The safe zone for avoiding suprascapular nerve injury in bone block procedures for shoulder instability. A cadaveric study

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)
ID: 605459959
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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 
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/s00167-014-2900-1  |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