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open access eISSN 2093-3673

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Anat Cell Biol

Published online November 18, 2024

https://doi.org/10.5115/acb.24.186

Copyright © Korean Association of ANATOMISTS.

Scapular notch, spinoglenoid notch and scapular dimensions: implications on the safe zone of the suprascapular nerve

Jhonatan Duque-Colorado1 , Laura García-Orozco1 , Andrés Riveros2 , Mariano del Sol1,3

1Universidad de La Frontera, Facultad de Medicina, Programa de Doctorado en Ciencias Morfológicas, Temuco, 2Departamento de Anatomía Normal y Medicina Legal, Facultad de Medicina, Universidad de Concepción, Concepción, 3Universidad de La Frontera, Facultad de Medicina, Centro de Excelencia en Estudios Morfológicos y Quirúrgicos (CEMyQ), Temuco, Chile

Correspondence to:Mariano del Sol
Universidad de La Frontera, Facultad de Medicina, Centro de Excelencia en Estudios Morfológicos y Quirúrgicos (CEMyQ), Temuco 4780000, Chile
E-mail: mariano.delsol@ufrontera.cl
Jhonatan Duque-Colorado
Universidad de La Frontera, Facultad de Medicina, Programa de Doctorado en Ciencias Morfológicas, Temuco 4780000, Chile
E-mail: j.duque01@ufromail.cl

Received: July 16, 2024; Revised: September 17, 2024; Accepted: October 10, 2024

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The suprascapular nerve corresponds to one of the supraclavicular branches of the brachial plexus, and its route exposes it to being injured during some surgical procedures. Morphometric analysis of the scapula has been proposed as a tool for preventing injuries to the suprascapular nerve. The present investigation aimed to determine the safe distances for approaching the suprascapular nerve at the level of the scapular notch (SPN) and spinoglenoid notch, in addition to establishing its relationship with the type of SPN and with two scapular dimensions: major longitudinal axis (MLA) and major transverse axis (MTA). For this purpose, a descriptive-correlative, quantitative, non-experimental and transversal study was carried out, in which 82 dry scapulae from adult individuals of Chilean origin were investigated. The main results of this study found that prevalences were highest for SPNs types II (36.2%), I (29.3%), and III (26.0%), with average distances that were considered safe in all types of SPNs. Furthermore, there was a positive correlation, with P<0.05, between the MTA (r=0.526; r=0.634), MLA (r=0.284) and the safe distances for the suprascapular nerve at the level of the SPN and incisura spinoglenoid of the scapulae studied. Scapular dimensions such as the MTA and the MLA could, therefore, be used to predict a safe zone for the suprascapular nerve, potentially contributing to a reduction in the current rate of injury of the suprascapular nerve in surgical procedures involving the deltoid and scapular regions.

Keywords: Anatomy, Morphometry, Scapula, Notch, Nerve

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