An anthropometric evaluation of the scapula, with emphasis on the coracoid process and glenoid fossa in a South African population

Abstract

Abstract: The exact dimensions of the scapula, including the coracoid process and glenoid fossa, are fundamental in the patho-mechanics of the glenohumeral joint (GHJ); as these structures act as initiators of shoulder movement. The aim of the study was to evaluate the anthropometric parameters of the GHJ, with emphasis on the coracoid process and glenoid fossa. The morphometric (Linear Tools 2012, 0–150mm, LIN 86500963) and morphological parameters of a total of one hundred and sixty-four (n ¼ 164) dry bone scapulae [Right (R): 80; Left (L): 84, Male (M): 68; Female (F): 96] were recorded. Results: (i) Shape of glenoid fossa: Type 1: (R) 16.5%, (L) 11.0%; Male (M) 20.1%, Female (F) 7.3%; Type 2: (R) 14.0%, (L) 15.2%; (M) 18.3%, (F) 11.0%; Type 3: (R) 18.3%, (L) 25.0%; (M) 27.4%, (F) 15.9%. (ii) Notch type: Type 1: (R) 1.7%, (L) 7.3%; (M) 6.7%, (F) 2.4%; Type 2: (R) 47.0%, (L) 43.9%; (M) 59.2%, (F) 31.7%. (iii) Vertical diameter of glenoid fossa (VD) (mm): (R) 35.2 3.1, (L) 34.9 3.0; (M) 35.3 3.2, (F) 34.6 2.8. (iv) Horizontal diameter 1 (HD1) of glenoid fossa (mm): (R) 18.4 3.3, (L) 17.5 2.9; (M) 18.2 3.3, (F) 17.4 2.6. (v) Horizontal diameter 2 (HD2) of glen oid fossa (mm): (R) 24.5 2.9, (L) 23.6 2.6; (M) 24.2 2.7, (F) 23.7 2.8. (vi) Length of coracoid process (CL) (mm): (R) 41.7 4.7, (L) 41.5 4.9; (M) 42.1 4.7, (F) 40.7 4.8. (vii) Width of coracoid process (CW) (mm): (R) 13.3 1.9, (L) 14.2 11.9; (M) 13.1 1.9, (F) 15.1 14.5. (viii) Coracoglenoid distance (CGD) (mm): (R) 27.4 8.3, (L) 28.2 3.5; (M) 28.2 7.4, (F) 27.0 3.4. In the present study, Type 3 (oval) was observed to be the predominant glenoid fossa shape with a higher incidence in male individuals and on the right side. Although only notch Types 1 (without a notch) and 2(with one notch) were observed in this study, Type 2 (one notch) was the most prevalent, presenting with a significant p-value (p ¼ 0.019), suggesting that notch Type 1 (without a notch) and 2 (with one notch) are common findings in the right and left side of individuals. The findings observed in this study may provide knowledge regarding the role of the coracoid parameters in etiology of subcoracoid impingement while knowledge on the glenoid fossa parameters and variation ns are essential for evaluation in shoulder arthroplasty forglenoid fractures and anterior dislocations, and for glenoid prosthesis designs for the South African population.