Ligamentum Transversum Scapulae Superius’un Kemikleşmesi: Olgu Sunumu

Year 2018, Volume: 25 Issue: 2, 185 - 188, 01.06.2018

Kemal Emre Özen , Gökalp Şahin Anıl Didem Aydın Kabakçı Aynur Emine Çiçekcibaşı , Demet Aydoğdu Duygu Akın Saygın

https://doi.org/10.17343/sdutfd.375166

Abstract

Kompresyon nöropatileri
olarak da bilinen tuzak nöropatiler, travma, inflamasyon veya ödem gibi herhangi
bir sebebe bağlı olarak, periferik sinirin hedef dokuya seyri esnasında baskıya
uğramasıdır. Hastanemize başvuran 43 yaşındaki bir kadın hastanın
multidedektörlü bilgisayarlı tomografi görüntülerinin incelenmesi esnasında
ligamentum transversum scapulae superius’un kemikleştiği gözlendi. Anatomik
varyasyonların klinik perspektifte tartışıldığı bu vaka takdimi, varyasyonların
radyo-anatomik görüntülerinin omuz bölgesindeki tuzak nöropatilerin
aydınlatılmasındaki önemini ortaya koymaktadır.

Keywords

Incisura scapulae, mültidedektörlü bilgisayarlı tomografi, tuzak nöropati, ligamentum transversum scapulae superius

Ossification of Superior Transvers Scapular Ligament: A Case Report

Abstract

Entrapment neuropathies, also known as nerve compression syndrome or
compression neuropathy, may be defined as the lesions of the peripheral nerves
under exposure of any kind of physical stress, including any kind of traumas
and inflammatory or edematous processes, on the route of the nerve to the
target tissue. While performing a radiologic examination of multi-detector
computerized tomography images of vascular structures in the right shoulder
region of a 43 years old female Turkish patient who admitted to our hospital,
we observed a complete ossification of the superior transverse scapular
ligament. This case report, which is discussed in the clinical perspectives of
anatomic variations, puts forth that radio-anatomic images about variations,
like the one used in this report, are of importance while illuminating the
etiopathologic background of entrapment neuropathies of the shoulder region.

Keywords

Suprascapular notch, multi-detector computerized tomography, entrapment neuropathy, superior transverse scapular ligament

References

• Hrdlička A. The adult scapula. Additional observations and measurements. Am J Phys Anthropol. 1942;29(3):363-415.
• Prescher A. Anatomical basics, variations, and degenerative changes of the shoulder joint and shoulder girdle. Eur J Radiol. 2000;35(2):88-102.
• Moriggl B. Grandlagen, Möglichkeiten und Grenzen der Sonographie osteofibröser Kanäle im Schulterbereich: Teil 1. Ann Anat. 1997;179(4):355-73.
• Zeiss J, Woldenberg LS, Saddemi SR, Ebraheim NA. MRI of suprascapular neuropathy in a weight lifter. J Comput Assist Tomogr. 1993;17(2):303-8.
• Thompson W, Kopell H. Peripheral entrapment neuropathies of the upper extremity. New Engl J Med. 1959;260(25):1261-5.
• Pecina M, Cummins CA, Messer TM, Nuber GW. Who really first described and explained the suprascapular nerve entrapment syndrome? J Bone Joint Surg. 2001;83(8):1273-4.
• Das S, Suri R, Kapur V. Ossification of superior transverse scapular ligament and its clinical implications. Sultan Qaboos Univ Med J. 2007;7(2):157-60.
• Erginer R, Ogut T, Seyahi A, Dervisoglu S. Suprascapular nerve entrapment by a ganglion cyst: a case report. Acta Orthop Traumatol Turc. 2004;37(1):73-8.
• Ozalay M, Akpinar S, Hersekli M, Ozkoc G, Tandogan RN. Spinoglenoid centik ganglionuna bagli gelisen supraskapular sinir sikismasi: Olgu sunumu. Acta Orthop Traumatol Turc. 2002;36(1).
• Cummins CA, Messer TM, Nuber GW. Current concepts review-Suprascapular nerve entrapment. J Bone Joint Surg. 2000;82(3):415-24.
• Bhatia DN, de Beer JF, van Rooyen KS, du Toit DF. Arthroscopic suprascapular nerve decompression at the suprascapular notch. Arthroscopy. 2006;22(9):1009-13.
• Wang HJ, Chen C, Wu LP, Pan CQ, Zhang WJ, Li YK. Variable morphology of the suprascapular notch: an investigation and quantitative measurements in Chinese population. Clin Anat. 2011;24(1):47-55.
• Aydinlioglu A, Diyarbakirli S, Keles P, Yuceer N. Supraskapular centik degisiklikleri. Turk Norosir Derg. 1997;7:40-4.
• 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.
• Bayramoglu A, Demiryurek D, Tuccar E, Erbil M, Aldur M, Tetik O, 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):393-8.