Suprascapular canal

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Suprascapular Canal
Suprascapular Canal Scheme Al-Redouan.png
Lateral view of a schematic representation of a sagittal section of the suprascapular canal
Suprascapular Canal Course Al-Redouan.png
Superior view of a schematic representation the suprascapular canal running on the scapula surface
Details
Identifiers
Latin 'canalis suprascapularis'
Anatomical terminology

The suprascapular canal is an anatomical passage between two openings found on the upper dorsal aspect of the shoulder. It is found bilaterally running on superio-lateral aspect of the dorsal surface of the scapula underneath the supraspinatus muscle. [1]

Contents

Structure

The suprascapular canal [2] is an osteofibrous canal situated in the spinoglenoid fossa conveying suprascapular nerve and vessels. Its passage covered by the supraspinatus fascia and connects between its entrance formed by the suprascapular notch (enclosed by the suprascapular ligament) and its exit formed by spinoglenoid notch (enclosed by the spinoglenoid ligament). [1] [2]

Clinical significance

As the suprascapular nerve travels through the suprascapular canal narrow sites, it can potentially get entrapped leading to suprascapular nerve entrapment syndrome. The causes have different anatomical implications at each site. The mechanisms varies and range from anatomical variations to pathological formations as well as from nerve compression to dynamics and traction injuries. The most common causes potentially occur at the suprascapular canal entrance site due to suprascapular notch stenosis, and at its exit site due to synovial joint cystic formation (ganglion cyst) bulging through the spinoglenoid notch. [1]

Related Research Articles

<span class="mw-page-title-main">Acromion</span> Bony process on the scapula (shoulder blade)

In human anatomy, the acromion is a bony process on the scapula. Together with the coracoid process it extends laterally over the shoulder joint. The acromion is a continuation of the scapular spine, and hooks over anteriorly. It articulates with the clavicle to form the acromioclavicular joint.

<span class="mw-page-title-main">Scapula</span> Bone that connects the humerus (upper arm bone) with the clavicle (collar bone)

The scapula, also known as the shoulder blade, is the bone that connects the humerus with the clavicle. Like their connected bones, the scapulae are paired, with each scapula on either side of the body being roughly a mirror image of the other. The name derives from the Classical Latin word for trowel or small shovel, which it was thought to resemble.

<span class="mw-page-title-main">Humerus</span> Long bone of the upper arm

The humerus is a long bone in the arm that runs from the shoulder to the elbow. It connects the scapula and the two bones of the lower arm, the radius and ulna, and consists of three sections. The humeral upper extremity consists of a rounded head, a narrow neck, and two short processes. The body is cylindrical in its upper portion, and more prismatic below. The lower extremity consists of 2 epicondyles, 2 processes, and 3 fossae. As well as its true anatomical neck, the constriction below the greater and lesser tubercles of the humerus is referred to as its surgical neck due to its tendency to fracture, thus often becoming the focus of surgeons.

<span class="mw-page-title-main">Coracoid process</span> Small hook-like structure on the lateral edge of the superior anterior portion of the scapula

The coracoid process is a small hook-like structure on the lateral edge of the superior anterior portion of the scapula. Pointing laterally forward, it, together with the acromion, serves to stabilize the shoulder joint. It is palpable in the deltopectoral groove between the deltoid and pectoralis major muscles.

<span class="mw-page-title-main">Suprascapular nerve</span> Mixed nerve of the upper limb

The suprascapular nerve is a mixed nerve that branches from the upper trunk of the brachial plexus. It is derived from the ventral rami of cervical nerves C5-C6. It provides motor innervation to the supraspinatus muscle, and the infraspinatus muscle.

<span class="mw-page-title-main">Infraspinatus muscle</span> Main external rotator of the shoulder

In human anatomy, the infraspinatus muscle is a thick triangular muscle, which occupies the chief part of the infraspinatous fossa. As one of the four muscles of the rotator cuff, the main function of the infraspinatus is to externally rotate the humerus and stabilize the shoulder joint.

<span class="mw-page-title-main">Shoulder joint</span> Synovial ball and socket joint in the shoulder

The shoulder joint is structurally classified as a synovial ball-and-socket joint and functionally as a diarthrosis and multiaxial joint. It involves an articulation between the glenoid fossa of the scapula and the head of the humerus. Due to the very loose joint capsule that gives a limited interface of the humerus and scapula, it is the most mobile joint of the human body.

<span class="mw-page-title-main">Suprascapular artery</span> Artery of the neck

The suprascapular artery is a branch of the thyrocervical trunk on the neck.

<span class="mw-page-title-main">Sternoclavicular joint</span> Joint between the manubrium of the sternum and the clavicle bone.

