open access

Vol 71, No 4 (2012)
Case report
Submitted: 2012-08-13
Accepted: 2012-10-15
Published online: 2012-11-30
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The bifid anterior coracoscapular ligament: a new morphological variation and its potential clinical implications

M. Polguj, K. Jędrzejewski, M. Topol
Folia Morphol 2012;71(4):282-284.

open access

Vol 71, No 4 (2012)
CASE REPORTS
Submitted: 2012-08-13
Accepted: 2012-10-15
Published online: 2012-11-30

Abstract

The suprascapular notch (SSN) is the typical site of compression and injury of the suprascapular nerve (SN), which results in a neuropathy known as suprascapular nerve entrapment. The SSN is enclosed from the top by the superior traverse scapular ligament (STSL), creating a tunnel for the SN. On the both sides of the suprascapular notch, below the STSL, the anterior coracoscapular ligament (ACSL) is found. This fibrous band can potentially narrow the opening and contribute to the occurrence of suprascapular entrapment syndrome. This study presents a first case of a bifid anterior coracoscapular ligament coexisting with atypical suprascapular nerve course that has never been described in the literature. Knowledge of such anatomical variations can be helpful in arthroscopic and open procedures of the suprascapular region and confirms the safety of operative decompression for entrapment of the suprascapular nerve.

Abstract

The suprascapular notch (SSN) is the typical site of compression and injury of the suprascapular nerve (SN), which results in a neuropathy known as suprascapular nerve entrapment. The SSN is enclosed from the top by the superior traverse scapular ligament (STSL), creating a tunnel for the SN. On the both sides of the suprascapular notch, below the STSL, the anterior coracoscapular ligament (ACSL) is found. This fibrous band can potentially narrow the opening and contribute to the occurrence of suprascapular entrapment syndrome. This study presents a first case of a bifid anterior coracoscapular ligament coexisting with atypical suprascapular nerve course that has never been described in the literature. Knowledge of such anatomical variations can be helpful in arthroscopic and open procedures of the suprascapular region and confirms the safety of operative decompression for entrapment of the suprascapular nerve.
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Keywords

anterior coracoscapular ligament (ACSL); anatomical variation; surascapular nerve entrapment; suprascapular nerve

About this article
Title

The bifid anterior coracoscapular ligament: a new morphological variation and its potential clinical implications

Journal

Folia Morphologica

Issue

Vol 71, No 4 (2012)

Article type

Case report

Pages

282-284

Published online

2012-11-30

Page views

520

Article views/downloads

955

Bibliographic record

Folia Morphol 2012;71(4):282-284.

Keywords

anterior coracoscapular ligament (ACSL)
anatomical variation
surascapular nerve entrapment
suprascapular nerve

Authors

M. Polguj
K. Jędrzejewski
M. Topol

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