Download PDF
CC BY 4.0 · Indian Journal of Neurotrauma 2023; 20(01): 037-040
DOI: 10.1055/s-0041-1734344
Case Report

Suprascapular Nerve Entrapment by a Trifid Superior Transverse Scapular Ligament

Prem Singh Bhandari
1   Department of Plastic and Reconstructive Microsurgery, Brij Lal Superspeciality Hospital, Nainital, Uttarakhand, India
› Author Affiliations Funding None.
› Further Information
   Permissions and Reprints

Abstract

Anatomical variations at the suprascapular notch may limit the available space for the suprascapular nerve (SSN), and cause its entrapment in the tight osseoligamentous tunnel. The author encountered the presence of a trifid superior transverse scapular ligament (STSL) while operating on a patient with SSN entrapment. Surgical division of the three bands resulted in complete regression of symptoms.

Keywords

suprascapular nerve entrapment - superior transverse scapular ligament - trifid


Publication History

Article published online:
24 August 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Alon M, Weiss S, Fishel B, Dekel S. Bilateral suprascapular nerve entrapment syndrome due to an anomalous transverse scapular ligament. Clin Orthop Relat Res 1988; ( (234) 31-33
    PubMedGoogle Scholar
  • 2 Ticker JB, Djurasovic M, Strauch RJ. et al. The incidence of ganglion cysts and other variations in anatomy along the course of the suprascapular nerve. J Shoulder Elbow Surg 1998; 7 (05) 472-478
    CrossrefPubMedGoogle Scholar
  • 3 Polguj M, Jȩdrzejewski K, Podgórski M, Majos A, Topol M. A proposal for classification of the superior transverse scapular ligament: variable morphology and its potential influence on suprascapular nerve entrapment. J Shoulder Elbow Surg 2013; 22 (09) 1265-1273
    CrossrefPubMedGoogle Scholar
  • 4 Kim DH, Murovic JA, Tiel RL, Kline DG. Management and outcomes of 42 surgical suprascapular nerve injuries and entrapments. Neurosurgery 2005; 57 (01) 120-127 discussion 120–127
    CrossrefPubMedGoogle Scholar
  • 5 Ferretti A, Cerullo G, Russo G. Suprascapular neuropathy in volleyball players. J Bone Joint Surg Am 1987; 69 (02) 260-263
    CrossrefPubMedGoogle Scholar
  • 6 Holzgraefe M, Kukowski B, Eggert S. Prevalence of latent and manifest suprascapular neuropathy in high-performance volleyball players. Br J Sports Med 1994; 28 (03) 177-179
    CrossrefPubMedGoogle Scholar
  • 7 Boykin RE, Friedman DJ, Higgins LD, Warner JJ. Suprascapular neuropathy. J Bone Joint Surg Am 2010; 92 (13) 2348-2364
    CrossrefPubMedGoogle Scholar
  • 8 Takagishi K, Maeda K, Ikeda T, Itoman M, Yamamoto M. Ganglion causing paralysis of the suprascapular nerve. Diagnosis by MRI and ultrasonography. Acta Orthop Scand 1991; 62 (04) 391-393
    CrossrefPubMedGoogle Scholar
  • 9 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 (03) 277-284
    CrossrefPubMedGoogle Scholar
  • 10 Lafosse L, Piper K, Lanz U. Arthroscopic suprascapular nerve release: indications and technique. J Shoulder Elbow Surg 2011; 20 (02) (Suppl S9-S13
    CrossrefPubMedGoogle Scholar