KaydedilenlerDerginizi ekleyin

Dergiler / İstanbul Tıp Fakültesi Dergisi / 2026 / Cilt: 88 Sayı: 2

SPİNOGLENOİD ÇENTİK VE LİGAMENT/MEMBRAN ÜZERİNE KAPSAMLI MORFOLOJİK VE MORFOMETRİK BİR ÇALIŞMA: SUPRASKAPULAR SİNİR BASISI AÇISINDAN OLASI KLİNİK ÖNEMİ

A COMPREHENSIVE MORPHOLOGICAL AND MORPHOMETRIC STUDY OF THE SPINOGLENOID NOTCH AND LIGAMENT/ MEMBRANE: POSSIBLE CLINICAL RELEVANCE OF SUPRASCAPULAR NERVE ENTRAPMENT

Osman Coşkun(ISTANBUL UNIVERSITY, İSTANBUL FACULTY OF MEDICINE, DEPARTMENT OF BASIC MEDICAL SCIENCES, DEPARTMENT OF ANATOMY)0000-0002-0337-4927
İlke Ali Gürses(ISTANBUL UNIVERSITY, İSTANBUL FACULTY OF MEDICINE, DEPARTMENT OF BASIC MEDICAL SCIENCES, DEPARTMENT OF ANATOMY)0000-0001-9188-4662
Özcan Gayretli(ISTANBUL UNIVERSITY, İSTANBUL FACULTY OF MEDICINE, DEPARTMENT OF BASIC MEDICAL SCIENCES, DEPARTMENT OF ANATOMY)0000-0001-7958-3170
Ayşin Kale(ISTANBUL UNIVERSITY, İSTANBUL FACULTY OF MEDICINE, DEPARTMENT OF BASIC MEDICAL SCIENCES, DEPARTMENT OF ANATOMY)0000-0002-2305-420X
Adnan Kına(Health Science University, İstanbul Haseki Training and Research Hospital, Department of Radiology)0000-0002-8836-8410
Ahmet Usta(ISTANBUL UNIVERSITY, İSTANBUL FACULTY OF MEDICINE, DEPARTMENT OF BASIC MEDICAL SCIENCES, DEPARTMENT OF ANATOMY)0000-0002-2217-0348
Kayıhan Şahinoğlu(ISTANBUL UNIVERSITY, İSTANBUL FACULTY OF MEDICINE, DEPARTMENT OF BASIC MEDICAL SCIENCES, DEPARTMENT OF ANATOMY)0009-0001-7978-819X
Adnan Öztürk(ISTANBUL UNIVERSITY, İSTANBUL FACULTY OF MEDICINE, DEPARTMENT OF BASIC MEDICAL SCIENCES, DEPARTMENT OF ANATOMY)0000-0002-5819-0543
Sayfa
135–145
Yayın Tarihi
2025-04-28
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Bulgular: Supraskapular sinir, 37 taraftaki 22 kadavrada (%74) infraspinatus kasına iki dal, 13 taraftaki 11 kadavrada (%26) ise bu kasa üç dal verdi. 31 tarafta spinoglenoid membran ve 19 tarafta spinoglenoid ligament gözlendi.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Amaç: Bu çalışmada, spinoglenoid çentik ve spinoglenoid ligament-membran ile supraskapular sinirin infraspinatus kasına giden dallarının anatomik özellikleri ve klinik öneminin belirlenmesi amaçlanmıştır, çünkü bu yapılar bu sinirin sıkışmasına neden olabilir.
📊
Temel Bulgular & Veri:Gereç ve Yöntem: İstanbul Üniversitesi İstanbul Tıp Fakültesi Anatomi Anabilim Dalı'na ait 26 fikse kadavra üzerinde elli taraf (25 sağ ve 25 sol) çalışıldı.
💡
Sonuç & Katkı:Bulgular: Supraskapular sinir, 37 taraftaki 22 kadavrada (%74) infraspinatus kasına iki dal, 13 taraftaki 11 kadavrada (%26) ise bu kasa üç dal verdi. 31 tarafta spinoglenoid membran ve 19 tarafta spinoglenoid ligament gözlendi.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Spinoglenoid çentik · spinoglenoid ligament · spinoglenoid membrane

