The impact of laterality on the morphometric angular features of the scapula

Seda Sertel Meyvacı; Handan Ankaralı; Beyza Çelik

The impact of laterality on the morphometric angular features of the scapula

Abstract

Objectives: This study aimed to analyze the angular measurements and morphological characteristics of the scapula, providing insights to enhance surgical interventions and clinical research requiring detailed anatomical knowledge, such as total shoulder arthroplasty, fracture fixation via screw placement, and scapular arthroscopic procedures. Methods: Twenty dry scapula (13 right, 7 left) of unknown age and sex, obtained from the bone archive of the Anatomy Department at Bolu Abant İzzet Baysal University Faculty of Medicine, were analyzed. Angular measurements were conducted using a digital angle gauge. Due to the limited sample size, normality testing was not performed. Statistical comparisons between the right and left scapula were made using the Mann-Whitney U test, with a significance level set at p≤0.05. Results: Among the six angular parameters measured, only the lateral angle demonstrated a statistically significant difference between the right and left sides (p=0.033). Conclusion: The findings indicate that, except for the lateral angle, the scapula’s angular measurements are predominantly symmetrical between the right and left sides. The glenoid profile angle (GPA) may serve as a valuable marker for assessing fracture risk in the glenoid fossa, aiding orthopedic surgeons in clinical decision-making. A detailed understanding of scapular morphology is expected to advance both surgical practices and anatomical research.

Keywords

References

Standring S. Gray’s anatomy: the anatomical basis of clinical practice. 42nd ed. Edinburgh (Scotland): Elsevier Churchill Livingstone; 2020. p. 1606.
Kabakcı AG, Polat S, Yücel AH. Morphometric analysis and clinical significance of scapula. [Article in Turkish] Cukurova Medical Journal 2019;44:788–93.
Bi AS, Kane LT, Butler BA, Stover MD. Outcomes following extra-articular fractures of the scapula: a systematic review. Injury 2020;51:602–10.
Lin TL, Li YF, Hsu CJ, Hung CH, Lin CC, Fong YC, Hsu HC, Tsai CH. Clinical outcome and radiographic change of ipsilateral scapular neck and clavicular shaft fracture: comparison of operation and conservative treatment. J Orthop Surg Res 2015;10:9.
Romero J, Schai P, Imhoff AB. Scapular neck fracture–the influence of permanent malalignment of the glenoid neck on clinical outcome. Arch Orthop Trauma Surg 2001;121:313–6.
Cole PA, Gauger EM, Herrera DA, Anavian J, Tarkin IS. Radiographic follow-up of 84 operatively treated scapula neck and body fractures. Injury 2012;43:327–33.
Bozkurt M, Can F, Kırdemir V, Erden Z, Demirkale İ, Başbozkurt M. Conservative treatment of scapular neck fracture: the effect of stability and glenopolar angle on clinical outcome. Injury 2005;36:1176–81.
Bestard EA, Schvene HR, Bestard EH. Glenoplasty in the management of recurrent shoulder dislocation. Contemporary Orthopaedics 1986;12:47–55.

