of Other Findings Patients Percentage No Other Findings (NIL) 46 92 Spinoglenoid
Notch Cyst (SGC) 1 2 Calcification in Tendon (CA) 1 2 Axillary Lymphadenopathy (AX.
The nerve then passes deep to this muscle in the supraspinatus fossa continuing into the spinoglenoid
notch and terminates in the infraspinatus muscle.
SSN has traditionally served as a diagnosis of exclusion [3,14], occurring when the suprascapular nerve is compressed at the suprascapular or spinoglenoid
They are usually identified by the distinct combination of muscle bellies involved: Suprascapular nerve entrapment at the suprascapular notch affects the supraspinatus and infraspinatus muscles; suprascapular nerve entrapment at the level of the spinoglenoid
notch (distal to supraspinatus motor innervation) affects only the infraspinatus muscle; quadrilateral space syndrome (compression of the axillary nerve in the quadrilateral space) usually affects just the teres minor muscle; and ParsonageTurner Syndrome, an acute brachial neuritis, can involve single or multiple nerve distributions (Figure 10).
The technique chosen was that described by Meier, which allows blockade of the suprascapular nerve during its passage from the suprascapular notch to the spinoglenoid
notch, as it lies in the lateral supraspinous grooves (19,20).
Palpation of tissues in the region of the suprascapular and spinoglenoid
notches may elicit local tenderness and occasionally a deep non-specific ache over the scapula and glenohumeral joint.
1) Two anatomical sites described in literature where the suprascapular nerve can be entrapped are at the level of the suprascapular notch and at the spinoglenoid
1,2,4) Thomas (3) suggested that the nerve passes through two narrow osteofibrous openings ("deux canaux etroits osteofibreux"), the suprascapular and spinoglenoid
notches, representing two rings over which the nerve is pulled.
Suprascapular nerve entrapment at the spinoglenoid
notch secondary to a ganglion cyst.
MR arthrography findings suggestive of a SLAP lesion include: contrast extending into the long head of the biceps insertion on the oblique sagittal and oblique coronal images; irregularity of the long head of the biceps insertion on the oblique sagittal and oblique coronal images; contrast extending between the labrum and the glenoid on the axial images; displacement of the superior labrum on oblique sagittal and oblique coronal images; displacement of a fragment of the labrum between the humeral head and glenoid fossa; and presence of a glenoid labral cyst in the suprascapular or spinoglenoid
The common site of compression of suprascapular nerve is at the suprascapular notch or at the spinoglenoid
notch in nerve entrapment syndrome, an acquired neuropathy.
The nerve travels obliquely along the floor of the supraspinatus fossa under supraspinatus muscle, supplies it, also provides sensory branches to the glenohumeral & acromioclavicular joints and takes a sharp turn around the lateral margin of the base of the scapular spine (spinoglenoid
notch) with the suprascapular vessels passing below a spinoglenoid
(or inferior transverse scapular) ligament when present, to enter the infraspinatus fossa.