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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Sociedad Chilena de Anatomía
2019
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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 |
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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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