title: Anterior Coracoscapular Ligament as a Factor Predisposing to or Protective for Suprascapular Neuropathy.
abstract: Suprascapular neuropathy is a pathology caused by injury or compression of the suprascapular nerve. As the nerve runs from the anterior to posterior side of the scapula, the hot point where it is most susceptible to both injury and compression is the suprascapular notch. A literature search reveals several potential predisposing morphological factors in this area. However the most recent reports indicate that the structures at the suprascapular notch region may also prevent nerve injury and compression. The role of the anterior coracoscapular ligament (ACSL) remains unclear. While some studies indicate that it may predispose to suprascapular neuropathy, the newest study proposes a protective function. The aim of the article was to review the function of the anterior coracoscapular ligament in the light of the most recent studies. An understanding of the role of the ligament is essential for arthroscopic and other surgical procedures of this area in order to avoid iatrogenic injury of the suprascapular nerve.
authors.affiliation: Department of Angiology, Interfaculty Chair of Anatomy and Histology, Medical University of Łódź, Narutowicza 60, 90-136 Łódź, Poland.
authors.forename: Michał
authors.identifier: 0000-0003-4146-4998
authors.initials: M
authors.lastname: Polguj
authors.affiliation: Clinic of Orthopedic and Pediatric Orthopedics, Medical University of Łódź, 90-131 Łódź, Poland.
authors.forename: Marek
authors.identifier: 0000-0003-4595-0897
authors.initials: M
authors.lastname: Synder
authors.affiliation: Clinic of Orthopedic and Pediatric Orthopedics, Medical University of Łódź, 90-131 Łódź, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Borowski
authors.affiliation: Department of Orthopedy, Brüderkrankenhaus St. Josef Paderborn Clinic, University of Göttingen, Germany Schlossplatz 2, Wilhelmsplatz 1, 37073 Göttingen, Germany.
authors.forename: Mariusz
authors.initials: M
authors.lastname: Wojciechowski
authors.affiliation: Department of Normal and Clinical Anatomy, Interfaculty Chair of Anatomy and Histology, Medical University of Łódź, Narutowicza 60, 90-136 Łódź, Poland.
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Wysiadecki
authors.affiliation: Department of Normal and Clinical Anatomy, Interfaculty Chair of Anatomy and Histology, Medical University of Łódź, Narutowicza 60, 90-136 Łódź, Poland.
authors.forename: Mirosław
authors.initials: M
authors.lastname: Topol
mesh_terms: D006801:Humans; D008022:Ligaments / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D059348:Peripheral Nerve Injuries / Q000209:etiology / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D012540:Scapula / Q000294:innervation / Q000473:pathology / Q000503:physiopathology / Q000601:surgery