The safe zone for avoiding suprascapular nerve injury in bone block procedures for shoulder instability. A cadaveric study
Gespeichert in:
Verfasser / Beitragende:
[Umile Longo, Francisco Forriol, Mattia Loppini, Angela Lanotte, Giuseppe Salvatore, Nicola Maffulli, Vincenzo Denaro]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/5(2015-05-01), 1506-1510
Format:
Artikel (online)
Online Zugang:
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| 024 | 7 | 0 | |a 10.1007/s00167-014-2900-1 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-014-2900-1 | ||
| 245 | 0 | 4 | |a The safe zone for avoiding suprascapular nerve injury in bone block procedures for shoulder instability. A cadaveric study |h [Elektronische Daten] |c [Umile Longo, Francisco Forriol, Mattia Loppini, Angela Lanotte, Giuseppe Salvatore, Nicola Maffulli, Vincenzo Denaro] |
| 520 | 3 | |a Purpose: The purpose of the study is to identify the safe zone in which the surgeon can place the screws for fixation of the coracoid graft during the Latarjet procedure to avoid injuries of the suprascapular nerve with the shoulder in internal and external rotation. Methods: The dissection on twelve fresh-frozen shoulders was performed according to a standard posterior approach to the gleno-humeral joint. The suprascapular nerve and its branches for the infraspinatus muscle were identified at the spinoglenoid notch region. Then, the distance between the glenoid and the suprascapular nerve at the spinoglenoid notch region was measured by using a ruler with the shoulder at 90° internal rotation and at 90° of external rotation. Results: The median distance between the glenoid and the suprascapular nerve was 12mm (range 6-15mm) with the shoulder at 90° of internal rotation and 19mm (range 11-23mm) with the shoulder at 90° of external rotation. The distance between the glenoid and the suprascapular nerve was statistically significantly greater with the shoulder at 90° of external rotation than 90° of internal rotation (P=0.002). Conclusions: The suprascapular nerve is furthest away from the glenoid with the shoulder at 90° of external rotation. Therefore, the placement of screws in external rotation of the humerus during glenoid bone block procedures likely reduces the risk of iatrogenic injuries of the suprascapular nerve. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2014 | ||
| 690 | 7 | |a Suprascapular nerve |2 nationallicence | |
| 690 | 7 | |a Injury |2 nationallicence | |
| 690 | 7 | |a Bone block |2 nationallicence | |
| 690 | 7 | |a Latarjet |2 nationallicence | |
| 690 | 7 | |a Shoulder |2 nationallicence | |
| 690 | 7 | |a Dislocation |2 nationallicence | |
| 700 | 1 | |a Longo |D Umile |u Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, 00128, Rome, Italy |4 aut | |
| 700 | 1 | |a Forriol |D Francisco |u Orthopaedic Department, School of Medicine, University CEU Campus de Montepríncipe, 28886, Boadilla del Monte, Madrid, Spain |4 aut | |
| 700 | 1 | |a Loppini |D Mattia |u Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, 00128, Rome, Italy |4 aut | |
| 700 | 1 | |a Lanotte |D Angela |u Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, 00128, Rome, Italy |4 aut | |
| 700 | 1 | |a Salvatore |D Giuseppe |u Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, 00128, Rome, Italy |4 aut | |
| 700 | 1 | |a Maffulli |D Nicola |u Barts and The London School of Medicine and Dentistry, William Harvey Research Institute, Centre for Sports and Exercise Medicine, Mile End Hospital, Queen Mary University of London, 275 Bancroft Road, E1 4DG, London, UK |4 aut | |
| 700 | 1 | |a Denaro |D Vincenzo |u Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, 00128, Rome, Italy |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/5(2015-05-01), 1506-1510 |x 0942-2056 |q 23:5<1506 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-014-2900-1 |q text/html |z Onlinezugriff via DOI |
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| 908 | |D 1 |a research-article |2 jats | ||
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| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-014-2900-1 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Longo |D Umile |u Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, 00128, Rome, Italy |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Forriol |D Francisco |u Orthopaedic Department, School of Medicine, University CEU Campus de Montepríncipe, 28886, Boadilla del Monte, Madrid, Spain |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Loppini |D Mattia |u Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, 00128, Rome, Italy |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Lanotte |D Angela |u Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, 00128, Rome, Italy |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Salvatore |D Giuseppe |u Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, 00128, Rome, Italy |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Maffulli |D Nicola |u Barts and The London School of Medicine and Dentistry, William Harvey Research Institute, Centre for Sports and Exercise Medicine, Mile End Hospital, Queen Mary University of London, 275 Bancroft Road, E1 4DG, London, UK |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Denaro |D Vincenzo |u Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, 00128, Rome, Italy |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), 1506-1510 |x 0942-2056 |q 23:5<1506 |1 2015 |2 23 |o 167 | ||