[The spinoglenoid ligament - an anatomic study].
OBJECTIVE
In over-head motion athletes a dysfunction of the suprascapular nerve has been described. In the literature a relation between the spinoglenoid ligament and the dysfunction of the suprascapular nerve is mentioned. An appreciable variability of this ligament is described. The purpose of the present study was the anatomic documentation of the spinoglenoid ligament and its relation to the suprascapular nerve.


METHODS
In 36 shoulder specimen the suprascapular nerve, the spinoglenoid and bony parameter of the scapula were documented. The statistic evaluation was performed with SPSS12.0.


RESULTS
In all but one specimen a spinoglenoid ligament was present. In 20 cases (56 %) the infraspinatus muscle inserted at the spinoglenoid ligament. In five cases (14 %) the spinoglenoid ligament reached the glenohumeral joint capsule. In two cases the suprascapular nerve was completely fixed with the ligament, in four cases the perineural soft tissue had a close connection to the ligament. In four cases a branch of the nerve passed through the ligament. All together in 28 % of the specimen there were mechanical conflicts. In one case a ganglion compressed the nerve.


CONCLUSIONS
Our anatomic study showed in a significant number of cases a possible entrapment of different origins. These findings have implications both for diagnostics and treatment.
Klinik für Orthopädie und Orthopädische Chirurgie, Johanna-Etienne-Krankenhaus, Neuss. j.jerosch@ak-neuss.de
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Filler
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Mertens
D006801:Humans; D008023:Ligaments, Articular / Q000473:pathology*; D008953:Models, Anatomic; D009408:Nerve Compression Syndromes / Q000473:pathology*; D019534:Shoulder Impingement Syndrome / Q000473:pathology*