The suprascapular nerve arises from the upper trunk (Erb’s point) of the brachial plexus in the posterior triangle of the neck.This research was conducted to study the anatomy of the suprascapular nerve in the scapular region and its relation to both suprascapular and spinoglenoid notches. This data is very important in suprascapular nerve block and suprascapular nerve surgical decompression. Dissection of 20 scapular regions of 10 formalin preserved male cadavers was done. Also thirty three adult patients; 26 males and 7 females suffering from vague shoulder pain subjected to suprascapular nerve surgical decompression. In all cadaveric specimens, careful dissection and anatomical study of suprascapular nerve regarding its course, distribution and relations was carried out. Origin of the nerve was demonstrated from upper trunk of the brachial plexus. Passage of the nerve through a narrow medial compartment of supraglenoid canal in all cases has been identified. Measurements of two important diameters relevant to suprascapular notch were also reported. The transverse scapular ligament was identified to be of uniform thickness. In the clinical study of all cases with suprascapular nerve entrapment regardless its etiology whether idiopathic or not, conservative therapy by means of the exercise was of limited value especially for the motor affection. All of the cases were subjected to surgical maneuverer to decompress the nerve. It is concluded that the anatomical findings allow better choice of the surgical procedure, more precise surgical dissection, better results and fewer complications.
| Published in | International Journal of Clinical and Experimental Medical Sciences (Volume 2, Issue 3) |
| DOI | 10.11648/j.ijcems.20160203.11 |
| Page(s) | 31-39 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2016. Published by Science Publishing Group |
Suprascapular Nerve, Suprascapular Notch, Spinoglenoid Notch, Suprascapular Nerve Entrapment, Suprascapular Nerve Block
| [1] | Standring S. Gray's Anatomy: The Anatomical Basis of Clinical Practice. 40th ed. London: Longmans, Green and Co, 2008: 1123–1124. |
| [2] | Neeta VK. Clinical anatomy 2nd edition. Superficial muscles of the back and scapular region. 2012; 13: 111-112. |
| [3] | Ritchie ED, Tong D, Chung F, Norris AM, Miniaci A, Vairavanathan SD. Suprascapular nerve block for postoperative pain relief in arthroscopic surgery: a new modality. Anesth Analg. 1997; 84: 1306–1312. |
| [4] | Brown DE, James DC, Roy S. Pain relief by suprascapular nerve block in glenohumeral arthritis. Scand J Rheumatol. 1988; 17: 411–415. |
| [5] | Green S, Buchbinder R, Glazier R, Forbes A. Systematic review of randomised controlled trials of interventions for painful shoulder: selection criteria, outcome assessment, and efficacy. BMJ. 1998; 316: 354–360. |
| [6] | Van der Heijden GJ, van der Windt DA, Kleijnen J, Koes BW, Bouter LM. Steroid injections for shoulder disorders: a systematic review of randomized clinical trials. Br J Gen Pract. 1996; 46: 309–316. |
| [7] | Van der Winddt DA, van der Heijden GJ, Scholten RJ, Koes BW, Bouter LM. The efficacy of non-steroidal anti-inflammatory drugs (NSAIDS) for shoulder complaints. A systematic review. J Clin Epidemiol. 1995; 48: 691–704. |
| [8] | Fabre T, Piton C, Leclouerec G, F. Delion G, Durandeau A. Entrapment of the suprascapular nerve. J Bone Joint Surg [Br]. 1999; 81-B: 414-419. |
| [9] | Constant CR, Murley AHG. A clinical method of functional assessment of the shoulder. Clin Orthop. 1987; 214: 160-164. |
| [10] | Narakas AO. Compression and traction neuropathies about the shoulder and arm. In: Operative nerve repair and reconstruction. Philadelphia: J. B. Lippincot, 1991; 2: 1151-1157. |
| [11] | Miller RH, Dlabach JA. Shoulder and elbow injuries. In: Campbell’s Operative Orthopaedics. Canale & Beaty. 12th ed. Philadelphia, Pennsylvania. Mosby. 2013; 44: 2631-2634. |
| [12] | Tasaki A, Nimura A, Mochizuki T, et al. Anatomic observation of the running space of the suprascapular nerve at the suprascapular notch in the same direction as the nerve. Knee Surg Sports Traumatol Arthrosc. 2015; 23(9): 2667-2673. |
