Ultrasonographic evaluation and morphometric measurements of the suprascapular notch

Yücesoy, Ciineyt; Akkaya, Taylan; Özel, Özgür; Cömert, Ayhan; Tüccar, Eray; Bedirli, Nurdan; Ünlü, Ece; Hekįmoğlu, Baki; Gümüş, Haluk

doi:10.1007/s00276-008-0458-7

Cited by 42 publications

(37 citation statements)

References 16 publications

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“…To visualize the transverse scapular ligament, the probe would have to be almost in a straight coronal position. Yücesoy et al 5 had nicely demonstrated the image of the suprascapular notch and the transverse ligament. However, a slight deviation of the probe orientation from that position would result in scanning the floor of the suprascapular fossa.…”

Section: Discussionmentioning

confidence: 98%

“…[3][4][5] With the ultrasound probe placed in the suprascapular fossa in the long axis of the supraspinatus muscle, they described the visualization of the suprascapular notch, the transverse Based on the understanding of the anatomy of the scapula and our findings from the fluoroscopy image and cadaveric dissection, we would like to revisit the orientation of the ultrasound probe described by those authors as well as the interpretation of the findings of ultrasound images. Gofled 3 and Harmon 4 described the orientation of the probe as being ''parallel to the scapular spine''.…”

Section: Discussionmentioning

confidence: 99%

“…2 Recently, the ultrasound-guided injection technique and the sonoanatomy of the suprascapular region relevant to the SSN block have been described. [3][4][5] The images shown in the ultrasound-guided SSN injection reports 3,4 were described as identifying the SSN within the suprascapular notch and covered by the superior transverse scapular ligament. However, the identity of the structures captured in the published images has not been validated.…”

Section: Résumémentioning

confidence: 99%

“…[3][4][5] The patient provided consent for publication of personal information contained in this report.…”

Section: Résumémentioning

confidence: 99%

See 3 more Smart Citations

Bloc du nerf suprascapulaire par échoguidage: corrélation avec des résultats fluoroscopiques et cadavériques

Peng

Wiley

Liang

et al. 2010

Can J Anesth/J Can Anesth

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Purpose Previous work on the ultrasound-guided injection technique and the sonoanatomy of the suprascapular region relevant to the suprascapular nerve (SSN) block suggested that the ultrasound scan showed the presence of the suprascapular notch and transverse ligament. The intended target of the ultrasound-guided injection was the notch. The objective of this case report and the subsequent cadaver dissection findings is to reassess the interpretation of the ultrasound images when locating structures for SSN block. Clinical features A 45-yr-old man with chronic shoulder pain received an ultrasound-guided SSN block using the suprascapular notch as the intended target. The position of the needle was verified by fluoroscopy, which showed the tip of the needle well outside the suprascapular notch. Similar ultrasound-guided SSN blocks were performed in two cadavers. Dissections were performed which showed that the needle tips were not at the suprascapular notch but, more accurately, were close to the SSN but at the floor of the suprascapular fossa between the suprascapular and spinoglenoid notch. Conclusion Our fluoroscopic and cadaver dissection findings both suggest that the ultrasound image of the SSN block shown by the well-described technique is actually targeting the nerve on the floor of the suprascapular spine between the suprascapular and spinoglenoid notches rather than the suprascapular notch itself. The structure previously identified as the transverse ligament is actually the fascia layer of the supraspinatus muscle.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Résumémentioning

confidence: 99%

“…[3][4][5] The patient provided consent for publication of personal information contained in this report.…”

Section: Résumémentioning

confidence: 99%

See 2 more Smart Citations

Bloc du nerf suprascapulaire par échoguidage: corrélation avec des résultats fluoroscopiques et cadavériques

Peng

Wiley

Liang

et al. 2010

Can J Anesth/J Can Anesth

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“…The size and shape of the SSN may be a factor in suprascapular nerve entrapment because narrow SSNs have been found in patients with this syndrome. 14,15,16,17 .…”

Section: Introductionmentioning

confidence: 99%

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2017

MIJOANT

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Introduction: The scapula (shoulder blade) is a triangular flat bone that lies on the posterolateral aspect of the thorax, overlying the 2nd to 7th ribs. The present study aimed to study the anthropometric measurements of the human scapula in Maharashtra, India. 50 intact and dry scapulae sourced from the bone banks of Medical colleges in Maharashtra were studied. The age and gender of the bones was not known. The measurements of bony dimensions of the scapula included the glenoid, coracoids process, acromion process, spine, and the body. Angles of the scapula and the various shapes of the suprascapular notch were also categorized. This anthropometric study of Scapula is helpful for referral of normal variation in many surgical procedures and in the radiological assessment related to shoulder especially the suprascapular notch.

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Clinical evaluation of the shape of the suprascapular notch—an ultrasonographic and computed tomography comparative study: Application to shoulder pain syndromes

et al. 2015

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The most common site of suprascapular nerve compression and injury is the suprascapular notch. The aim of this study was to assess the sensitivity and specificity of sonography in determining the type of suprascapular notch (SSN). Thirty randomized patients (60 upper extremities) underwent USG examination of the shoulder area. The results were further compared with three-dimensional reconstructions of the scapulae obtained through CT examination to place the SSNs within a fivefold classification. For identification of type I, the sensitivity was 73.3% and the specificity 97.8%. For identification of type III, the values was 96.9% and 85.7%, respectively. Type II was not found in USG examination. Discrimination between type IV and V was not possible. The mean distance between the line connecting the edges of the SSN and the skin was 38 mm in right-handed patients and 34 mm in ambidextrous subjects. Ultrasonographic examination of the SSN is characterized by high specificity for type I, and high sensitivity for type III SSN. Discrimination between type IV and V of the SSN is not recommended based on sonographic evaluation.

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Ultrasonographic evaluation and morphometric measurements of the suprascapular notch

Abstract: Suprascapular notch measurements and the visualization of the anatomical neighborhood, which may be beneficial for the suprascapular nerve blockade procedure, can be successfully performed by the use of high-frequency ultrasound imaging.

Cited by 42 publications

References 16 publications

Bloc du nerf suprascapulaire par échoguidage: corrélation avec des résultats fluoroscopiques et cadavériques

Bloc du nerf suprascapulaire par échoguidage: corrélation avec des résultats fluoroscopiques et cadavériques

Untitled

Clinical evaluation of the shape of the suprascapular notch—an ultrasonographic and computed tomography comparative study: Application to shoulder pain syndromes

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