Scapular Fracture Complicating Suprascapular Neuropathy: The Role of Computed Tomography with 3D Reconstruction

Chan, Chi-Min; Chung, Chin-Teng; Lan, Howard Haw-Chung

doi:10.1016/s1726-4901(09)70383-1

Cited by 9 publications

(5 citation statements)

References 4 publications

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“…Because our Judet approach might put the nerve at risk, we added neurolysis and decompression of the suprascapular nerve during this approach, although most cases of incomplete suprascapular nerve palsy without evidence of space-occupying lesions can be managed conservatively. 4 , 7 No obvious abnormal findings of the nerve were identified. We cannot ascertain the efficacy of this neurolysis and doubt if he had suprascapular nerve injury in the first place; however, at least no shoulder pain related to suprascapular nerve injury was identified at the final follow-up.…”

Section: Discussionmentioning

confidence: 97%

Reconstruction surgery of intra-articular scapular fracture nonunion: a case report and literature review

Matsuo

Yoshikawa

Oki

et al. 2022

JSES Reviews, Reports, and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: Discussionmentioning

confidence: 97%

Reconstruction surgery of intra-articular scapular fracture nonunion: a case report and literature review

Matsuo

Yoshikawa

Oki

et al. 2022

JSES Reviews, Reports, and Techniques

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“…Moreover, suprascapular neuropathy could similarly be caused by the deformity of the SSN, such as a bone tumor or a scapular fracture [9]. When the deformity is complicated, and the original shape of the SSN is unknown, it is advisable to check the contralateral side, because the SSN shape varies widely between individuals.…”

Section: Discussionmentioning

confidence: 99%

“…A narrow SSN or an ossified STSL increases the risk of entrapment of the suprascapular nerve [25, 33]. Suprascapular neuropathy can occur at all ages in overhead athletes [6, 13, 19, 26, 32] and patients with rotator cuff tear [4, 14, 34] and is characterized by a soft‐tissue or bone tumor around the nerve [16, 41] or a scapular fracture [9, 21]. Knowledge of the anatomy of the suprascapular region is important to diagnose or treat suprascapular neuropathy.…”

Section: Introductionmentioning

confidence: 99%

Bilateral suprascapular notches are asymmetrically shaped in a third of the Asian population

Inoue

Kaneaki

Sugimoto³

et al. 2021

Knee Surg Sports Traumatol Arthrosc

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PurposeThe side‐to‐side differences within an individual’s suprascapular notch (SSN) and the clinical characteristics of an ossified superior transverse scapular ligament are unclear. Therefore, the morphological asymmetry of the SSN was investigated, and the factors associated with the ossification of the superior transverse scapular ligament were analyzed. MethodsTwo hundred and seventy‐six computed tomography images were retrospectively analyzed, which included those of both scapulae of Asian patients (mean age, 62.1 ± 19.1 years; males, 197) with high‐energy injuries or respiratory diseases. Variations in the SSN were classified into six types based on Rengachary’s classification using reconstructed three‐dimensional computed tomography. The group with a type VI SSN (completely ossified superior transverse scapular ligament) in at least one scapula was compared with the other group for age, sex, and chronic comorbidities. ResultsAmong 276 patients, 95 (34.4%) had asymmetric SSNs and 15 (5.4%) had type VI SSNs. There were no significant differences in age, sex, or comorbidities between both the groups. However, on comparing age groups, the prevalence of type VI SSN was higher in patients aged > 70 years than in those aged < 70 years. Fifteen patients had type VI SSNs, which were unilateral in 10 patients. ConclusionAsymmetric SSNs were observed in a third of the Asian patients. There were variations in SSNs between individuals and also within an individual. In the cases with suprascapular nerve paralysis, the difference in SSN morphology compared to a healthy side should be considered. Level of evidenceIII.

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“…Since 3D printing technology has been applied in surgical simulation and planning, 6 , 7 , 24 – 26 we would like to add a PSIG for skull osteoma. The purpose of using the PSIG is to create landmarks for safety and keep cosmetic profile.…”

Section: Discussionmentioning

confidence: 99%

Printing a patient-specific instrument guide for skull osteoma management

Wang

Huang

et al. 2020

Journal of the Chinese Medical Association

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Background: To surgically remove osteoma and to keep an optimal cosmetic profile would be very challenging. To solve the difficulty, we utilized the three-dimensional (3D) printing technologies in generating a patient-specific instrument guide (PSIG) for the safe removal of a skull bone tumor. Methods: The preoperational brain computed tomography (CT) provided the digital imaging with thin slices, and then images were reconstructed into a 3D skull model. Based on the model, we designed a PSIG to make landmarks on the osteoma to avoid excessive removal of the skull bone. During the operation, the surgeons could remove the osteoma piece by piece by using the landmark as a reference point. Results: The PSIG was successfully applied to remove an osteoma that measured 60 × 48 × 40 mm 3 over the left frontoparietal skull of a female patient. The 3D CT reconstruction taken both before and 4 months after surgery showed a significant change in the appearance of the osteoma. Conclusion: The PSIG was able to guide the surgeon in the safe removal of the skull osteoma, as well as in maintaining the cosmetic skull profile.

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Scapular Fracture Complicating Suprascapular Neuropathy: The Role of Computed Tomography with 3D Reconstruction

Cited by 9 publications

References 4 publications

Reconstruction surgery of intra-articular scapular fracture nonunion: a case report and literature review

Reconstruction surgery of intra-articular scapular fracture nonunion: a case report and literature review

Bilateral suprascapular notches are asymmetrically shaped in a third of the Asian population

Printing a patient-specific instrument guide for skull osteoma management

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