Presentation
Trauma. Incidental finding on CT shoulder.
Patient Data
Type V suprascapular notch (a notch with incomplete bony foramen), mimicking fracture
Type V suprascapular notch (a notch with incomplete bony foramen) (arrows)
Case Discussion
Anatomic variations in the shape of suprascapular notch are divided into 5 types:
Type I (no notch): A wide depression of the superior border of the scapula.
Type II: A wide blunted V-shape notch.
Type III: A slightly deeper notch with almost parallel lateral margins "U-shape" notch
Type IV: A small notch ‘V’shaped.
Type V: The medial part of the ligament is partially ossified forming a notch with a small diameter along the superior border of the scapula.
Type VI: The ligament was completely ossified forming a bony foramen located inferomedial to the base of the coracoid process.
Suprascapular nerve entrapment may be due to the variable morphology of the suprascapular notch.