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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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 |
format | Article |
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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 < 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.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-021-06679-5</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Age ; Asymmetry ; Computed tomography ; Ligaments ; Medicine ; Medicine & Public Health ; Morphology ; Notches ; Orthopedics ; Ossification ; Paralysis ; Patients ; Respiratory diseases ; Scapula ; Sex ; Shoulder ; Sports Medicine</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021-12, Vol.29 (12), p.3989-3996</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2021</rights><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-p190t-b98e791ca302306fc80bcf07b2e30541cf5a067d39b10fcca8711bfb925012ea3</cites><orcidid>0000-0003-3953-5646</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-021-06679-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-021-06679-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids></links><search><creatorcontrib>Inoue, Jumpei</creatorcontrib><creatorcontrib>Tawada, Kaneaki</creatorcontrib><creatorcontrib>Sugimoto, Katsumasa</creatorcontrib><creatorcontrib>Goto, Hideyuki</creatorcontrib><creatorcontrib>Tsuchiya, Atsushi</creatorcontrib><creatorcontrib>Takenaga, Tetsuya</creatorcontrib><creatorcontrib>Takeuchi, Satoshi</creatorcontrib><creatorcontrib>Takaba, Keishi</creatorcontrib><creatorcontrib>Murakami, Hideki</creatorcontrib><creatorcontrib>Yoshida, Masahito</creatorcontrib><title>Bilateral suprascapular notches are asymmetrically shaped in a third of the Asian population</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><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 < 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.</description><subject>Age</subject><subject>Asymmetry</subject><subject>Computed tomography</subject><subject>Ligaments</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Morphology</subject><subject>Notches</subject><subject>Orthopedics</subject><subject>Ossification</subject><subject>Paralysis</subject><subject>Patients</subject><subject>Respiratory diseases</subject><subject>Scapula</subject><subject>Sex</subject><subject>Shoulder</subject><subject>Sports Medicine</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkE1LxDAURYMoOI7-AVcBN26iL0mbNMtx8AsG3OhOKK-Z1MmQaWuSLubfWx1BcHXv4nC5HEIuOdxwAH2bALjSDARnoJQ2rDwiM15IybQs9DGZgSkEE1CqU3KW0hZgqoWZkfc7HzC7iIGmcYiYLA5jwEi7PtuNSxSjo5j2u53L0VsMYU_TBge3pr6jSPPGxzXt26k4ukgeOzr03wvZ9905OWkxJHfxm3Py9nD_unxiq5fH5-VixQZuILPGVE4bblGCkKBaW0FjW9CNcBLKgtu2RFB6LU3DobUWK8150zZGlMCFQzkn14fdIfafo0u53vlkXQjYuX5MtSiVLIRQlZnQq3_oth9jN72bKKONrAxUEyUPVBqi7z5c_KM41N_G64PxejJe_xivS_kF81Z0Rg</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Inoue, Jumpei</creator><creator>Tawada, Kaneaki</creator><creator>Sugimoto, Katsumasa</creator><creator>Goto, Hideyuki</creator><creator>Tsuchiya, Atsushi</creator><creator>Takenaga, Tetsuya</creator><creator>Takeuchi, Satoshi</creator><creator>Takaba, Keishi</creator><creator>Murakami, Hideki</creator><creator>Yoshida, Masahito</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3953-5646</orcidid></search><sort><creationdate>20211201</creationdate><title>Bilateral suprascapular notches are asymmetrically shaped in a third of the Asian population</title><author>Inoue, Jumpei ; Tawada, Kaneaki ; Sugimoto, Katsumasa ; Goto, Hideyuki ; Tsuchiya, Atsushi ; Takenaga, Tetsuya ; Takeuchi, Satoshi ; Takaba, Keishi ; Murakami, Hideki ; Yoshida, Masahito</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p190t-b98e791ca302306fc80bcf07b2e30541cf5a067d39b10fcca8711bfb925012ea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age</topic><topic>Asymmetry</topic><topic>Computed tomography</topic><topic>Ligaments</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Morphology</topic><topic>Notches</topic><topic>Orthopedics</topic><topic>Ossification</topic><topic>Paralysis</topic><topic>Patients</topic><topic>Respiratory diseases</topic><topic>Scapula</topic><topic>Sex</topic><topic>Shoulder</topic><topic>Sports Medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Inoue, Jumpei</creatorcontrib><creatorcontrib>Tawada, Kaneaki</creatorcontrib><creatorcontrib>Sugimoto, Katsumasa</creatorcontrib><creatorcontrib>Goto, Hideyuki</creatorcontrib><creatorcontrib>Tsuchiya, Atsushi</creatorcontrib><creatorcontrib>Takenaga, Tetsuya</creatorcontrib><creatorcontrib>Takeuchi, Satoshi</creatorcontrib><creatorcontrib>Takaba, Keishi</creatorcontrib><creatorcontrib>Murakami, Hideki</creatorcontrib><creatorcontrib>Yoshida, Masahito</creatorcontrib><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Inoue, Jumpei</au><au>Tawada, Kaneaki</au><au>Sugimoto, Katsumasa</au><au>Goto, Hideyuki</au><au>Tsuchiya, Atsushi</au><au>Takenaga, Tetsuya</au><au>Takeuchi, Satoshi</au><au>Takaba, Keishi</au><au>Murakami, Hideki</au><au>Yoshida, Masahito</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bilateral suprascapular notches are asymmetrically shaped in a third of the Asian population</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><date>2021-12-01</date><risdate>2021</risdate><volume>29</volume><issue>12</issue><spage>3989</spage><epage>3996</epage><pages>3989-3996</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>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 < 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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