Skip to main content
SpringerLink
Log in

Is there any effect of suprascapular notch type in iatrogenic suprascapular nerve lesions?

An anatomical study

  • Shoulder
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

This anatomical study, which is aimed at assessing the effect of suprascapular notch type in iatrogenic suprascapular nerve lesions in surgical interventions, was conducted in two stages. A hundred dry scapulas and 20 scapulas of 11 cadavera were classified according to Rengachary. The point of measurement was determined medially as the deepest point of suprascapular notch and laterally as supraglenoid tubercle in dry scapulas and anchor of biceps in cadavera. It was found that in the measurements made in dry scapulas, notch Type-IV scapulas, despite not being statistically significant, had the lowest average (2.35 cm), with minimum and maximum values of 2.1 cm and 2.78 cm respectively, when compared to other scapula types. It was found in the cadavera study that the measurements of one Type-IV scapula and one Type-V scapula were lower than the other types. Determination of the notch type in the rotator-cuff tears—especially in massive and retracted tears where supraspinatus has to be released from the fossa—may be helpful in avoiding iatrogenic nerve lesion.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Bassett RW, Cofield RH (1983) Acute tears of the rotator cuff. The timing of surgical repair. Clin Orthop 175:19–24

    Google Scholar 

  2. Bigliani LU, Dalsey RM, McCann PD, April EW (1990) An anatomical study of the suprascapular nerve. Arthroscopy 6:301–305

    CAS  PubMed  Google Scholar 

  3. Boardman D, Cofield RH (1999) Neurologic complications of shoulder surgery. Clin Orthop 368:44–53

    PubMed  Google Scholar 

  4. Cofield RH (1985) Rotator cuff disease of the shoulder. J Bone Joint Surg Am 67:974–979

    CAS  PubMed  Google Scholar 

  5. Cordasco FA, Bigliani LU (1997) Large and massive tears. Technique of open repair. Orthop Clin North Am 28:179–193

    CAS  PubMed  Google Scholar 

  6. Debeyre J, Patte D, Elmelik E (1965) Repair of ruptures of the rotator cuff of the shoulder—with a note on advancement of the supraspinatus muscle. J Bone Joint Surg Br 47:36–42

    CAS  PubMed  Google Scholar 

  7. 7 Ellmann H, Honker G, Bayer M (1986) Repair of the rotator cuff. End-result study of factors influencing reconstruction. J Bone Joint Surg Am 68:1136–1144

    PubMed  Google Scholar 

  8. Ha’eri GB, Wiley AM (1981) Advancement of the supraspinatus muscle in the repair of ruptures of the rotator cuff. J Bone Joint Surg Am 63:232–238

    CAS  PubMed  Google Scholar 

  9. Karas EH, Iannotti J P (1997) An instructional course lecture, The American Academy of Orthopaedic Surgeons. Failed repair of the rotator cuff. Evaluation and treatment of complications. J Bone Joint Surg Am 79:784–793

    Google Scholar 

  10. Mallon WJ, Bronec PR, Spinner RJ, Lewin LS (1996) Suprascapular neuropathy after distal clavicle excision. Clin Orthop 329:207–211

    Google Scholar 

  11. Mansat P, Cofield RH, Kersten TE, Rowland CM (1997) Complication of rotator cuff repair. Orthop Clin North Am 28:205–213

    Google Scholar 

  12. McIIveen SJ, Duralde XA, D’Alessandro DF, Bigliani LU (1994) Isolated nerve injuries about the shoulder. Clin Orthop 306:54–63

    PubMed  Google Scholar 

  13. Neer CS (1983) Impingement lesions. Clin Orthop 173:70–73

    PubMed  Google Scholar 

  14. Neviaser TJ (1987) Arthroscopy of the shoulder. Orthop Clin North Am 18:361–372

    CAS  PubMed  Google Scholar 

  15. Rengachary SS, Burr D, Lucas S, Hassanein KM, Mohn MP, Matzke H (1979) Suprascapular entrapment neuropathy: a clinical, anatomical and comparative study. Part 2: Anatomical study. Neurosurgery 5:447–451

    CAS  PubMed  Google Scholar 

  16. Rodeo SA, Forster RA, Weiland AJ (1993) Current concepts review. Neurological complications due to arthroscopy. J Bone Joint Surg Am 75:917–926

    CAS  PubMed  Google Scholar 

  17. Stanish WD, Peterson DC (1995) Shoulder arthroscopy and nerve injury: pitfalls and prevention. Arthroscopy 11:458–466

    CAS  PubMed  Google Scholar 

  18. Warner JJP, Krushell RJ, Masquelet A, Gerber C (1992) Anatomy and relationships of the suprascapular nerve: anatomical constraints to mobilization of the supraspinatus and infraspinatus muscles in the management of massive rotator-cuff tears. J Bone Joint Surg Am 74:36–45

    CAS  PubMed  Google Scholar 

  19. Williams PC, Berry M, Bannister LH, Standring SM (1995) Nervous system. In: Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE, Ferguson MW (eds) Gray’s anatomy, 38th edn. Churchill-Livingstone, London, pp 1268–1269

  20. Zanotti RM, Carpenter JE, Blasier RB, Greenfield ML, Adler RS, Bromberg MB (1997) The low incidence of suprascapular nerve injury after primary repair of massive rotator cuff repairs. J Shoulder Elbow Surg 6:258–264

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopedics and Traumatology, Faculty of Medicine, Akdeniz University, 07070 , Antalya, Turkey

    Mustafa Ürgüden, Hakan Özdemir & H. Bilbaşar

  2. Department of Anatomy, Faculty of Medicine, Akdeniz University, 07070 , Antalya, Turkey

    B. Dönmez & Nurettin Oğuz

Authors
  1. Mustafa Ürgüden
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hakan Özdemir
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. B. Dönmez
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. H. Bilbaşar
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Nurettin Oğuz
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mustafa Ürgüden.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ürgüden, M., Özdemir, H., Dönmez, B. et al. Is there any effect of suprascapular notch type in iatrogenic suprascapular nerve lesions?. Knee Surg Sports Traumatol Arthrosc 12, 241–245 (2004). https://doi.org/10.1007/s00167-003-0442-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00167-003-0442-z

Keywords

Search

Navigation