Tubercle of Assaki
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At the time the article was created Krzysztof Nocoń had no recorded disclosures.View Krzysztof Nocoń's current disclosures
At the time the article was last revised Henry Knipe had the following disclosures:
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The tubercle of Assaki, also known as the tubercle of Asskay 3, is a small bony protuberance of the central part of the glenoid fossa with accompanying thinning of articular cartilage in this location 1.
It is presumably caused by the constant pressure of the humeral head exerted on the inferior glenoid fossa 3. It is believed to be closely related to the glenoid bare spot, which is found in the same location. Some authors treat both these entities as practically identical 2.3.
The tubercle of Assaki is a small (about 6 mm of average diameter 2) thickening of subchondral bone of the glenoid fossa, which is overlaid by the area of thinned cartilage known as glenoid bare spot 2.
Like the glenoid bare spot, it is best appreciated using fluid-sensitive sequences like T2 FSE in coronal and axial planes and it should not be mistaken for a cartilage defect 1.
History and etymology
The tubercle was first described by a French anatomist, Asskay 3.
- 1. Rudez J & Zanetti M. Normal Anatomy, Variants and Pitfalls on Shoulder MRI. Eur J Radiol. 2008;68(1):25-35. doi:10.1016/j.ejrad.2008.02.028 - Pubmed
- 2. De Wilde L, Berghs B, Audenaert E, Sys G, Van Maele G, Barbaix E. About the Variability of the Shape of the Glenoid Cavity. Surg Radiol Anat. 2004;26(1):54-9. doi:10.1007/s00276-003-0167-1 - Pubmed
- 3. Warner J, Bowen M, Deng X, Hannafin J, Arnoczky S, Warren R. Articular Contact Patterns of the Normal Glenohumeral Joint. J Shoulder Elbow Surg. 1998;7(4):381-8. doi:10.1016/s1058-2746(98)90027-1