A Meta-Analysis of the Supracondylar Process of the Humerus with Clinical and Surgical Applications to Orthopedics

SUMMARY: The supracondylar process is a hook shaped projection of the humerus. It is located superior to its medial epicondyle. This anatomic variation is often presented together with the Struther’s ligament, a fibrous arcade that connects the supracondylar process to the medial epicondyl...

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Autores principales: Martin-Schütz,Guilherm Otto, Arcoverde,Mauricio, Barros,Gustavo dos Reis, Babinski,Marcio Antonio, Manaia,Jorge Henrique Martins, Silva,Celso Ricardo Corrêa de Mello, Chagas,Carlos Alberto Araujo, Pires,Lucas Alves Sarmento
Lenguaje:English
Publicado: Sociedad Chilena de Anatomía 2019
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022019000100043
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spelling oai:scielo:S0717-950220190001000432019-09-11A Meta-Analysis of the Supracondylar Process of the Humerus with Clinical and Surgical Applications to OrthopedicsMartin-Schütz,Guilherm OttoArcoverde,MauricioBarros,Gustavo dos ReisBabinski,Marcio AntonioManaia,Jorge Henrique MartinsSilva,Celso Ricardo Corrêa de MelloChagas,Carlos Alberto AraujoPires,Lucas Alves Sarmento Supracondylar process Anatomical variation Supracondylar process fracture Humerus SUMMARY: The supracondylar process is a hook shaped projection of the humerus. It is located superior to its medial epicondyle. This anatomic variation is often presented together with the Struther’s ligament, a fibrous arcade that connects the supracondylar process to the medial epicondyle. Both structures have been associated with neurovascular bundle compression on the distal third of the arm, as the median and ulnar nerves and the brachial and ulnar arteries may pass through the osteofibrous canal that these variants create. The SciElo, Pubmed, Scopus, TRIP, MEDLINE, COCHRANE and ScienceDirect databases were searched with the term “supracondylar process” or “supracondyloid process” with the purpose of performing a meta-analysis of this bony spur. Heterogeneity between studies was evaluated using I2 estimation and the Cochran Q statistic test. A random effect model was used for all analysis. A total of twenty articles (26.415 humeri) were included in this meta-analysis. The pooled prevalence of the supracondylar process was 0.68 % (95 % Confidence Interval: 0.47 % to 0.92 %). This variant was more commonly found in women than in men (statistically significant difference) and more commonly found on the left side than the right. The presence of the supracondylar process alone may induce neurovascular bundle compression. It can also be injured in traumatic or stress fractures. Knowledge of this variation and its prevalence may reduce misdiagnosis in radiographic images.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.37 n.1 20192019-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022019000100043en10.4067/S0717-95022019000100043
institution Scielo Chile
collection Scielo Chile
language English
topic Supracondylar process
Anatomical variation
Supracondylar process fracture
Humerus
spellingShingle Supracondylar process
Anatomical variation
Supracondylar process fracture
Humerus
Martin-Schütz,Guilherm Otto
Arcoverde,Mauricio
Barros,Gustavo dos Reis
Babinski,Marcio Antonio
Manaia,Jorge Henrique Martins
Silva,Celso Ricardo Corrêa de Mello
Chagas,Carlos Alberto Araujo
Pires,Lucas Alves Sarmento
A Meta-Analysis of the Supracondylar Process of the Humerus with Clinical and Surgical Applications to Orthopedics
description SUMMARY: The supracondylar process is a hook shaped projection of the humerus. It is located superior to its medial epicondyle. This anatomic variation is often presented together with the Struther’s ligament, a fibrous arcade that connects the supracondylar process to the medial epicondyle. Both structures have been associated with neurovascular bundle compression on the distal third of the arm, as the median and ulnar nerves and the brachial and ulnar arteries may pass through the osteofibrous canal that these variants create. The SciElo, Pubmed, Scopus, TRIP, MEDLINE, COCHRANE and ScienceDirect databases were searched with the term “supracondylar process” or “supracondyloid process” with the purpose of performing a meta-analysis of this bony spur. Heterogeneity between studies was evaluated using I2 estimation and the Cochran Q statistic test. A random effect model was used for all analysis. A total of twenty articles (26.415 humeri) were included in this meta-analysis. The pooled prevalence of the supracondylar process was 0.68 % (95 % Confidence Interval: 0.47 % to 0.92 %). This variant was more commonly found in women than in men (statistically significant difference) and more commonly found on the left side than the right. The presence of the supracondylar process alone may induce neurovascular bundle compression. It can also be injured in traumatic or stress fractures. Knowledge of this variation and its prevalence may reduce misdiagnosis in radiographic images.
author Martin-Schütz,Guilherm Otto
Arcoverde,Mauricio
Barros,Gustavo dos Reis
Babinski,Marcio Antonio
Manaia,Jorge Henrique Martins
Silva,Celso Ricardo Corrêa de Mello
Chagas,Carlos Alberto Araujo
Pires,Lucas Alves Sarmento
author_facet Martin-Schütz,Guilherm Otto
Arcoverde,Mauricio
Barros,Gustavo dos Reis
Babinski,Marcio Antonio
Manaia,Jorge Henrique Martins
Silva,Celso Ricardo Corrêa de Mello
Chagas,Carlos Alberto Araujo
Pires,Lucas Alves Sarmento
author_sort Martin-Schütz,Guilherm Otto
title A Meta-Analysis of the Supracondylar Process of the Humerus with Clinical and Surgical Applications to Orthopedics
title_short A Meta-Analysis of the Supracondylar Process of the Humerus with Clinical and Surgical Applications to Orthopedics
title_full A Meta-Analysis of the Supracondylar Process of the Humerus with Clinical and Surgical Applications to Orthopedics
title_fullStr A Meta-Analysis of the Supracondylar Process of the Humerus with Clinical and Surgical Applications to Orthopedics
title_full_unstemmed A Meta-Analysis of the Supracondylar Process of the Humerus with Clinical and Surgical Applications to Orthopedics
title_sort meta-analysis of the supracondylar process of the humerus with clinical and surgical applications to orthopedics
publisher Sociedad Chilena de Anatomía
publishDate 2019
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022019000100043
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