Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1401
2
1
gregorian
2022
5
1
21
2
online
1
fulltext
fa
استخوانی شدن کامل رباط عرضی فوقانی کتف: یک گزارش موردی
Complete Ossification of the Superior Transverse Scapular Ligament:
A Case Report
علوم تشريح
علوم تشريح
گزارش مورد
Case Report
<div style="text-align: justify;">
<div class="WordSection1"><span style="page:WordSection1"><span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">زمینه و هدف:</span></span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">رسوب کلسیم و استخوانی شدن ممکن است در بافت</span></span></span></span><span dir="LTR" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">‎</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">هایی مانند عروق، گرههای لنفاوی، غدد و رباطها مشاهده شود که در برخی موارد باعث ایجاد التهاب و فشار بر روی بافتهای مجاور از جمله اعصاب میشود.</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black"> با توجه به عبور عصب از زیر رباط عرضی فوقانی کتف</span></span></span></span><span dir="LTR" style="color:black">(Superior transverse scapular ligament) </span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">، استخوانی شدن این رباط میتواند منجر به اعمال فشار بر روی عصب مربوطه و در نتیجه ایجاد درد در ناحیه کتف شود که در موارد شدید، جراحی آرتروسکوپی و حذف فشار وارده بر عصب برای بیمار ضروری میباشد. هدف این مطالعه توصیف یک مورد استخوانی شدن رباط عرضی فوقانی کتف میباشد.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">شرح مورد: </span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">به هنگام بررسی استخوانهای کتف موجود در موزه آناتومی، یک مورد غیر معمول شامل استخوانی شدن رباط عرضی فوقانی کتف راست مشاهده شد. این استخوانی شدن منجر به تشکیل یک سوراخ بیضی شکل با قطر بزرگ 9 و قطر کوچک 6 میلیمتر در کنار فوقانی استخوان کتف شده به طوریکه بریدگی فوق کتفی معمول، تبدیل به سوراخ فوق کتفی گردیده بود. محیط این رباطِ کاملاً استخوانی شده 14 و ضخامت آن در بخش میانی 4 میلیمتر بود.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">نتیجهگیری: </span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">این مطالعه یک مورد استخوانی شدن رباط عرضی فوقانی کتف را شرح داده است. به منظور تعیین فراوانی این مورد در جمعیت ایرانی و مشخص شدن جنبههای مختلف اهمیت بالینی آن مطالعات جامعتری مورد نیار میباشد. همچنین از آنجایی که تا به حال استخوانی شدن این رباط در جمعیت ایرانی مستند نشده است، این گزارش حائز اهمیت میباشد.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">واژههای کلیدی: </span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span b="" nazanin="" style="font-family:"><span style="color:black">رباط عرضی فوقانی، کلسیفیکاسیون، عروق و عصب فوقکتفی، استخوانی شدن، سندرم گیرافتادن<b> </b>عصب</span></span></span></span><span dir="LTR" style="font-size:4.0pt"><span style="line-height:120%"><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:1.0pt"><span style="line-height:107%"><span style="color:black"></span></span></span></span></span></span></span></span></span></div>
<div aria-label="شکستن صفحه" class="cke_pagebreak" contenteditable="false" data-cke-display-name="pagebreak" data-cke-pagebreak="1" style="page-break-after:always" title="شکستن صفحه"></div><span style="font-size:10pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><a name="_MON_1683142173"></a><b><span dir="RTL" lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></b></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><b><span dir="RTL" lang="FA" style="font-size:14.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></b></span></span></span><br>
</div>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%"><span style="color:black">Background and Objectives: </span></span></b><span style="line-height:150%"><span style="color:black">Calcium deposition and ossification may be seen in tissues such as arteries, lymph nodes, glands, and ligaments </span></span><span lang="EN" style="line-height:150%"><span style="color:black">which in some cases, it causes inflammation and pressure on adjacent tissues, including nerves</span></span><span style="line-height:150%"><span style="color:black">. According to the passing of the nerve under the superior transverse scapular ligament, the ossification of this ligament can lead to pressure on the relevant nerve, resulting in pain in the scapular region, </span></span><span lang="EN" style="line-height:150%"><span style="color:black">which in severe cases, arthroscopic surgery and removal of the pressure on the nerve is necessary for the patient</span></span><span style="line-height:150%"><span style="color:black">. The aim of this study was to describe a case of ossification of the superior transverse scapular ligament.