Scapula’nın morfometrik analizi ve klinik önemi

Yıl 2019, Cilt: 44 Sayı: 3, 788 - 793, 30.09.2019

Ayşe Gül Kabakcı Sema Polat Ahmet Hilmi Yücel

https://doi.org/10.17826/cumj.470162

Cited By: 2

Öz

Amaç: Bu çalışmanın amacı, omuz sentürünün önemli bir elemanı olan kuru kemik os scapula’nın morfometrik ve anatomik ölçümlerinin elde edilmesi ve toplumlar arası karşılaştırılmasıdır. 

Gereç ve Yöntem: Çalışmaya yaşı ve cinsiyeti belirsiz, toplam altmış dokuz (69) adet kuru kemik scapula dahil edildi. Ölçüm parametreleri; Scapula Maksimum Uzunluğu (SU), Scapula Maksimum Genişliği (SG), Spina Scapulae Uzunluğu (SSU), Cavitas Glenoidalis Superior Inferior Genişlik (CGSIG), Cavitas Glenoidalis Antero Posterior Genişlik (CGAPG), Medial Kenar Uzunluğu Supraspinata (MKUS), Medial Kenar Uzunluğu Infraspinata (MKUI), Lateral Kenar Uzunluğu (LKU), Acromion-Cavitas Glenoidalis Arası Mesafe (ACGM) ve Cavitas Glenoidalis-Processus Coracoideus Arası Mesafe (CGPCM)’dir. Ayrıca scapular indeks, glenoid indeks ve infraspinat indeks hesaplanmıştır. 

Bulgular: Altmış dokuz (69) adet kuru kemik scapula’dan 31 adet sağ, 38 adet sol taraf olarak bulunmuştur. Scapula’ya ait ölçüm parametreleri ve ortalamaları aşağıdaki gibidir: Scapula Maksimum Uzunluğu; 14,08±1,25 cm, Scapula Maksimum Genişliği; 9,85±0,80 cm, Spina Scapulae Uzunluğu; 8,19±0,87 cm, Cavitas Glenoidalis Superior Inferior Genişlik; 3,68±0,36 cm, Cavitas Glenoidalis Antero Posterior Genişlik; 2,51±0,27 cm, Medial Kenar Uzunluğu Supraspinata; 4,68±0,44 cm, Medial Kenar Uzunluğu Infraspinata; 10,71±1,11 cm, Lateral Kenar Uzunluğu; 12,25±1,15 cm, Acromion - Cavitas Glenoidalis Arası Mesafe; 2,63±0,42 cm ve Cavitas Glenoidalis - Processus Coracoideus Arası Mesafe 2,00±0,28 cm’dir. 

Sonuç: Scapula anatomisinin bilinmesi ve morfometrik ölçümlerinin elde edilmesi scapula’yı ilgilendiren patolojiler ve cerrahi girişimler açısından öneme sahiptir. 

Anahtar Kelimeler

Scapula, incisura scapula, morfometri

Morphometric analysis and clinical significance of scapula

Öz

Purpose: The aim of this study is to obtain morphometric and anatomic measurements of dry human scapula which is an important component of shoulder girdle and compared intercommunal.    

Materials and Methods: Sixty-nine (69) scapula of unknown gender and age of an Anatolian population are included in this study. Measurement parameters consist of scapula maximum length (SL), scapula maximum width (SW), spine of scapula length (SSL), glenoid cavity infero-superior width (CGSIW), glenoid cavity anteroposterior width (CGAPW), medial border length supraspinata (MBLS), medial border length infraspinata (MBLI), lateral border length (LBL), the distance between acromion and glenoid cavity (AGCD) and the distance between glenoid cavity and coracoid process (GCCPD). Also, scapular index (SI), glenoid index (GI) and infraspinat index (ISI) were calculated. 

Results: Sixty nine (69) scapula are divided into two; thirty one (31) right and thirty eight (38) left. The means of measurement parameters and measurements are found as below: Scapula maximum length; 14.08±1.25 cm, scapula maximum width; 9.85±0.80 cm, spine of scapula length; 8.19±0.87 cm, glenoid cavity supero inferior width; 3.68±0.36 cm, glenoid cavity antero-posterior width; 2.51±0.27 cm, medial border length supraspinata; 4.68±0.44 cm, medial border length infraspinata; 10.71±1.11 cm, lateral border length; 12.25±1.15 cm, the distance between acromion and glenoid cavity; 2.63±0.42 cm and the distance between glenoid cavity and coracoid process; 2.00±0.28 cm. 

Conclusion: Knowing the anatomy of the scapula and obtaining of the morphometric measurements of it, has importance in terms of surgical approaches and pathologies related to scapula.

Anahtar Kelimeler

Scapula, Suprascapular notch, morphometry

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