Morphology and morphometric study of dry scapula, with emphasis on the glenoid fossa and acromion process in Chennai city, South India

Abstract

Background: The morphology and morphometry of the scapula and its glenoid fossa and acromion process play a significant role in the mechanics of shoulder joint. A variable morphology is found in glenoid fossa that has clinical implications. Aims and Objectives: The aim of the study was to evaluate the morphology and morphometry of dry scapula with emphasis on glenoid fossa and acromion process. Materials and Methods: A cross-sectional study was conducted at the department of anatomy, for a period of 6 months from January 2021 to June 2021. A total of 100 unpaired dry scapula were included in the study. The morphology and dimensions were measured. The dimensions were summarized as mean and standard deviation. Statistical analysis was done Chi-square test and student’s t-test based on the variable types. Results: Out of 100 scapulae studied, 48 were right sided and 52 were left sided. The mean of maximum length of the right scapula was 149.58±10.33 mm and the left side was 148.63±10.33 mm. Among the glenoid cavities, 54 were inverted comma shaped, 30 were pear shaped, and 16 were oval shaped. In one right-sided scapula Bony Spur Extends from Base of coracoid process to supra Scapular Notch. Conclusion: Size and shape of the glenoid cavity are directly related to the dislocation of shoulder joint and may affect the results of total shoulder arthroplasty and rotator cuff surgeries. The present study analyzed the morphological types and diameters of the glenoid cavity in adult scapulae to improve the efficacy and minimize the failure rates in shoulder arthroplasty particularly those involving the glenoid component of the shoulder joint.

The Glenoid Fossa’s Morphometric Investigation and Its Clinical Implications

“…Outcomes from this study revealed a high similarity with findings from Patel et al regarding the scapula dimensions (i.e., mean length) (135.76±12.85 mm vs. 119.63±8.81 mm (females)/136.03±11.49 mm (males)) [ 14 ]. Slight differences were reported between our study outcomes and the findings of Azhagiri et al (149.58 mm) about regions in South India [ 15 ]. Alternatively, higher scapular dimensions were revealed in a study conducted in Egypt (151.16±10.32 mm) [ 11 ].…”

Untitled

“…The anteroposterior diameter or glenoidal breadth was studied as B = (B1+B2), and their mean value with standard deviation was 21.99 ± 2.76 for the right side and 21.17 ± 2.55 left side, respectively, in the present study. Both height and breadth of our study were slightly less than the observations done by Azhagiri R. et al 2022 12 , Rajani Singh 2020 13 , Alkesan M. et al 2022 14 and Philip S. E. et al 2021 11 . The p value for both sides is almost insignificant, corroborating with Rajani Singh 2020 13 , Alkesan M. 2022 14 .…”