Bilateral suprascapular notches are asymmetrically shaped in a third of the Asian population

Purpose The side-to-side differences within an individual’s suprascapular notch (SSN) and the clinical characteristics of an ossified superior transverse scapular ligament are unclear. Therefore, the morphological asymmetry of the SSN was investigated, and the factors associated with the ossificatio...

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Veröffentlicht in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2021-12, Vol.29 (12), p.3989-3996
Hauptverfasser: Inoue, Jumpei, Tawada, Kaneaki, Sugimoto, Katsumasa, Goto, Hideyuki, Tsuchiya, Atsushi, Takenaga, Tetsuya, Takeuchi, Satoshi, Takaba, Keishi, Murakami, Hideki, Yoshida, Masahito
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container_issue 12
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container_title Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
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creator Inoue, Jumpei
Tawada, Kaneaki
Sugimoto, Katsumasa
Goto, Hideyuki
Tsuchiya, Atsushi
Takenaga, Tetsuya
Takeuchi, Satoshi
Takaba, Keishi
Murakami, Hideki
Yoshida, Masahito
description Purpose The side-to-side differences within an individual’s suprascapular notch (SSN) and the clinical characteristics of an ossified superior transverse scapular ligament are unclear. Therefore, the morphological asymmetry of the SSN was investigated, and the factors associated with the ossification of the superior transverse scapular ligament were analyzed. Methods Two hundred and seventy-six computed tomography images were retrospectively analyzed, which included those of both scapulae of Asian patients (mean age, 62.1 ± 19.1 years; males, 197) with high-energy injuries or respiratory diseases. Variations in the SSN were classified into six types based on Rengachary’s classification using reconstructed three-dimensional computed tomography. The group with a type VI SSN (completely ossified superior transverse scapular ligament) in at least one scapula was compared with the other group for age, sex, and chronic comorbidities. Results Among 276 patients, 95 (34.4%) had asymmetric SSNs and 15 (5.4%) had type VI SSNs. There were no significant differences in age, sex, or comorbidities between both the groups. However, on comparing age groups, the prevalence of type VI SSN was higher in patients aged > 70 years than in those aged 
doi_str_mv 10.1007/s00167-021-06679-5
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Therefore, the morphological asymmetry of the SSN was investigated, and the factors associated with the ossification of the superior transverse scapular ligament were analyzed. Methods Two hundred and seventy-six computed tomography images were retrospectively analyzed, which included those of both scapulae of Asian patients (mean age, 62.1 ± 19.1 years; males, 197) with high-energy injuries or respiratory diseases. Variations in the SSN were classified into six types based on Rengachary’s classification using reconstructed three-dimensional computed tomography. The group with a type VI SSN (completely ossified superior transverse scapular ligament) in at least one scapula was compared with the other group for age, sex, and chronic comorbidities. Results Among 276 patients, 95 (34.4%) had asymmetric SSNs and 15 (5.4%) had type VI SSNs. There were no significant differences in age, sex, or comorbidities between both the groups. However, on comparing age groups, the prevalence of type VI SSN was higher in patients aged &gt; 70 years than in those aged &lt; 70 years. Fifteen patients had type VI SSNs, which were unilateral in 10 patients. Conclusion Asymmetric SSNs were observed in a third of the Asian patients. There were variations in SSNs between individuals and also within an individual. In the cases with suprascapular nerve paralysis, the difference in SSN morphology compared to a healthy side should be considered. 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Therefore, the morphological asymmetry of the SSN was investigated, and the factors associated with the ossification of the superior transverse scapular ligament were analyzed. Methods Two hundred and seventy-six computed tomography images were retrospectively analyzed, which included those of both scapulae of Asian patients (mean age, 62.1 ± 19.1 years; males, 197) with high-energy injuries or respiratory diseases. Variations in the SSN were classified into six types based on Rengachary’s classification using reconstructed three-dimensional computed tomography. The group with a type VI SSN (completely ossified superior transverse scapular ligament) in at least one scapula was compared with the other group for age, sex, and chronic comorbidities. Results Among 276 patients, 95 (34.4%) had asymmetric SSNs and 15 (5.4%) had type VI SSNs. There were no significant differences in age, sex, or comorbidities between both the groups. However, on comparing age groups, the prevalence of type VI SSN was higher in patients aged &gt; 70 years than in those aged &lt; 70 years. Fifteen patients had type VI SSNs, which were unilateral in 10 patients. Conclusion Asymmetric SSNs were observed in a third of the Asian patients. There were variations in SSNs between individuals and also within an individual. In the cases with suprascapular nerve paralysis, the difference in SSN morphology compared to a healthy side should be considered. 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Therefore, the morphological asymmetry of the SSN was investigated, and the factors associated with the ossification of the superior transverse scapular ligament were analyzed. Methods Two hundred and seventy-six computed tomography images were retrospectively analyzed, which included those of both scapulae of Asian patients (mean age, 62.1 ± 19.1 years; males, 197) with high-energy injuries or respiratory diseases. Variations in the SSN were classified into six types based on Rengachary’s classification using reconstructed three-dimensional computed tomography. The group with a type VI SSN (completely ossified superior transverse scapular ligament) in at least one scapula was compared with the other group for age, sex, and chronic comorbidities. Results Among 276 patients, 95 (34.4%) had asymmetric SSNs and 15 (5.4%) had type VI SSNs. There were no significant differences in age, sex, or comorbidities between both the groups. However, on comparing age groups, the prevalence of type VI SSN was higher in patients aged &gt; 70 years than in those aged &lt; 70 years. Fifteen patients had type VI SSNs, which were unilateral in 10 patients. Conclusion Asymmetric SSNs were observed in a third of the Asian patients. There were variations in SSNs between individuals and also within an individual. In the cases with suprascapular nerve paralysis, the difference in SSN morphology compared to a healthy side should be considered. Level of evidence III.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.1007/s00167-021-06679-5</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-3953-5646</orcidid></addata></record>
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source Wiley Journals; SpringerLink Journals
subjects Age
Asymmetry
Computed tomography
Ligaments
Medicine
Medicine & Public Health
Morphology
Notches
Orthopedics
Ossification
Paralysis
Patients
Respiratory diseases
Scapula
Sex
Shoulder
Sports Medicine
title Bilateral suprascapular notches are asymmetrically shaped in a third of the Asian population
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