| [13] | Polguj M, Jędrzejewski K, Majos A, Topol M. Variations in bifid superior transverse scapular ligament as a possible factor of suprascapular entrapment: an anatomical study. Int Orthop. 2012; 36(10): 2095–2100. |
| [14] | Bayramoğlu A, Demiryürek D, Tüccar E, et al. Variations in anatomy at the suprascapular notch possibly causing suprascapular nerve entrapment: an anatomical study. Knee Surg Sports Traumatol Arthrosc. 2003; 11(6): 393-398. |
| [15] | Bayramoglu A, Demiryurek D, Erbil M, Aktekin M, Tetik O, Doral M N. Hypertrophy of the subscapularis muscle might be an etiologic factor for suprascapular nerve entrapment at the suprascapular notch. Neuroanatomy. 2002; 1: 5-6. |
| [16] | Warner J P; Krushell R J; Masquelet A; Gerber C. 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. 1992; 74 (1): 36-45. |
| [17] | Plancher KD, Peterson RK, Johnston JC, Luke TA. The spinoglenoid ligament. Anatomy, morphology, and histological findings J Bone Joint Surg Am. 2005; 87: 361-365. |
| [18] | Ghodadra N, Nho SJ, Verma NN, et al. Arthroscopic decompression of the suprascapular nerve at the spinoglenoid notch and suprascapular notch through the subacromial space. Arthroscopy. 2009; 25: 439-445. |
| [19] | Ruotolo CL, Fow JE, Nottage WM. The supraspinatus footprint: an anatomic study of the supraspinatus insertion. Arthroscopy. 2004; 20(3): 246-249. |
| [20] | Ide J, Maeda S, Takagi K. Does the inferior transverse scapular ligament cause distal suprascapular nerve entrapment? An anatomic and morphologic study. J Shoulder Elbow Surg. 2003; 12(3): 253-255. |
| [21] | Bigliani L. U, Dalsey R. M., McCann P. D., April E. W. An anatomical study of the suprascapular nerve. Arthroscopy. 1990; l6; (4), 301–305. |
| [22] | Woolf S. K., Guttmann D., Karch M. M., Graham R. D, Reid B., Lubowitz J. H. The superior-medial shoulder arthroscopy portal is safe. Arthroscopy. 2007: 23: 247–250. |
| [23] | Shishido H and Kikuchi S. Injury of the suprascapular nerve in shoulder surgery: an anatomic study. Journal of Shoulder &Elbow Surgery. 2001; 10(4): 372–376. |
| [24] | Vastam¨aki M, G¨oransson H. Suprascapular nerve entrapment. Clin Orthop. 1993; 297: 135-143. |
| [25] | Emery P, Wedderburn L, Grahame R. Suprascapular nerve block for shoulder pain in rheumatoid arthritis. BMJ. 1989; 299: 1079–1080. |
| [26] | Post M, Mayer J. Suprascapular nerve entrapment: diagnosis and treatment. Clin Orthop. 1987; 223: 126-136. |
| [27] | Callahan JD, Scully TB, Scott A, Shapiro SA, Worth RM. Supra- scapular nerve entrapment: a series of 27 cases. J Neurosurg. 1991; 74: 893-896. |
| [28] | Ferretti A, Cerullo G, Russo G. Suprascapular neuropathy in volley-ball players. J Bone Joint Surg [Am] 1987; 69-A: 260-263. |
| [29] | Ringel SP, Treihaft M, Carry M, Fisher R, Jacobs P. Suprascapular neuropathy in pitchers. Am J Sports Med. 1990; 18: 80-86. |
| [30] | Fritz RC, Helms CA, Steinbach LS, Genant HK. Suprascapular nerve entrapment: evaluation with MR imaging. Radiology. 1992; 182: 437-444. |
| [31] | Martin SD, Warren RF, Martin TL, et al. Suprascapular neuropathy: results of non-operative treatment. J Bone Joint Surg [Am]. 1997; 79-A: 1159-1165. |
| [32] | Black KP, Lombardo JA. Suprascapular nerve injuries with isolated paralysis of the infraspinatus. Am J Sports Med. 1990; 18: 225-228. |
APA Style
El Sayed Aly Mohamed Metwally, Rasha Mohamed Elshenety, Bahaa Ahmed Motawea. (2016). Suprascapular Nerve: Anatomical and Clinical Study. International Journal of Clinical and Experimental Medical Sciences, 2(3), 31-39. https://doi.org/10.11648/j.ijcems.20160203.11
ACS Style
El Sayed Aly Mohamed Metwally; Rasha Mohamed Elshenety; Bahaa Ahmed Motawea. Suprascapular Nerve: Anatomical and Clinical Study. Int. J. Clin. Exp. Med. Sci. 2016, 2(3), 31-39. doi: 10.11648/j.ijcems.20160203.11
AMA Style
El Sayed Aly Mohamed Metwally, Rasha Mohamed Elshenety, Bahaa Ahmed Motawea. Suprascapular Nerve: Anatomical and Clinical Study. Int J Clin Exp Med Sci. 2016;2(3):31-39. doi: 10.11648/j.ijcems.20160203.11
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ijcems.20160203.11,
author = {El Sayed Aly Mohamed Metwally and Rasha Mohamed Elshenety and Bahaa Ahmed Motawea},
title = {Suprascapular Nerve: Anatomical and Clinical Study},