Labler L, Platz A, Weishaupt D, Trentz O. Clinical and functional results after floating shoulder injuries. J Trauma 2004;57:595–602.
Kim KC, Rhee KJ, Shin HD, Yang JY. Can the glenopolar angle be used to predict outcome and treatment of the floating shoulder? J Trauma 2008;64:174–8.
Piyawinijwong S, Sirisathira N, Chuncharunee A. The scapula: osseous dimensions and gender dimorphism in Thais. Siriraj Medical Journal 2004;56:356–65.
Sanga A. Role of different angles of scapula: its kinesiometrics muscle morphology and clinical significance. Journal of Medical Science and Clinical Research 2018;6:691–8.
Zhang L, Guo X, Liu Y, Ou M, Lin X, Qi J, Xu Y, Wang G, Fu S. Classification of the superior angle of the scapula and its correlation with the suprascapular notch: a study on 303 scapulas. Surg Radiol Anat 2019;41:377–83.
Boyan N, Ozsahin E, Kizilkanat E, Soames RW, Oguz O. Assessment of scapular morphometry. Int J Morphol 2018;36:1305–9.
Pazarcı Ö, Aytekin N, Kılınç S, Öztürk H. Scapular glenopolar angle in shoulder dislocation cases. Anatomy 2018;12:124–7.
Cini NT, Sak NG, Babacan S, Arı İ. Investigation of morphological and biomechanical properties of the scapula for shoulder joint. Medeniyet Medical Journal 2023;38:159–66.
Kumari N, Subhash A, Panchal P. Morphometric analysis of glenopolar angle of the scapula in Indian population. Cureus 2024;16:e65189.
Pace AM, Stuart R, Brownlow H. Outcome of glenoid neck fractures. J Shoulder Elbow Surg 2005;14:585–90.
Tuček M, Naňka O, Malík J, Bartoníček J. The scapular glenopolar angle: standard values and side differences. Skeletal Radiol 2014;43:1583–7.
Landin D, Thompson M, Jackson MR. Actions of the biceps brachii at the shoulder: a review. J Clin Med Res 2017;8:667–70.

Details

Primary Language

English

Subjects

Clinical Sciences (Other)

Journal Section

Research Article

Authors

Seda Sertel Meyvacı
0000-0002-9450-145X
Türkiye

Handan Ankaralı
0000-0002-3613-0523
Türkiye

Beyza Çelik ^*
0000-0003-4401-8678
Türkiye

Publication Date

December 30, 2024

Submission Date

December 2, 2024

Acceptance Date

December 30, 2024

Published in Issue

Year 2024 Volume: 18 Number: 3

IZ

https://izlik.org/JA75GM85RE

Cite

RIS / Bibtex

APA

Sertel Meyvacı, S., Ankaralı, H., & Çelik, B. (2024). The impact of laterality on the morphometric angular features of the scapula. Anatomy, 18(3), 101-105. https://izlik.org/JA75GM85RE

AMA

1.Sertel Meyvacı S, Ankaralı H, Çelik B. The impact of laterality on the morphometric angular features of the scapula. Anatomy. 2024;18(3):101-105. https://izlik.org/JA75GM85RE

Chicago

Sertel Meyvacı, Seda, Handan Ankaralı, and Beyza Çelik. 2024. “The Impact of Laterality on the Morphometric Angular Features of the Scapula”. Anatomy 18 (3): 101-5. https://izlik.org/JA75GM85RE.

EndNote

Sertel Meyvacı S, Ankaralı H, Çelik B (December 1, 2024) The impact of laterality on the morphometric angular features of the scapula. Anatomy 18 3 101–105.

IEEE

[1]S. Sertel Meyvacı, H. Ankaralı, and B. Çelik, “The impact of laterality on the morphometric angular features of the scapula”, Anatomy, vol. 18, no. 3, pp. 101–105, Dec. 2024, [Online]. Available: https://izlik.org/JA75GM85RE

ISNAD

Sertel Meyvacı, Seda - Ankaralı, Handan - Çelik, Beyza. “The Impact of Laterality on the Morphometric Angular Features of the Scapula”. Anatomy 18/3 (December 1, 2024): 101-105. https://izlik.org/JA75GM85RE.

JAMA

1.Sertel Meyvacı S, Ankaralı H, Çelik B. The impact of laterality on the morphometric angular features of the scapula. Anatomy. 2024;18:101–105.

MLA

Sertel Meyvacı, Seda, et al. “The Impact of Laterality on the Morphometric Angular Features of the Scapula”. Anatomy, vol. 18, no. 3, Dec. 2024, pp. 101-5, https://izlik.org/JA75GM85RE.

Vancouver

1.Seda Sertel Meyvacı, Handan Ankaralı, Beyza Çelik. The impact of laterality on the morphometric angular features of the scapula. Anatomy [Internet]. 2024 Dec. 1;18(3):101-5. Available from: https://izlik.org/JA75GM85RE