Abstract

ABSRTACT: The suprascapular notch is usually present in every scapula. Superior transverse scapular ligament is a strong fibrous band that bridges the suprascapular notch creating a foramen that gives passage to the suprascapular nerve, whereas the suprascapular vessels pass over the ligament superiorly. Suprascapular nerve supplies motor branches to the supraspinatus, infraspinatus and sensory to the rotator cuff muscles and ligamentous structures of the shoulder and acromioclavicular joint. In some cases variations of suprascapular notch is accompanied by a variation of the superior transverse scapular ligament. These variations have a role to play in suprascapular nerve entrapment. Previous work suggests that the incidence of complete ossification of the superior transverse scapular ligament varies in different populations. One of the causes of suprascapular nerve entrapment syndrome can be the complete ossification of superior transverse scapular ligament; therefore the clinician should keep this possibility in mind while dealing with patients of suprascapular nerve entrapment. But here, we are reporting a case of complete absence of suprascapular notch in a dried scapula in an adult south Indian female which could be a possible predisposing factor for suprascapular

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