The Suprascapular notch is situated in the lateral part of the superior border of the scapula, just adjacent to the base of Coracoid process. The notch is bridged by the superior transverse scapular ligament (STSL) which some time ossifies and is attached laterally to the root of the coracoid process and medially to the limit of the notch. A number of variations occur in the shape of suprascapular notch, from a discrete notch to "J" shaped, "V" shaped, "U" shaped or "O" shaped (i.e. as a complete foramen). To study morphological and morphometric variations of suprascapular notch of Indian population. We studied 140 dried scapula bone and measurements of SSN were done using digital vernier calipers. We used the Rengachary classification for this study. The following measurements were The superior transverse diameter-maximum distance between superior most edges of suprascapular notch (SSN). The inferior transverse diameter-maximum distance between the edges of the curved arch at the base of the SSN. The results of our study were: J-shaped-28%, U-shaped-26%, V-shaped-15%, Partial-ossification-7%, Indentation-10%, Absent-9%, Complete ossification-2%. Type IV supra scapular notch was found to be the most prevalent type amongst all shapes. We also found that the characteristics of the scapula (dimensions) are related to the characteristics of the supra scapular notch (type and dimensions) and there is a distinct difference between right and left side scapula.
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Introduction: Sella Turcica (ST), a complex bony landmark located on the body of sphenoid bone. Its lateral bony wall mainly consists of anterior and posterior clinoid processes and optic strut which bear a strong relationship with pituitary fossa. Aim: To estimate various morphometric parameters of ST, Anterior Clinoid Process (ACP) with its anatomical variations, Optic Strut (OS) and Carotico-clinoid Foramen (CCF) among North Indian population group. Materials and Methods: The present cross-sectional anatomical study was conducted on 30 adult dry fully ossified skull and 10 formalin fixed adult cadaveric cranial base present in the Department of Anatomy, SGT University Gurugram, Haryana, India, over a period of one year from January 2021 to December 2021 to evaluate various morphometric parameters such as anteroposterior, transverse diameter and depth of sellar region including ACPs with various bony distances. The range, mean and standard deviation of each parameters were measured by using Statistical Package for the Social Sciences (SPSS) latest version (version 21.0) and Student’s t-test was applied for bilateral comparison. Frequency of morphological variability of CCF was calculated in percentages. Results: Among the 40 samples (both dry skull base and cadaveric skulls) the average dimensions of ST were 10.03±2.40 mm, 13.65±2.09 mm and 5.74±1.92 mm as anteroposterior, transverse and depth, respectively. The length, width and thickness of ACP were 11.22±1.74 mm, 8.04±1.73 mm and 2.27±0.70 mm, respectively. Also the length and width of OS were 3.61±0.78 mm and 3.72±0.47 mm, respectively. Significant difference was observed for distance of ACP to OS. The frequency of CCF was 10 (25%) among the total samples both bilateral and unilateral; out of which 8 (80%) of the samples presented with incomplete foramen, 1 (10%) presented contact type of CCF, and 1 (10%) of the samples exhibited a complete variety of CCF. Conclusion: Bilateral significant difference was observed for the transverse diameter. The mean value for length of ACP was found significant. Detailed morphometry and morphological variations of structures present in sellar region is mandatory for the clinicians specially neurosurgeons and radiologist for the diagnosis and to decide the modality of treatment.
Background: Knee osteoarthritis (OA)is a chronic joint disease, primarily occurring in aged population. Rehabilitation of knee osteoarthritis aims to reduce pain and disability by strengthening, raising endurance, range of motion, proprioception and improving aerobic fitness. Aim and Objectives: This study aimed to analyse and compare the impact of strengthening and proprioceptive exercises on balance and activities of daily living in knee OAin population of west Delhi, India. Material & Methods- Thirty OA patients were enrolled from Khetarpal hospital, Delhi, after taking ethical approval and informed consent. A study was explained to subjects and data was obtained as per proforma. Age of patients ranged from 50-80 years. Diagnosis was established based on radiological examination shown in the knee joint X-ray. Statistical analysis was performed by using SPSS software (Version 26). Results- Patients treated with the strengthening and proprioceptive exercises showed t-value on Berg balance scale(BBS)as -16.12 and 13.15 respectively, and the parameter of Knee Injury and Osteoarthritis Outcome Score (KOOS) showed -13.21 and 13.481 respectively, were statistically significant. Conclusion-The study groups showed, both the exercises helped reduce pain and improved the balance of daily-based activities. Furthermore, both the groups showed a significant improvement in BBS and KOOS scales.
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