Özet

Amaç: Bu çalışmada, spinoglenoid çentik ve spinoglenoid ligament-membran ile supraskapular sinirin infraspinatus kasına giden dallarının anatomik özellikleri ve klinik öneminin belirlenmesi amaçlanmıştır, çünkü bu yapılar bu sinirin sıkışmasına neden olabilir. Gereç ve Yöntem: İstanbul Üniversitesi İstanbul Tıp Fakültesi Anatomi Anabilim Dalı'na ait 26 fikse kadavra üzerinde elli taraf (25 sağ ve 25 sol) çalışıldı. Kadavralarda infraspinatus kasına giden supraskapular sinir dalları ve spinoglenoid ligament-membran incelendi ve 50 kuru skapulada spinoglenoid çentik araştırıldı. Bulgular: Supraskapular sinir, 37 taraftaki 22 kadavrada (%74) infraspinatus kasına iki dal, 13 taraftaki 11 kadavrada (%26) ise bu kasa üç dal verdi. 31 tarafta spinoglenoid membran ve 19 tarafta spinoglenoid ligament gözlendi. Spinoglenoid çentik ile ilgili olarak kuru kemik üzerinde yapılan dijital kaliper ölçümlerinde ortalama genişlik 17,17±2,17 mm, ortalama derinlik 17,45±2,03 mm iken, bilgisayarlı tomografi ölçümlerinde ortalama genişlik 16,99±1,88 mm, ortalama derinlik 17,73±2 mm ve ortalama alan 282,04±55,27 mm² olarak bulundu. Sonuç: Supraskapular sinirin sıklıkla sıkıştığı spinoglenoid çen tik ve supraskapular sinirin infraspinatus kasına giden dalları ile ilgili sunulan veriler, ilgili tuzak sendromunun cerrahi tedavisine rehberlik edebilir.

Abstract

Objective: This study aimed to determine the anatomical fea tures and clinical significance of the spinoglenoid notch and spinoglenoid ligament-membrane as well as the branches of the suprascapular nerve to the infraspinatus muscle as these struc tures may cause compression of this nerve. Material and Methods: Fifty sides (25 right and 25 left) were studied on 26 fixed cadavers belonging to the Department of Anatomy, İstanbul University, İstanbul Faculty of Medicine. The suprascapular nerve branches to the infraspinatus muscle and spinoglenoid ligament-membrane were examined in cadavers, and the spinoglenoid notch was investigated in 50 dry scapulae. Result: The suprascapular nerve had two branches to the in fraspinatus muscle in 22 cadavers on 37 sides (74%) and three branches to this muscle in 11 cadavers on 13 sides (26%). On 31 sides the spinoglenoid membrane and on 19 sides the spino glenoid ligament were observed. Related to the spinoglenoid notch, the mean width was 17.17±2.17 mm, and the mean depth was 17.45±2.03 mm in calliper measurements on dry bones, while the mean width was 16.99±1.88 mm, the mean depth was 17.73±2 mm and the mean area was 282.04±55.27 mm² in computed tomography measurements. Conclusion: The presented data regarding the spinoglenoid notch in which the suprascapular nerve is frequently compressed and the branches of the suprascapular nerve to the infraspinatus muscle may guide the surgical treatment of the related entrapment syndrome.

🔖

Bu Makaleye Atıf Yap

Coşkun, O., Gürses, İ. A., Gayretli, Ö., Kale, A., Kına, A., Usta, A., Şahinoğlu, K., Öztürk, A. (2025). SPİNOGLENOİD ÇENTİK VE LİGAMENT/MEMBRAN ÜZERİNE KAPSAMLI MORFOLOJİK VE MORFOMETRİK BİR ÇALIŞMA: SUPRASKAPULAR SİNİR BASISI AÇISINDAN OLASI KLİNİK ÖNEMİ. İstanbul Tıp Fakültesi Dergisi, Cilt: 88 Sayı: 2, 135–145. https://doi.org/10.26650/IUITFD.1592664

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (43)

