IJCRR - 5(13), July, 2013
Pages: 80-87
COMPLETE OSSIFICATION OF SUPERIOR TRANSVERSE SCAPULAR LIGAMENT: INCIDENCE AND ITS CLINICAL IMPLICATIONS
Author: Parineeta Suman, Raj Kishore Mahato, Sabita Singh, ArunKumar.S.Bilodi
Category: Healthcare
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Abstract:
Introduction and Aims- The ossified superior transverse scapular ligament is one of the risk factor for the suprascapular nerve entrapment neuropathy and poses a challenge during suprascapular nerve decompression.This study has been done to understand the various mechanisms of neural injury leading to suprascapular entrapment neuropathy and to compare its incidence in different populations. Materials and Methods-131 dryIndianhuman scapulae (64-right and 67-left) were examined and analysed. Results-6.1%(8 in 131) scapulae presented with completely ossified STSLof which 3 on right side and 5 on left side. Conclusion- The anatomical knowledge of ossified STSLmay be helpful for clinician dealing with suprascapularnerve entrapment neuropathy and the knowledge of underlying mechanism of injury to nerve may be helpful in planning the appropriate treatment strategy.
Keywords: Scapula, Superior transverse scapular ligament, Suprascapular notch, Suprascapular neuropathy, ossification.
Citation:
Parineeta Suman, Raj Kishore Mahato, Sabita Singh, ArunKumar.S.Bilodi. COMPLETE OSSIFICATION OF SUPERIOR TRANSVERSE SCAPULAR LIGAMENT: INCIDENCE AND ITS CLINICAL IMPLICATIONS International Journal of Current Research and Review. 5(13), July, 80-87
References:
1. Standring S, ed. Gray’s Anatomy. 40th Ed., New York, Churchill Livingstone. 2008; 794-821.
2. Stedman’s Medical Dictionary.28th ed. Julie K. Stegmans: Lippincott Williams and Wilkins; 2006. Superior transverse scapular ligament; pg-1090.
3. B. Moriggl, P. Jax, S. Milz, A. Buttner and M. Benjamin.Fibrocartilage at the entheses of the suprascapular (superior transverse scapular) ligament of man-a ligament spanning two regions of a single bone. J. Anat. 2001;199, pp. 539-545,
4. Gelmers and Buys. Suprascapular entrapment neuropathy. ActaNeurochirurgica1977;38,121-124.
5. Yang HJ,GilYC,JinJD,Ahn SV, Lee HY.Topographical anatomy of the suprascapular nerve and vessels at the suprascapular notch.Clin Anat.2012 Apr;25(3):359-65.
6. Ticker, J. B.; Djurasovic, M.; Strauch, R. J.; April, E.W.; Pollock, R. G.; Flatow, E. L. andBigliani, L.U. The incidence of ganglion cysts and variations in anatomy along the course of the suprascapular nerve. J. Shoulder Elbow Surg., 1998;7(5):472-8.
7. Harris, R. I.; Vu, D. H.; Sonnabend, D. H.; Goldberg, J. A. and Walsh, W.R. Anatomic variance of the coracoclavicular ligaments. J. Shoulder Elbow Surg., 2001;10:585-8.
8. Dunkelgrun M, Iesaka K, Park SS,Kummer FJ, and Zuckerman JD. Interobserver reliability and intraobserver reproducibility in suprascapular notch typing. Bull Hosp Joint Dis.2003;61:118-22.
9. Rengachary, S. S.; Burr, D.; Lucas, S.; Hassanein, K.M.; Mohn, M.P. andMatzke, H. Suprascapular entrapment neuropathy: a clinical, anatomical, and comparative study. Part 2. Anatomical study. Neurosurg.,1979;5:447-51.
10. Osuagwu, F. C; Inocemi, I. O. andShokunbi, M. T. Complete ossification of the superior transverse scapular ligament in a Nigerian male adult. Int. J. Morphol., 2005;23(2):121- 2.
11. Holzgraefe M, Kukowski B, Eggert S. Prevalence of latent and manifest suprascapular neuropathy in high level volleyball players. Br J Sports Med. 1994;28:177-179.
12. Michal Polguj, Jedrzejewski K, AgataMajos, Topol M. Variations in bifid superior transverse scapular ligament as a possible factor of suprascapular entrapment: an anatomical study. Int. Ortho. (SICOT). 2012;36:2095-2100.
13. Silva, J. G.; Abidu-Figueiredo, M.; Fernandes, R. M. P.; Aureliano-Rafael, F.; Sgrott, E. A.; Silva, S. F. and Babinski, M. A. High Incidence of Complete Ossification of the Superior Transverse Scapular Ligament in Brazilians and its Clinical Implications Int. J. Morphol., 2007;25(4):855-859.
14. Gray, D. J. Variations in the human scapulae. Am. J. Phys. Anthropol., 1942;29:57-72.
15. Hrdlicka A. The scapula: visual observations. Am J PhysAnthropol. 1942;29:73-94.
16. Khan, M. A. Complete ossification of the superior transverse scapular ligament in an Indian male adult. Int. J. Morphol.,2006;24(2):195-6.
17. Srijit Das, Rajesh Suri,VijayKapur. Ossification of Superior Transverse Scapular Ligament and its Clinical Implications. Sultan Qaboos University Medical Journal. August 2007 ;Vol 7, No. 2, P. 157-160 .
18. Cohen, S. B.; Dnes,D.M.and Moorman, C.T. Familial calcification of the superior transverse scapula ligament causing neuropathy. Clin. Orthop. Rel. Res., 1997;334:131-5.
