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Abstract
The course of the suprascapular nerve and its distance from fixed scapular landmarks
were measured in 90 cadaveric shoulders. In an additional 15 cadavers, three pins
were passed at various angles in a general anteriorposterior direction through the
middle of the glenoid neck just inferior and lateral to the base of the coracoid process.
The distance between the exit site on the posterior glenoid neck and the suprascapular
nerve at the base of the scapular spine was recorded for each pin. Inferiorly directed
pins were the furthest from the suprascapular nerve and averaged 16 mm. On the basis
of these data, a relative safe zone is described in the posterior glenoid neck. Knowledge
of the anatomic course of the suprascapular nerve may aid the physician in the diagnosis
and treatment of suprascapular neuropathies. Appreciation of the safe zone may help
the shoulder surgeon avoid iatrogenic injury to the suprascapular nerve during arthroscopic
Bankart procedures and other open surgical procedures requiring dissection of the
posterior glenoid neck.
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References
- Treatment of recurrent posterior dislocation of the shoulder by glenoplasty.J Bone Joint Surg. 1967; 49A: 471-476
- Operative treatment of posterior shoulder dislocation by posterior glenoidplasty, capsulorrhaphy, and infraspinatus advancement.Am J Sports Med. 1986; 14: 187-191
- Excessive retroversion of the glenoid cavity.J Bone Joint Surg. 1986; 68A: 724-731
- Inferior capsular shift for involuntary inferior and multidirectional instability of the shoulder. A preliminary report.J Bone Joint Surg. 1980; 62A: 897-908
- Repair of ruptures of the rotator cuff of the shoulder—with a note on advancement of the supraspinatus muscle.J Bone Joint Surg. 1965; 47B: 36-42
- Tears of the rotator cuff.in: AAOS Instructional Course Lectures XXX. CV Mosby, St. Louis, MO1981: 258-273
- Rotator cuff disease of the shoulder.J Bone Joint Surg. 1985; 67A: 974-979
- Impingement lesions.Clin Orthop. 1983; 173: 70-77
- Suprascapular entrapment neuropathy. A clinical, anatomical, and comparative study.Neruosurgery. 1979; 4 (part I): 441-446
- Suprascapular nerve entrapment, diagnosis and treatment.Clin Orthop Relat Res. 1987; 223: 126-136
- Arthroscopic Bankart suture repair. Technique and early results.Arthroscopy. 1987; 3: 111-122
- The brachial plexus of nerves in man. The variations in its form and branches.Am J Anat. 1918; 23: 285-395
- Suprascapular entrapment neuropathy: a clinical, anatomical and comparative study, part 2: anatomical study.Neurosurgery. 1979; 5: 447-455
- The cutaneous brance of some humerus suprascapular nerves.J Anat. 1980; 130: 191-195
- Anatomical basis of suprascapular nerve syndrome.Anatomica Clinica. 1981; 3: 67-71
- Entrapment of the distal suprascapular nerve—an anatomic study.Int Orthop. 1988; 12: 273-275
- Williams PC Warwick R Gray's Anatomy. 36th ed. Saunders, Philadelphia1980
- 2nd ed. Nerves and Nerve Injuries. Churchill Livingstone, New York1978: 1015-1016
- Recurrent dislocation of the shoulder modification of Bankart capsulorrhaphy.Am J Surg. 1949; 77: 220-222
- The Bankart shoulder reconstruction—the use of pull-out.J Bone Joint Surg. 1959; 41A: 236-242
- The Bankart procedure modified by the use of prolene pull-out sutures.J Bone Joint Surg. 1982; 64A: 628-629
- Dynamic stability of the glenohumeral joint.Acta Orthop Scand. 1971; 42: 491-505
- Suprascapular nerve.in: Peripheral entrapment neuropathies. Williams & Wilkins, Co., Baltimore1963: 130-142
- Suprascapular entrapment neuropathy.J Neurosurg. 1975; 43: 337-342
- Suprascapular nerve entrapment—a report of two cases treated with suprascapular notch resection.Clin Orthop Relat Res. 1977; 123: 73-75
- Suprascapular nerve compression syndrome.Surg Neurol. 1984; 22: 308-312
- Suprascapular nerve degeneration secondary to attenuation by a ganglionic cyst.J Bone Joint Surg. 1986; 68A: 627-628
- Suprascapular nerve entrapment.J Bone Joint Surg. 1981; 63A: 492-494
- Entrapment neuropathy of the inferior branch of the suprascapular nerve by ganglia.CORR. 1982; 166: 185-187
- Entrapment of the suprascapular nerve at the spinoglenoid notch.Annals of Neurology. 1982; 12: 314-316
- Nerve injuries about the shoulder in sports.J Bone Joint Surg. 1967; 49A: 785-792
- Suprascapular neuropathy in volleyball players.J Bone Joint Surg. 1987; 69A: 260-263
- Suprascapular neuropathy after intensive progressive resistive exercise: case report.Arch Phys Med Rehabil. 1987; 68: 236-238
- Suprascapular nerve injury following trauma to the shoulder.J Trauma. 1981; 21: 652-655
- Injury to the suprascapular nerve association with anterior dislocation of the shoulder: case report and review of the literature.J Trauma. 1979; 19: 203-206
- Fracture of the scapular notch associated with lesion of the suprascapular nerve.Acta Orthop Scand. 1975; 46: 758-763
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© 1990 Arthroscopy Association of North America. Published by Elsevier Inc.