The sternoclavicular joint or sternoclavicular articulation is a synovial saddle joint between the manubrium of the sternum, and the clavicle, and the first costal cartilage. The joint possesses a joint capsule, and an articular disc, and is reinforced by multiple ligaments.

<span class="mw-page-title-main">Supraspinous fossa</span> Part of the shoulderblade

The supraspinous fossa of the posterior aspect of the scapula is smaller than the infraspinous fossa, concave, smooth, and broader at its vertebral than at its humeral end. Its medial two-thirds give origin to the Supraspinatus.

<span class="mw-page-title-main">Glenoid fossa</span> Part of the shoulder

The glenoid fossa of the scapula or the glenoid cavity is a bone part of the shoulder. The word glenoid is pronounced or and is from Greek: gléne, "socket", reflecting the shoulder joint's ball-and-socket form. It is a shallow, pyriform articular surface, which is located on the lateral angle of the scapula. It is directed laterally and forward and articulates with the head of the humerus; it is broader below than above and its vertical diameter is the longest.

<span class="mw-page-title-main">Ulnar canal</span>

The ulnar canal or ulnar tunnel (also known as Guyon's canal or tunnel) is a semi-rigid longitudinal canal in the wrist that allows passage of the ulnar artery and ulnar nerve into the hand. The roof of the canal is made up of the superficial palmar carpal ligament, while the deeper flexor retinaculum and hypothenar muscles comprise the floor. The space is medially bounded by the pisiform and pisohamate ligament more proximally, and laterally bounded by the hook of the hamate more distally. It is approximately 4 cm long, beginning proximally at the transverse carpal ligament and ending at the aponeurotic arch of the hypothenar muscles.

<span class="mw-page-title-main">Superior transverse scapular ligament</span>

The superior transverse ligament converts the suprascapular notch into a foramen or opening.

<span class="mw-page-title-main">Suprascapular notch</span> Groove in the superior border of the scapula, for the suprascapular nerve to pass through

The suprascapular notch is a notch in the superior border of the scapula, just medial to the base of the coracoid process. It is converted into the suprascapular canal by the suprascapular ligament.

<span class="mw-page-title-main">Great scapular notch</span> Notch which serves to connect the supraspinous fossa and infraspinous fossa

The great scapular notch is a notch which serves to connect the supraspinous fossa and infraspinous fossa. It lies immediately medial to the attachment of the acromion to the lateral angle of the scapular spine.

<span class="mw-page-title-main">Inferior transverse ligament of scapula</span>

The inferior transverse ligament is a weak membranous band, situated behind the neck of the scapula and stretching from the lateral border of the spine to the margin of the glenoid cavity.

<span class="mw-page-title-main">Spine of scapula</span> Bony plate on the scapula

The spine of the scapula or scapular spine is a prominent plate of bone, which crosses obliquely the medial four-fifths of the scapula at its upper part, and separates the supra- from the infraspinatous fossa.

<span class="mw-page-title-main">Suprascapular vein</span> Vein of the neck

The suprascapular vein is a vein running above the scapula. It drains into the external jugular vein. It drains the posterior region around the scapula.

<span class="mw-page-title-main">Quadrilateral space syndrome</span> Medical condition

Quadrilateral space syndrome is a rotator cuff denervation syndrome in which the axillary nerve is compressed at the quadrilateral space of the rotator cuff.

<span class="mw-page-title-main">Osborne's ligament</span> Connective tissue in the body

Osborne's ligament, also Osborne's band, Osborne's fascia, Osborne's arcade, arcuate ligament of Osborne, or the cubital tunnel retinaculum, refers to either the connective tissue which spans the humeral and ulnar heads of the flexor carpi ulnaris (FCU) or another distinct tissue located between the olecranon process of the ulna and the medial epicondyle of the humerus. It is named after Geoffrey Vaughan Osborne, a British orthopedic surgeon, who described the eponymous tissue in 1957.

References

  1. 1 2 3 Al-Redouan, Azzat; Holding, Keiv; Kachlik, David (2020). ""Suprascapular canal": Anatomical and topographical description andits clinical implication in entrapment syndrome". Annals of Anatomy. doi: 10.1016/j.aanat.2020.151593 . PMID   32898658.
  2. 1 2 Al-Redouan, Azzat; Kachlik, David (2022). "Scapula revisited: new features identified and denoted by terms using consensus method of Delphi and taxonomy panel to be implemented in radiologic and surgical practice". J Shoulder Elbow Surg. 31 (2): e68-e81. doi:10.1016/j.jse.2021.07.020. PMID   34454038.