</span></span><span dir="RTL" lang="FA" style="line-height:150%"><span style="color:black"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%"><span style="color:black">Case report: </span></span></b><span lang="EN" style="line-height:150%"><span style="color:black">At the time of evaluation of the scapulae in the Anatomy Museum, an unusual case involving ossification of the superior transverse ligament of the right scapula</span></span><span style="line-height:150%"><span style="color:black"> was observed. </span></span><span lang="EN" style="line-height:150%"><span style="color:black">This ossification led to the formation of an oval hole on the superior border with a large diameter of 9 mm and a small diameter of 6 mm. </span></span><span style="line-height:150%"><span style="color:black">The circumference of this complete ossified ligament was 14 mm and its thickness in the middle part was 4 mm.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%"><span style="color:black">Conclusion: </span></span></b><span style="line-height:150%"><span style="color:black">This study described a case of ossification of the superior transverse scapular ligament. In order to determine the frequency of this case in the Iranian population and to determine the various aspects of its clinical significance, more comprehensive studies are needed. </span></span><span lang="EN" style="line-height:150%"><span style="color:black">This report is also significant as the ossification of this ligament in the Iranian population has not been documented.</span></span><span style="line-height:150%"><span style="color:black"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%"><span style="color:black">Key words: </span></span></b><span style="line-height:150%"><span style="color:black">Superior transverse ligament, Calcification, Suprascapular nerve and vessels, Ossification, Nerve entrapment syndrome</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%"><span style="color:black">Funding:</span></span></b><span style="line-height:150%"><span style="color:black"> This study did not have any funds.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%"><span style="color:black">Conflict of interest:</span></span></b><span style="line-height:150%"><span style="color:black"> None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%"><span style="color:black">Ethical approval:</span></span></b><span style="line-height:150%"><span style="color:black"> The Ethics Committee of Rafsanjan University of Medical Sciences approved the study (IR.RUMS.REC.1400.090).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:5.0pt"><span style="line-height:150%"><span style="color:black"></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%"><span style="color:black">How to cite this article: </span></span></b><span style="line-height:150%"><span style="color:black"> Dehghani-Soltani Samereh, Taghavi Mohammad Mohsen, Babaee Abdolreza. Complete Ossification of the Superior Transverse Scapular Ligament: A Case Report. <i>J Rafsanjan</i> <i>Univ Med Sci</i> 2022; 21 (02): </span></span><span style="line-height:150%"><span style="font-family:"Calibri","sans-serif""><span style="color:black">255-60.</span></span></span><span style="line-height:150%"><span style="color:black"> [Farsi]</span></span><b><span dir="RTL" lang="FA" style="line-height:150%"><span style="color:black"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="line-height:150%"><span style="font-family:Nazanin"><span style="color:black"></span></span></span></span></span></span></span></span></span><br>
رباط عرضی فوقانی, کلسیفیکاسیون, عروق و عصب فوقکتفی, استخوانی شدن, سندرم گیرافتادن عصب
Superior transverse ligament, Calcification, Suprascapular nerve and vessels, Ossification, Nerve entrapment syndrome
255
260
http://journal.rums.ac.ir/browse.php?a_code=A-10-5871-1&slc_lang=fa&sid=1
Samereh
Dehghani-Soltani
سامره
دهقانی سلطانی
samereh.dehghani@gmail.com
6900319475328460049952
6900319475328460049952
No
Rafsanjan University of Medical Sciences
دانشگاه علوم پزشکی رفسنجان
Mohammad Mohsen
Taghavi
محمد محسن
تقوی
taghavi164@yahoo.com
6900319475328460049953
6900319475328460049953
No
Rafsanjan University of Medical Sciences
دانشگاه علوم پزشکی رفسنجان
Abdolreza
Babaee
عبدالرضا
بابائی
babaee.ab@rums.ac.ir
6900319475328460049954
6900319475328460049954
Yes
Rafsanjan University of Medical Sciences
دانشگاه علوم پزشکی رفسنجان