Evidence map›Paper›PMID 40000494›Full record

SynthesisSurgical and radiologic anatomy : SRA2025

Muscles variations with topographical relationship to the suprascapular notch and its potential arthroscopic feasibility.

Azzat Al-Redouan, Michal Benes, Aimilia Theodorakioglou, Seyed Mehdi Sadat, Martin Modrak, Vojtech Kunc, David Kachlik

Abstract readScoping ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Surgical and radiologic anatomy : SRA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Azzat Al-RedouanDepartment of Anatomy, Second Faculty of Medicine, Charles University, V Uvalu 84, Prague, 150 06, Czech Republic. azzat.al-redouan@lfmotol.cuni.cz.ORCID http://orcid.org/0000-0003-0101-4407
Michal BenesDepartment of Anatomy, Second Faculty of Medicine, Charles University, V Uvalu 84, Prague, 150 06, Czech Republic.ORCID http://orcid.org/0000-0003-3326-2325
Aimilia TheodorakioglouDepartment of Anatomy, Second Faculty of Medicine, Charles University, V Uvalu 84, Prague, 150 06, Czech Republic.ORCID http://orcid.org/0000-0003-2673-0653
Seyed Mehdi SadatDepartment of Anatomy, Second Faculty of Medicine, Charles University, V Uvalu 84, Prague, 150 06, Czech Republic.ORCID http://orcid.org/0000-0002-4377-1281
Martin ModrakDepartment of Bioinformatics, Second Faculty of Medicine, Charles University, Prague, Czech Republic.ORCID http://orcid.org/0000-0002-8886-7797
Vojtech KuncDepartment of Anatomy, Second Faculty of Medicine, Charles University, V Uvalu 84, Prague, 150 06, Czech Republic.ORCID http://orcid.org/0000-0002-3165-4977
David KachlikDepartment of Anatomy, Second Faculty of Medicine, Charles University, V Uvalu 84, Prague, 150 06, Czech Republic.ORCID http://orcid.org/0000-0002-8150-9663

Funding

Grant Agency of Charles University GAUK No. 266222
6 · The paper itself

Abstract

purposeThis study provides an insight on the extent of muscular variability at the suprascapular notch and elaborates on its anatomical interference in suprascapular nerve arthroscopic decompression procedures.

methodsThe suprascapular notch was dissected and its muscular topography was observed in 115 cadaveric specimens. High resolution imaging of the suprascapular notch was captured by a handheld digital microscope (Q-scope). The supraspinatus and subscapularis muscles were traced as they course at the suprascapular notch vicinity. The omohyoid muscle attachment onto the suprascapular ligament was measured. A scoping review and meta-analysis were done to investigate the observed rare muscular variants.

resultsIn 3.48%, the suprascapular notch anterior surface was fully covered by the subscapularis muscle. The omohyoid muscle inserted onto the suprascapular ligament in 31.25% and extended up to 3/4th of the suprascapular ligament length in 2.61%. Two rare variant muscles were encountered: subclavius posticus muscle and a newly reported "coracoscapularis muscle".

conclusionsFour categories of muscles with topographical relationship to the suprascapular notch and its arthroscopic feasibility have been classified: (1) constant muscles not intervening with the suprascapular notch space - supraspinatus muscle; (2) constant muscles with variable positions that can intervene with the suprascapular notch space - subscapularis muscle; (3) constant muscles with variable positions that can intervene with the surgical approach - omohyoid muscle; (4) variable muscles intervening with the suprascapular notch space and surgical approach - subclavius posticus and coracoscapularis muscles. This study elucidates the necessity to assess/secure the omohyoid muscle attachment onto the suprascapular ligament in suprascapular nerve decompression ligamentectomy. LEVEL OF EVIDENCE: V Basic Science Research.

Indexed as

Anatomic VariationArthroscopyMuscle, SkeletalCadaverDecompression, SurgicalFeasibility StudiesHumansScapulaCoracoscapularisOmohyoidSubclavius PosticusSubscapularisSuprascapular nerve entrapmentSuprascapular notch arthroscopy

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.