  1. Chan CW, Peng PW. Suprascapular nerve block: a narrative review. Reg Anesth Pain Med 2011;36(4):358-73. [CrossRef] google scholar
  2. Yang HJ, Gil YC, Jin JD, Ahn SV, Lee HY. Topographical anatomy of the suprascapular nerve and vessels at the suprascapular notch. Clin Anat 2012;25(3):359-65. [CrossRef] google scholar
  3. Demirhan M, Imhoff AB, Debski RE, Patel PR, Fu FH, Woo SL. The spinoglenoid ligament and its relationship to the suprascapular nerve. J Shoulder Elbow Surg 1998;7(3):238-43. [CrossRef] google scholar
  4. Standring S, editor. Gray’s Anatomy. The Anatomical Basis of Clinical Practice. 41st ed. London: Elsevier; 2016.p.803-4. google scholar
  5. Titelbaum AR, Ibarra Asencios B, McNeil BE. A circular depression at the spinoglenoid notch of a prehistoric Andean scapula: Plausible evidence of suprascapular nerve entrapment by a paralabral cyst. Int J Paleopathol 2019;24:19-24. [CrossRef] google scholar
  6. Warner JP, Krushell RJ, 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. [CrossRef] google scholar
  7. Callahan JD, Scully TB, Shapiro SA, Worth RM. Suprascapular nerve entrapment. A series of 27 cases. J Neurosurg 1991;74(6):893-6. [CrossRef] google scholar
  8. Cummins CA, Messer TM, Nuber GW. Suprascapular nerve entrapment. J Bone Joint Surg Am 2000;82(3):415-24. [CrossRef] google scholar
  9. Soubeyrand M, Bauer T, Billot N, Lortat-Jacob A, Gicquelet R, Hardy P. Original portals for arthroscopic decompression of the suprascapular nerve: an anatomic study. J Shoulder Elbow Surg 2008;17(4):616-23. [CrossRef] google scholar
  10. Van Meir N, Fourneau I, Debeer P. Varicose veins at the spinoglenoidal notch: an unusual cause of suprascapular nerve compression. J Shoulder Elbow Surg 2011;20(7):e21-4. [CrossRef] google scholar
  11. Shah AA, Butler RB, Sung SY, Wells JH, Higgins LD, Warner JJ. Clinical outcomes of suprascapular nerve decompression. J Shoulder Elbow Surg 2011;20(6):975-82. [CrossRef] google scholar
  12. Gosk J, Urban M, Rutowski R. Entrapment of the suprascapular nerve: anatomy, etiology, diagnosis, treatment. Ortop Traumatol Rehabil 2007;9(1):68-74. google scholar
  13. Natsis K, Totlis T, Tsikaras P, Appell HJ, Skandalakis P, Koebke J. Proposal for classification of the suprascapular notch: a study on 423 dried scapulas. Clin Anat 2007;20(2):135-9. [CrossRef] google scholar
  14. Steinwachs MR, Haag M, Krug C, Erggelet C, Reichelt A. A ganglion of the spinoglenoid notch. J Shoulder Elbow Surg 1998;7(5):550-4. [CrossRef] google scholar
  15. Bigliani LU, Dalsey RM, McCann PD, April EW. An anatomical study of the suprascapular nerve. Arthroscopy 1990;6(4):301-5. [CrossRef] google scholar
  16. Ebraheim NA, Whitehead JL, Alla SR, Moral MZ, Castillo S, McCollough AL, et al. The suprascapular nerve and its articular branch to the acromioclavicular joint: an anatomic study. J Shoulder Elbow Surg 2011;20(2):e13-7. [CrossRef] google scholar
  17. Vorster W, Lange CP, Briet RJ, Labuschagne BC, du Toit DF, Muller CJ, et al. The sensory branch distribution of the suprascapular nerve: an anatomic study. J Shoulder Elbow Surg 2008;17(3):500-2. [CrossRef] google scholar
  18. Demirkan AF, Sargon MF, Erkula G, Kiter E. The spinoglenoid ligament: an anatomic study. Clin Anat 2003;16(6):511-3. [CrossRef] google scholar
  19. LichtenbergS,HabermeyerP.Nervenkompressionssyndrome der Schulter: Arthroskopische Dekompressionsverfahren [Nerve compression syndrome of the shoulder: Arthroscopic decompression procedures]. Orthopade 2011;40(1):70-8. [CrossRef] google scholar
  20. Ferretti A, De Carli A, Fontana M. Injury of the suprascapular nerve at the spinoglenoid notch. The natural history of infraspinatus atrophy in volleyball players. Am J Sports Med 1998;26(6):759-63. [CrossRef] google scholar
  21. Moore TP, Hunter RE. Suprascapular nerve entrapment. Oper Tech Sports Med 1996;4(1):8-14. [CrossRef] google scholar
  22. Buyukdogan K, Altintas B, Koyuncu Ö, Eren İ, Birsel O, Fox M, et al. Ultrasound-Guided intralesional methylene blue injection for the arthroscopic decompression of spinoglenoid notch cyst causing suprascapular neuropathy. Arthrosc Tech 2020;9(11):e1785-9. [CrossRef] google scholar
