |4 aut 
700 1 |a Sibiński  |D Marcin  |u Clinic of Orthopedic and Pediatric Orthopedics, Medical University of Łódź, Łódź, Poland  |4 aut 
700 1 |a Grzegorzewski  |D Andrzej  |u Clinic of Orthopedic and Pediatric Orthopedics, Medical University of Łódź, Łódź, Poland  |4 aut 
700 1 |a Majos  |D Agata  |u Department of Radiology, Medical University of Łódź, Łódź, Poland  |4 aut 
700 1 |a Topol  |D Mirosław  |u Department of Normal and Clinical Anatomy, Medical University of Łódź, Łódź, Poland  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/5(2015-05-01), 1542-1548  |x 0942-2056  |q 23:5<1542  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2937-1  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-2937-1  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Polguj  |D Michał  |u Department of Angiology, Medical University of Łódź, Narutowicza 60, 90-136, Łódź, Poland  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Rożniecki  |D Jacek  |u Department of Neurology, Medical University of Łódź, Łódź, Poland  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sibiński  |D Marcin  |u Clinic of Orthopedic and Pediatric Orthopedics, Medical University of Łódź, Łódź, Poland  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Grzegorzewski  |D Andrzej  |u Clinic of Orthopedic and Pediatric Orthopedics, Medical University of Łódź, Łódź, Poland  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Majos  |D Agata  |u Department of Radiology, Medical University of Łódź, Łódź, Poland  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Topol  |D Mirosław  |u Department of Normal and Clinical Anatomy, Medical University of Łódź, Łódź, Poland  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/5(2015-05-01), 1542-1548  |x 0942-2056  |q 23:5<1542  |1 2015  |2 23  |o 167