Top

La radiologia medica

Published in:

01-07-2019 | Magnetic Resonance Imaging | MUSCULOSKELETAL RADIOLOGY

MRI diagnosis of suprascapular neuropathy using spinoglenoid notch distension

Authors: Yoshihiro Katsuura, Andrew J. Hill IV, Luis Felipe Colón, John A. Dorizas

Published in: La radiologia medica | Issue 7/2019

Abstract

Purpose

To assess the use of a spinoglenoid notch distension measurement as a radiographic marker on MRI to aid the diagnosis of suprascapular neuropathy.

Methods

Spinoglenoid notch distension was compared on MRI by blinded independent observers for two patient cohorts: one group with an electromyography/nerve conduction study confirmed diagnosis of suprascapular neuropathy who underwent arthroscopic suprascapular nerve decompression, and a control group of patients aged 18–30 years with a normal shoulder MRI.

Results

Sixty suprascapular nerve patients (average age 52 years) were compared to 47 control patients (average age 24 years). Intra-rater and inter-rater reliability showed excellent agreement between reviewers for all measurements. There was a significant difference in the mean spinoglenoid notch distension for the SSN group (m = 8.36, SD = 2.42) compared to the control group (m = 5.7, SD = 1.56); [t(212) = 9.40, p < 0.0001].

Conclusion

The spinoglenoid notch distension is significantly increased in patients with suprascapular neuropathy. We hypothesize that hypertrophy of the transverse scapular ligament creates a venous obstruction resulting in varicosities of the suprascapular vein which runs with the nerve under the ligament. This distends the spinoglenoid notch and can be enlarged in cases of suprascapular neuropathy which is evident on MRI.

Boykin RE, Friedman DJ, Higgins LD, Warner JJ (2010) Suprascapular neuropathy. J Bone Joint Surg Am 92:2348–2364. https://doi.org/10.2106/JBJS.I.01743 CrossRefPubMed

Boykin RE, Friedman DJ, Zimmer ZR et al (2011) Suprascapular neuropathy in a shoulder referral practice. J Shoulder Elb Surg 20:983–988. https://doi.org/10.1016/j.jse.2010.10.039 CrossRef

Mallon WJ, Wilson RJ, Basamania CJ (2006) The association of suprascapular neuropathy with massive rotator cuff tears: a preliminary report. J Shoulder Elb Surg 15:395–398. https://doi.org/10.1016/j.jse.2005.10.019 CrossRef

Albritton MJ, Graham RD, Richards RS, Basamania CJ (2003) An anatomic study of the effects on the suprascapular nerve due to retraction of the supraspinatus muscle after a rotator cuff tear. J Shoulder Elb Surg 12:497–500. https://doi.org/10.1016/S1058-2746(03)00182-4 CrossRef

Lichtenberg S, Magosch P, Habermeyer P (2004) Compression of the suprascapular nerve by a ganglion cyst of the spinoglenoid notch: the arthroscopic solution. Knee Surg Sports Traumatol Arthrosc Off J ESSKA 12:72–79. https://doi.org/10.1007/s00167-003-0443-y CrossRef

Ferretti A, Cerullo G, Russo G (1987) Suprascapular neuropathy in volleyball players. J Bone Joint Surg Am 69:260–263CrossRefPubMed

Cummins CA, Messer TM, Nuber GW (2000) Current concepts review-suprascapular nerve entrapment. JBJS 82:415–424CrossRef

Moen TC, Babatunde OM, Hsu SH et al (2012) Suprascapular neuropathy: What does the literature show? J Shoulder Elb Surg 21:835–846. https://doi.org/10.1016/j.jse.2011.11.033 CrossRef

Gassel MM (1964) A test of nerve conduction to muscles of the shoulder girdle as an aid in the diagnosis of proximal neurogenic and muscular disease. J Neurol Neurosurg Psychiatry 27:200–205. https://doi.org/10.1136/jnnp.27.3.200 CrossRefPubMedPubMedCentral

10.

Casazza BA, Young JL, Press JP, Heinemann AW (1998) Suprascapular nerve conduction: a comparative analysis in normal subjects. Electromyogr Clin Neurophysiol 38:153–160PubMed

11.

Buschbacher RM, Weir SK, Bentley JG, Cottrell E (2009) Normal motor nerve conduction studies using surface electrode recording from the supraspinatus, infraspinatus, deltoid, and biceps. PM&R 1:101–106. https://doi.org/10.1016/j.pmrj.2008.08.002 CrossRef

12.

Inokuchi W, Ogawa K, Horiuchi Y (1998) Magnetic resonance imaging of suprascapular nerve palsy. J Shoulder Elb Surg 7:223–227CrossRef

13.

Ludig T, Walter F, Chapuis D et al (2001) MR imaging evaluation of suprascapular nerve entrapment. Eur Radiol 11:2161–2169. https://doi.org/10.1007/s003300100968 CrossRefPubMed

14.

Vorster W, Lange CPE, Briët RJP et al (2008) The sensory branch distribution of the suprascapular nerve: an anatomic study. J Shoulder Elb Surg 17:500–502. https://doi.org/10.1016/j.jse.2007.10.008 CrossRef

15.

