Background And Objectives: The aim of the study was to describe the radiological anatomy of the -a structure localized at the floor of the supraspinatus fossa, just below the true suprascapular notch. In sonographic examination, it may imitate the suprascapular notch leading to misidentification of these structures.
Methods: Ultrasound assessment of the suprascapular notch region was performed in 100 patients who underwent chest CT due to other indications. The presence of the suprascapular notch and the was evaluated together with their maximal width and depth using both techniques. The correlation between the dimensions of these two notches was assessed.
Results: The was recognized in 82 patients. In four of them the suprascapular notch could not be visualized in ultrasound due to obscuring clavicle. In all cases the contained a small artery. In comparison to the suprascapular notch, the was significantly narrower and shallower, except for 10 cases with vestigial suprascapular notch where the was the only hollow in this region. The dimensions of both structures did not correlate with each other. Finally, the did not present any significant asymmetry (p=0.1185) or sexual dimorphism (43 women vs 38 men, p=0.2025).
Conclusions: The is a hollow for nutrient vessels that can be mistaken for the regular suprascapular notch in cases of difficult sonographic navigation.
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http://dx.doi.org/10.1136/rapm-2018-000009 | DOI Listing |
Cureus
November 2024
Department of Orthopaedic Surgery, Iwaki City Medical Center, Iwaki, JPN.
Suprascapular nerve entrapment caused by intraosseous cystic lesions is a rare condition. We present the case of a 49-year-old man with right shoulder numbness, slight infraspinatus (ISP) weakness, and shoulder pain. He underwent open surgery and arthroscopic evaluation.
View Article and Find Full Text PDFJ Pain Res
December 2024
Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, People's Republic of China.
Purpose: The suprascapular nerve is situated between the prevertebral fascia and the superficial layer of deep cervical fascia and on the surface of the middle and posterior scalene muscles before it reaches the suprascapular notch. Consequently, we hypothesized that injecting local anesthetics (LAs) there would introduce a new block approach for blocking the suprascapular nerve, ie, extra-prevertebral fascial block. We assessed the postoperative analgesic effect, as well as the incidence of diaphragmatic paralysis 30 minutes after the block.
View Article and Find Full Text PDFAm J Phys Med Rehabil
January 2024
From the Departments of Sports Medicine (BEA) and Physical and Rehabilitation Medicine (BY, HO, LÖ), Hacettepe University Medical School, Ankara, Turkey.
Anat Cell Biol
November 2024
Universidad de La Frontera, Facultad de Medicina, Programa de Doctorado en Ciencias Morfológicas, Temuco, Chile.
The suprascapular nerve corresponds to one of the supraclavicular branches of the brachial plexus, and its route exposes it to being injured during some surgical procedures. Morphometric analysis of the scapula has been proposed as a tool for preventing injuries to the suprascapular nerve. The present investigation aimed to determine the safe distances for approaching the suprascapular nerve at the level of the scapular notch (SPN) and spinoglenoid notch, in addition to establishing its relationship with the type of SPN and with two scapular dimensions: major longitudinal axis (MLA) and major transverse axis (MTA).
View Article and Find Full Text PDFClin Biomech (Bristol)
January 2025
Chaire de recherche en Anatomie fonctionelle, Department of Anatomy, Université du Québec à Trois-Rivières, 3351 Boulevard des Forges C.P. 500, Trois-Rivières, Québec G8Z 4M3, Canada.
Background: Suprascapular neurodynamic tests are used to clinically test for suprascapular nerve mechanosensitivity. Various tests described in the literature are proposed to induce suprascapular nerve mechanical strain but their potential effects on nerve strain have not been established.
Methods: This observational cadaveric study used biomechanical measurements to evaluate and compare the strain undergone by the suprascapular nerve during five different neurodynamic positions: (1) Cervical contralateral rotation and scapular retraction; (2) Cervical contralateral sidebending + shoulder girdle depression; (3) Shoulder girdle depression, retraction, posterior tilt and downward rotation; (4) Position 3 + contralateral cervical sidebending; and (5) Scapular protraction + Cervical contralateral sidebending (protraction sidebending test).
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