The superior transverse scapular ligament (STSL) is present above the suprascapular notch. It joins the two superior corners of this notch and converts it into suprascapular foramen through which passes the suprascapular nerve , while the suprascapular artery and vein usually pass above the ligament. The anterior coracoscapular ligament (ACSL) runs in the suprascapular notch, below the superior transverse scapular ligament. Narrowed bony foramen by ossification of STSL and ACSL is one of the predisposing factor of suprascapular nerve entrapment as well as with an injury to the suprascapular nerve in arthroscopic procedures. Aim: The aim of present study was to know the prevalence of suprascapular foramen in Indian dry scapulae and provide a knowledge on the variations along the course of suprascapular nerve which is essential to understanding the source of entrapment syndrome. Methods and Results: The present study was carried out on 73 dried human scapulae irrespective of age and sex. Visual observation revealed that 3 scapulae (4.1%) had completely ossified superior transverse scapular ligament and 2 scapulae (2.7 %) had partially ossified STSL. The incidence of ossified anterior coracoscapular ligament is 1.3 % (1 scapula) in our study. Conclusion: The knowledge of variations in the suprascapular region and ossification of STSL & ACSL is important for anatomists, orthopaedicians, radiologists and neurosurgeons to obtain a safe zone which would be useful to avoid iatrogenic nerve lesion and for better diagnosis and management of the nerve entrapment syndrome.

Lumbosacral region of the body not only protects the spinal cord and related structures but also transmit the body weight to lower extremity and maintains the body posture. Sacralization of the 5 th lumbar vertebrae, is a congenital vertebral anomaly of the lumbosacral region and may be unilateral or bilateral. Although, sacralization is not a serious anomaly, perhaps no more than an anatomical variant, the fusion of the lumbrosacral joint may cause low back pain, disc herniation, cervical ribs, Bertollotti's syndrome and difficulty during labor. To highlight the complication of sacralization and its related impact on the body, we report a case of complete fusion of 5 th lumbar vertebra with sacrum (sacralization). The relationship between incidence of sacralization with low back pain is debatable but still the present study may help anatomists, clinicians and surgeons to know the complications of sacralization and its impact on the body that in turn help in diagnostic and therapeutic management of illness around lumbosacral region. Future studies need to focus on identifying other parameters that are relevant to distinguishing lumbosacral variations and associated disorders.

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Malaria is a protozoan disease, transmitted by the bite of the infected Anopheles mosquito. There are four species of plasmodia causing the disease, but the two causing the morbidity and mortality are the plasmodium falciparum and the vivax. The disease invariably causes splenomegaly, which can be evaluated and assessed for the better prognosis of the patient. The study shows the evaluation of splenomegaly, both clinically and USG examination. AIMS AND OBJECTIVES:The main aim of this study is to show the prevalence of splenomegaly in malaria and compare with USG examination. MATERIAL AND METHODS: The patients included in the study were suffering from malaria (smear positive) belonging to the age group of 15 to 70 years, at Chhattisgarh Institute of Medical Sciences, Bilaspur (CG). The time span of the study was 1 year. Measurement of splenic enlargement was done, both clinical and with ultrasound. The observations were tabulated and assessed. The patients excluded were those having fever and splenomegaly resulting from tropical disease. RESULTS: The USG examination to detect splenomegaly in cases of malaria, is more sensitive and specific as compared to the clinical examination. CONCLUSION: It is recommended that splenomegaly in malaria should be detected by USG examination as compared to clinical examination.