Carroll KW, Helms CA, Otte MT et al (2003) Enlarged spinoglenoid notch veins causing suprascapular nerve compression. Skelet Radiol 32:72–77. https://doi.org/10.1007/s00256-002-0598-5 CrossRef

16.

Van Meir N, Fourneau I, Debeer P (2011) Varicose veins at the spinoglenoidal notch: an unusual cause of suprascapular nerve compression. J Shoulder Elb Surg 20:e21–e24. https://doi.org/10.1016/j.jse.2011.05.022 CrossRef

17.

Simeone FJ, Bredella MA, Chang CY et al (2015) MRI appearance of the superior transverse scapular ligament. Skelet Radiol 44:1663–1669. https://doi.org/10.1007/s00256-015-2209-2 CrossRef

18.

Goutallier D, Postel JM, Bernageau J et al (1994) Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop 304:78–83

19.

Kostretzis L, Theodoroudis I, Boutsiadis A et al (2017) Suprascapular nerve pathology: a review of the literature. Open Orthop J 11:140–153. https://doi.org/10.2174/1874325001711010140 CrossRefPubMedPubMedCentral

20.

Ebraheim NA, Whitehead JL, Alla SR et al (2011) The suprascapular nerve and its articular branch to the acromioclavicular joint: an anatomic study. J Shoulder Elb Surg 20:e13–e17. https://doi.org/10.1016/j.jse.2010.09.004 CrossRef

21.

Warner JP, Krushell RJ, Masquelet A, Gerber C (1992) Anatomy and relationships of the suprascapular nerve: anatomical constraints to mobilization of the supraspinatus and infraspinatus muscles in the management of massive rotator-cuff tears. J Bone Joint Surg Am 74:36–45CrossRefPubMed

22.

Brown DE, James DC, Roy S (1988) Pain relief by suprascapular nerve block in gleno-humeral arthritis. Scand J Rheumatol 17:411–415CrossRefPubMed

23.

Schroder CP, Skare O, Stiris M et al (2008) Treatment of labral tears with associated spinoglenoid cysts without cyst decompression. J Bone Jt Surg-Am 90:523–530. https://doi.org/10.2106/JBJS.F.01534 CrossRef

24.

Dunkelgrun M, Iesaka K, Park SS et al (2003) Interobserver reliability and intraobserver reproducibility in suprascapular notch typing. Bull Hosp Jointt Dis N Y N 61:118–122

25.

Polguj M, Jędrzejewski K, Podgórski M, Topol M (2011) Morphometric study of the suprascapular notch: proposal of classification. Surg Radiol Anat 33:781–787. https://doi.org/10.1007/s00276-011-0821-y CrossRefPubMed

26.

Lafosse L, Tomasi A, Corbett S et al (2007) Arthroscopic release of suprascapular nerve entrapment at the suprascapular notch: technique and preliminary results. Arthrosc J Arthrosc Relat Surg 23:34–42. https://doi.org/10.1016/j.arthro.2006.10.003 CrossRef

27.

Shah AA, Butler RB, Sung S-Y et al (2011) Clinical outcomes of suprascapular nerve decompression. J Shoulder Elb Surg 20:975–982. https://doi.org/10.1016/j.jse.2010.10.032 CrossRef

28.

Kim DH, Murovic JA, Tiel RL, Kline DG (2005) Management and outcomes of 42 surgical suprascapular nerve injuries and entrapments. Neurosurgery 57:120–127. https://doi.org/10.1227/01.NEU.0000163406.14384.4F CrossRefPubMed

29.

Momaya AM, Kwapisz A, Choate WS et al (2018) Clinical outcomes of suprascapular nerve decompression: a systematic review. J Shoulder Elb Surg 27:172–180. https://doi.org/10.1016/j.jse.2017.09.025 CrossRef

Title: MRI diagnosis of suprascapular neuropathy using spinoglenoid notch distension
Authors: Yoshihiro Katsuura
Andrew J. Hill IV
Luis Felipe Colón
John A. Dorizas
Publication date: 01-07-2019
Publisher: Springer Milan
Keywords: Magnetic Resonance Imaging
Magnetic Resonance Imaging
Nerve Decompression
Varicosis
Varicosis
Varicosis
Published in: La radiologia medica / Issue 7/2019
Print ISSN: 0033-8362
Electronic ISSN: 1826-6983
DOI: https://doi.org/10.1007/s11547-019-01005-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

MRI diagnosis of suprascapular neuropathy using spinoglenoid notch distension

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 7/2019

Management of incidental pulmonary nodule in CT: a survey by the Italian College of Chest Radiology

Trends in combined radio-chemotherapy for locally advanced rectal cancer: a survey among radiation oncology centers of Sicily region on behalf of AIRO

Safety and efficacy of transcatheter embolization in patients with massive hemoptysis due to intercostal pulmonary venous shunts

Improving image quality with model-based iterative reconstruction algorithm for chest CT in children with reduced contrast concentration

Value of structured reporting in neuromuscular disorders

In-stent restenosis associated with dual-layer Roadsaver carotid artery stent: a retrospective single-center study