19. Martin SD, Warren RF, Martin TL, Kennedy K, O’Brien SJ, Wickiewicz TL. Suprascapular neuropathy: results of nonoperative treatment. J Bone Joint SurgAm. 1997;79:1159-1165.
20. Th. Fabre, C. Piton, G. Leclouerec, F. Gervais-Delion, A. Durandeau Entrapment of the suprascapular nerve J Bone Joint Surg Br.,May 1999;Vol. 81-B, No. 3, 414-419.
21. Marc R Safran Nerve Injury About the Shoulder in Athletes, Part 1 Suprascapular Nerve and Axillary Nerve .The American J of Sports Medicine, 2004;Vol. 32, No. 3 , 803-819.
22. Demirhan M, Imhoff AB, Debski RE, Patel PR, Fu FH, Woo SL The spinoglenoid ligament and its relationship to the suprascapular nerve. J Shoulder Elbow Surg. 1998 May-Jun;7(3):238-43.
23. A. Bayramoglu, D. Demiryurek, E. Tuccar, M. Erbil, M.M. Aldur, O. Tetik, M.N.Doral. Variations in anatomy at the suprascapular notch possibly causing suprascapular nerve entrapment: an anatomical study. Knee Surg Sports Traumatol Arthrosc,2003;11:393- 398.
24. Alon M, Weiss S, Fishel B, Dekel S. Bilateral Suprascapular nerve entrapment syndrome due to an anomalous transverse scapular ligament. ClinOrthop. 1988;234:31-33. 25. Garcia G, McQueen D. Bilateral suprascapular nerve entrapment syndrome: case report and review of the literature. J Bone Joint Surg Am. 1981;63:491-492.
26. Avery BW, Pilon FM, Barclay JK. Anterior coracoscapular ligament and suprascapular nerve entrapment. Clin Anat. 2002;15:383- 386.
27. PiyawinijwongSithaPiyawinijwong, PhongpanTantipoon, The Anterior Coracoscapular Ligament in Thais: Possible Etiological Factor of Suprascapular Nerve Entrapment .Siriraj Med J 2012; 64 (Suppl 1): S12-S14.
28. Cummins CA, Anderson K, Bown M, Nuber G, Roth SI. Anatomy and histological characteristics of the spinoglenoid ligament. J Bone Joint Surg Am. 1998;80:1622-1625.
29. Ferretti A, Cerullo G, Russo G. Suprascapular neuropathy in volleyball players. J Bone Joint Surg Am. 1987;69:260-263.
30. Bryan WJ, Wild JJ Jr. Isolated infraspinatus atrophy. A common cause of posterior shoulder pain and weakness in throwing athletes? Am J Sports Med 1989;17:130-1.
31. Ringel SP, Treihaft M, Carry M, Fisher R, Jacobs P. Suprascapular neuropathy in pitchers. Am J Sports Med. 1990;18:80-86.
32. Aiello L, Serra G, Traina GC, Tugnoli HW. Entrapment of the suprascapular nerve at the spinoglenoid notch. Ann Neurol. 1982;12:314- 316.
33. Sandow MJ, Ilic J. Suprascapular nerve rotator cuff compression syndrome in volleyball players. J Shoulder Elbow Surg. 1998;7:516-521.
34. Fehrman DA, Orwin JF, Jennings RM. Suprascapular nerve entrapment by ganglion cysts: a report of six cases with arthroscopic findings and review of the literature. Arthroscopy. 1995;11:727-734.
35. Carroll KW, Helms CA, Otte MT, Moellken SMC, Fritz R. Enlarged spinoglenoid notch veins causing suprascapular nerve compression. Skeletal Radiol.2003;32:72- 77.
36. Sarah yanny, Andoni P. Toms. MR patterns of denervation around the shoulder. Musculoskeletal Imaging Review. AJR:195, August 2010.
37. Peter J. Millett, R. Shane Barton, Iva´n H. Pacheco and Reuben Gobezie. Suprascapular Nerve Entrapment: Technique for Arthroscopic Release Techniques in Shoulder and Elbow Surgery2006;7(2):1-6.
38. Ghodadra Neil Ghodadra, M.D., Shane J. Nho, M.D., M.S., Nikhil N. Verma, M.D., StfanieReiff, B.A.,Dana P. Piasecki, M.D., Matthew T. Provencher, M.D., and Anthony A. Romeo, M.D. Arthroscopic Decompression of the Suprascapular Nerve at the Spinoglenoid Notch and Suprascapular Notch Through the Subacromial Space. Arthroscopy: The Journal of Arthroscopic and Related Surgery,April 2009;Vol.25 No 4, 439-445.
39. Natsis K, Totlis T, Tsikaras P, Appell HJ, Skandalakis P, Koebke J. Proposal for classification of the suprascapular notch: a study on 423 dried scapulas. Clin Anat. 2007;20:135–9.
40. Edelson JG. Bony bridges and other variations of the suprascapular notch. J Bone Joint Surg Br. 1995;77:505–6.
41. Sinkeet SR, Awori KO, Odula PO, Ogeng’o JA, Mwachaka PM. The suprascapular notch: its morphology and distance from the glenoid cavity in a Kenyan population. Folia Morphol (Warsz). 2010;69:241–5.
42. S D Jadhav, R J Patil, P P Roy, M P Ambali, M A Doshi, Rajeev R Desai Supra-scapular foramen in Indian dry scapulae. National Journal of Clinical Anatomy. 2012 Vol.- 1(3), 133-135.
43. KalpanaThounaojam, RenucaKaram, N. Saratchandra Singh. Ossification of transverse scapular ligament. Journal of Evolution of Medical and Dental Sciences. 2013;Vol-2(12):1790-91.


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