{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,7]],"date-time":"2026-06-07T03:59:11Z","timestamp":1780804751449,"version":"3.54.1"},"reference-count":16,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,2,15]],"date-time":"2014-02-15T00:00:00Z","timestamp":1392422400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The purpose of the study is to identify the safe zone in which the surgeon can place the screws for fixation of the coracoid graft during the Latarjet procedure to avoid injuries of the suprascapular nerve with the shoulder in internal and external rotation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The dissection on twelve fresh\u2010frozen shoulders was performed according to a standard posterior approach to the gleno\u2010humeral joint. The suprascapular nerve and its branches for the infraspinatus muscle were identified at the spinoglenoid notch region. Then, the distance between the glenoid and the suprascapular nerve at the spinoglenoid notch region was measured by using a ruler with the shoulder at 90\u00b0 internal rotation and at 90\u00b0 of external rotation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median distance between the glenoid and the suprascapular nerve was 12\u00a0mm (range 6\u201315\u00a0mm) with the shoulder at 90\u00b0 of internal rotation and 19\u00a0mm (range 11\u201323\u00a0mm) with the shoulder at 90\u00b0 of external rotation. The distance between the glenoid and the suprascapular nerve was statistically significantly greater with the shoulder at 90\u00b0 of external rotation than 90\u00b0 of internal rotation (<jats:italic>P<\/jats:italic> = 0.002).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The suprascapular nerve is furthest away from the glenoid with the shoulder at 90\u00b0 of external rotation. Therefore, the placement of screws in external rotation of the humerus during glenoid bone block procedures likely reduces the risk of iatrogenic injuries of the suprascapular nerve.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-014-2900-1","type":"journal-article","created":{"date-parts":[[2014,2,17]],"date-time":"2014-02-17T11:03:16Z","timestamp":1392634996000},"page":"1506-1510","source":"Crossref","is-referenced-by-count":35,"title":["The safe zone for avoiding suprascapular nerve injury in bone block procedures for shoulder instability. A cadaveric study"],"prefix":"10.1002","volume":"23","author":[{"given":"Umile Giuseppe","family":"Longo","sequence":"first","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery Campus Bio\u2010Medico University Via Alvaro del Portillo, 200 00128 Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Forriol","sequence":"additional","affiliation":[{"name":"Orthopaedic Department School of Medicine University CEU Campus de Montepr\u00edncipe 28886 Boadilla del Monte, Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mattia","family":"Loppini","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery Campus Bio\u2010Medico University Via Alvaro del Portillo, 200 00128 Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Lanotte","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery Campus Bio\u2010Medico University Via Alvaro del Portillo, 200 00128 Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Salvatore","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery Campus Bio\u2010Medico University Via Alvaro del Portillo, 200 00128 Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Maffulli","sequence":"additional","affiliation":[{"name":"Barts and The London School of Medicine and Dentistry William Harvey Research Institute, Centre for Sports and Exercise Medicine Mile End Hospital Queen Mary University of London 275 Bancroft Road E1 4DG London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo","family":"Denaro","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery Campus Bio\u2010Medico University Via Alvaro del Portillo, 200 00128 Rome 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