Commentary to "Morphometry and Contents of the Suprascapular Notch with Potential Clinical Implications: A Cadaveric Study".

Abstract

We article “ Morphometry and contents of the suprascapular notch with potential clinical implications: a cadaveric study ” by Tsikouris et al. 1 However, we would like to point out several data that we fi nd contra-dictory to our fi ndings in previous studies and we have differing point of view. The aforementioned study brought up an interesting hy-pothesis which discussed whether there is a correlation of an ossi fi ed superior scapular transverse ligament, also called suprascapular ligament (SL), 2 to a dimensioned middle-trans-verse diameter of the suprascapular notch (SSN) in the SSN Type-IVaccording to Polguj et al SSN morphometric classi fi cation, 3 which is also referred to as suprascapular foramen. 2 The presented study suggested that an ossi fi cation process in the SL was correlated to SSN space narrowing in its horizontal plane and contributing to suprascapular nerve (SN) compres-sion, but thispremise does not seem to bethe case. A SSNwith a middle-transverse diameter mean of 5.10mm can still accommodate the passing SN. The study by Tubbs et al dem-onstrating a compressed SN in 5 SSN out of 50 cadaveric studies was evidenced by histolopathological examination of the SN, and the diameter of those SSN was at critical stenosed range of 1.8