An anatomical study for the location of suprascapular and spinoglenoid notches using three-dimensional computed tomography images of scapula

Background: The optimal position for creating portals for arthroscopic suprascapular nerve decompression has not been sufficiently verified. Therefore, this study aimed to investigate the anatomical characteristics of the scapula for optimal portal creation using 3-dimensional computed tomography im...

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Main Authors: Kazumasa Takayama, MD, Hiromu Ito, MD, PhD
Format: Article
Language:English
Published: Elsevier 2022-07-01
Series:JSES International
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666638322000950
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author Kazumasa Takayama, MD
Hiromu Ito, MD, PhD
author_facet Kazumasa Takayama, MD
Hiromu Ito, MD, PhD
author_sort Kazumasa Takayama, MD
collection DOAJ
description Background: The optimal position for creating portals for arthroscopic suprascapular nerve decompression has not been sufficiently verified. Therefore, this study aimed to investigate the anatomical characteristics of the scapula for optimal portal creation using 3-dimensional computed tomography images. The posterolateral corner of the acromion was designated as the starting point for measurements because there is no secondary ossification center present. Methods: This study included 223 patients (females, 129; males, 94) who underwent computed tomography of the shoulder joint. Three-dimensional images of the scapula were created, and the distance from the posterolateral corner of the acromion to the suprascapular and spinoglenoid notches was measured. Additionally, the correlation coefficient with height and the differences between the female and male groups were investigated. Results: The distances from the posterolateral corner of the acromion to the suprascapular and spinoglenoid notches were 42.9 ± 4.6 and 31.5 ± 3.6 mm, respectively, and their correlation coefficients with height were 0.12 and 0.067, respectively. There was no significant difference in the distance from the posterolateral corner of the acromion to the suprascapular (42.5 ± 4.1 vs. 43.9 ± 5.1 mm, P = .098) and to the spinoglenoid (31.4 ± 3.3 mm vs. 32.0 ± 3.9 mm, P = .12) notches between the female and male groups. Conclusion: Regardless of height and sex, the distances from the posterolateral corner of the acromion to the suprascapular and spinoglenoid notches were approximately 43 and 32 mm, respectively. Therefore, creating portals at these locations may be effective for arthroscopic suprascapular nerve decompression.
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spelling doaj.art-5d91cc55d34244a9ba2f1747b08788992022-12-22T03:32:45ZengElsevierJSES International2666-63832022-07-0164669674An anatomical study for the location of suprascapular and spinoglenoid notches using three-dimensional computed tomography images of scapulaKazumasa Takayama, MD0Hiromu Ito, MD, PhD1Corresponding author: Kazumasa Takayama, MD, 1-1-1 Miwa, Kurashiki, Okayama 7108602, Japan.; Department of Orthopaedics, Kurashiki Central Hospital, Kurashiki, Okayama, JapanDepartment of Orthopaedics, Kurashiki Central Hospital, Kurashiki, Okayama, JapanBackground: The optimal position for creating portals for arthroscopic suprascapular nerve decompression has not been sufficiently verified. Therefore, this study aimed to investigate the anatomical characteristics of the scapula for optimal portal creation using 3-dimensional computed tomography images. The posterolateral corner of the acromion was designated as the starting point for measurements because there is no secondary ossification center present. Methods: This study included 223 patients (females, 129; males, 94) who underwent computed tomography of the shoulder joint. Three-dimensional images of the scapula were created, and the distance from the posterolateral corner of the acromion to the suprascapular and spinoglenoid notches was measured. Additionally, the correlation coefficient with height and the differences between the female and male groups were investigated. Results: The distances from the posterolateral corner of the acromion to the suprascapular and spinoglenoid notches were 42.9 ± 4.6 and 31.5 ± 3.6 mm, respectively, and their correlation coefficients with height were 0.12 and 0.067, respectively. There was no significant difference in the distance from the posterolateral corner of the acromion to the suprascapular (42.5 ± 4.1 vs. 43.9 ± 5.1 mm, P = .098) and to the spinoglenoid (31.4 ± 3.3 mm vs. 32.0 ± 3.9 mm, P = .12) notches between the female and male groups. Conclusion: Regardless of height and sex, the distances from the posterolateral corner of the acromion to the suprascapular and spinoglenoid notches were approximately 43 and 32 mm, respectively. Therefore, creating portals at these locations may be effective for arthroscopic suprascapular nerve decompression.http://www.sciencedirect.com/science/article/pii/S2666638322000950Anatomy StudyImaging
spellingShingle Kazumasa Takayama, MD
Hiromu Ito, MD, PhD
An anatomical study for the location of suprascapular and spinoglenoid notches using three-dimensional computed tomography images of scapula
JSES International
Anatomy Study
Imaging
title An anatomical study for the location of suprascapular and spinoglenoid notches using three-dimensional computed tomography images of scapula
title_full An anatomical study for the location of suprascapular and spinoglenoid notches using three-dimensional computed tomography images of scapula
title_fullStr An anatomical study for the location of suprascapular and spinoglenoid notches using three-dimensional computed tomography images of scapula
title_full_unstemmed An anatomical study for the location of suprascapular and spinoglenoid notches using three-dimensional computed tomography images of scapula
title_short An anatomical study for the location of suprascapular and spinoglenoid notches using three-dimensional computed tomography images of scapula
title_sort anatomical study for the location of suprascapular and spinoglenoid notches using three dimensional computed tomography images of scapula
topic Anatomy Study
Imaging
url http://www.sciencedirect.com/science/article/pii/S2666638322000950
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