  23. Ganzhorn RW, Hocker JT, Horowitz M, Switzer HE. Suprascapular-nerve entrapment. J Bone Joint Surg Am 1981;63(3):492-4. [CrossRef] google scholar
  24. Kopell HP, Thompson WA. Pain and the frozen shoulder. Surg Gynecol Obstet 1959;109(1):92-6. google scholar
  25. Pillai G, Baynes JR, Gladstone J, Flatow EL. Greater strength increase with cyst decompression and SLAP repair than SLAP repair alone. Clin Orthop Relat Res 2011;469(4):1056-60. [CrossRef] google scholar
  26. Lee HJ, Lee JH, Yi KH, Kim HJ Anatomical analysis of the motor endplate zones of the suprascapular nerve to the infraspinatus muscle and its clinical significance in managing pain disorder J Anat 2023;243(3):467-74 [CrossRef] google scholar
  27. Plancher KD, Luke TA, Peterson RK, Yacoubian SV Posterior shoulder pain: a dynamic study of the spinoglenoid ligament and treatment with arthroscopic release of the scapular tunnel Arthroscopy 2007;23(9):991-8 [CrossRef] google scholar
  28. Plancher KD, Peterson RK, Johnston JC, Luke TA The spinoglenoid ligament Anatomy, morphology, and histological findings J Bone Joint Surg Am 2005;87(2):361-5 [CrossRef] google scholar
  29. Bektas U, Ay S, Yilmaz C, Tekdemir I, Elhan A Spinoglenoid septum: a new anatomic finding J Shoulder Elbow Surg 2003;12(5):491-2 [CrossRef] google scholar
  30. Won HJ, Won HS, Oh CS, Han SH, Chung IH, Yoon YC Morphological study of the inferior transverse scapular ligament Clin Anat 2014;27(5):707-11 [CrossRef] google scholar
  31. Aktekin M, Demiryurek D, Bayramoglu A, Tuccar E The significance of the neurovascular structures passing through the spinoglenoid notch Neurosciences (Riyadh) 2003;8(4):222-4 google scholar
  32. Ajmani ML The cutaneous branch of the human suprascapular nerve J Anat 1994;185(Pt 2)(Pt 2):439-42 google scholar
  33. Cummins CA, Anderson K, Bowen M, Nuber G, Roth SI Anatomy and histological characteristics of the spinoglenoid ligament J Bone Joint Surg Am 1998;80(11):1622-5 [CrossRef] google scholar
  34. Horiguchi M The cutaneous branch of some human suprascapular nerves J Anat 1980;130(Pt 1):191-5 google scholar
  35. Harbaugh KS, Swenson R, Saunders RL Shoulder numbness in a patient with suprascapular nerve entrapment syndrome: cutaneous branch of the suprascapular nerve: case report Neurosurgery 2000;47(6):1452-5 [CrossRef] google scholar
  36. Aiello I, Serra G, Traina GC, Tugnoli V Entrapment of the suprascapular nerve at the spinoglenoid notch Ann Neurol 1982;12(3):314-6 [CrossRef] google scholar
  37. Duparc F, Coquerel D, Ozeel J, Noyon M, Gerometta A, Michot C Anatomical basis of the suprascapular nerve entrapment, and clinical relevance of the supraspinatus fascia Surg Radiol Anat 2010;32(3):277-84 [CrossRef] google scholar
  38. Yang J, Feng Q, Wen YL, Fan QH, Luo B, Jia WL, et al Morphological measurements and classification of the spinoglenoid notch: A three-dimensional reconstruction of computed tomography in the Chinese population Ann Anat 2019;226:10-5 [CrossRef] google scholar
  39. Kannappan SGP, Bagoji IB, Kumar S A morphometric study of spinoglenoid notch, subcoracoacromial arch, and spinous process of the scapula on shoulder impingement MGM Journal of Medical Sciences 2022;9(4):459-64 [CrossRef] google scholar
  40. Dhindsa G, Gupta V Morphometric study of the acromion process and its clinical relevance Asian J Med Res 2019;8(3):2 [CrossRef] google scholar
  41. Vinay G, Sivan S Morphometric study of the acromion process of scapula and its clinical importance in South Indian population Int J Anat Res 2017;5(3 3):4361-4 [CrossRef] google scholar
  42. Mansur DI, Khanal K, Haque MK, Sharma K Morphometry of acromion process of human scapulae and its clinical importance amongst Nepalese population Kathmandu Univ Med J (KUMJ) 2012;10(38):33-6 [CrossRef] google scholar
  43. LichtenbergS,HabermeyerP.Nervenkompressionssyndrome der Schulter: Arthroskopische Dekompressionsverfahren [Nerve compression syndrome of the shoulder: Arthroscopic decompression procedures]. Orthopade 2011;40(1):70-8. [CrossRef] google scholar