journal = {International Journal of Clinical and Experimental Medical Sciences},
volume = {2},
number = {3},
pages = {31-39},
doi = {10.11648/j.ijcems.20160203.11},
url = {https://doi.org/10.11648/j.ijcems.20160203.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20160203.11},
abstract = {The suprascapular nerve arises from the upper trunk (Erb’s point) of the brachial plexus in the posterior triangle of the neck.This research was conducted to study the anatomy of the suprascapular nerve in the scapular region and its relation to both suprascapular and spinoglenoid notches. This data is very important in suprascapular nerve block and suprascapular nerve surgical decompression. Dissection of 20 scapular regions of 10 formalin preserved male cadavers was done. Also thirty three adult patients; 26 males and 7 females suffering from vague shoulder pain subjected to suprascapular nerve surgical decompression. In all cadaveric specimens, careful dissection and anatomical study of suprascapular nerve regarding its course, distribution and relations was carried out. Origin of the nerve was demonstrated from upper trunk of the brachial plexus. Passage of the nerve through a narrow medial compartment of supraglenoid canal in all cases has been identified. Measurements of two important diameters relevant to suprascapular notch were also reported. The transverse scapular ligament was identified to be of uniform thickness. In the clinical study of all cases with suprascapular nerve entrapment regardless its etiology whether idiopathic or not, conservative therapy by means of the exercise was of limited value especially for the motor affection. All of the cases were subjected to surgical maneuverer to decompress the nerve. It is concluded that the anatomical findings allow better choice of the surgical procedure, more precise surgical dissection, better results and fewer complications.},
year = {2016}
}
TY - JOUR T1 - Suprascapular Nerve: Anatomical and Clinical Study AU - El Sayed Aly Mohamed Metwally AU - Rasha Mohamed Elshenety AU - Bahaa Ahmed Motawea Y1 - 2016/04/25 PY - 2016 N1 - https://doi.org/10.11648/j.ijcems.20160203.11 DO - 10.11648/j.ijcems.20160203.11 T2 - International Journal of Clinical and Experimental Medical Sciences JF - International Journal of Clinical and Experimental Medical Sciences JO - International Journal of Clinical and Experimental Medical Sciences SP - 31 EP - 39 PB - Science Publishing Group SN - 2469-8032 UR - https://doi.org/10.11648/j.ijcems.20160203.11 AB - The suprascapular nerve arises from the upper trunk (Erb’s point) of the brachial plexus in the posterior triangle of the neck.This research was conducted to study the anatomy of the suprascapular nerve in the scapular region and its relation to both suprascapular and spinoglenoid notches. This data is very important in suprascapular nerve block and suprascapular nerve surgical decompression. Dissection of 20 scapular regions of 10 formalin preserved male cadavers was done. Also thirty three adult patients; 26 males and 7 females suffering from vague shoulder pain subjected to suprascapular nerve surgical decompression. In all cadaveric specimens, careful dissection and anatomical study of suprascapular nerve regarding its course, distribution and relations was carried out. Origin of the nerve was demonstrated from upper trunk of the brachial plexus. Passage of the nerve through a narrow medial compartment of supraglenoid canal in all cases has been identified. Measurements of two important diameters relevant to suprascapular notch were also reported. The transverse scapular ligament was identified to be of uniform thickness. In the clinical study of all cases with suprascapular nerve entrapment regardless its etiology whether idiopathic or not, conservative therapy by means of the exercise was of limited value especially for the motor affection. All of the cases were subjected to surgical maneuverer to decompress the nerve. It is concluded that the anatomical findings allow better choice of the surgical procedure, more precise surgical dissection, better results and fewer complications. VL - 2 IS - 3 ER -
Information
Email: