Case Report on a Supracondylar Process of the Humerus: Morphological and Morphometric analysis

Main Article Content

José Aderval Aragão
https://orcid.org/0000-0002-2300-3330
Marcelo Lucas de Lima Prado
https://orcid.org/0009-0000-2063-4412
Iapunira Catarina Sant’Anna Aragão
https://orcid.org/0000-0002-5298-537X
Felipe Matheus Sant’Anna Aragão
https://orcid.org/0000-0001-9211-7000
Francisco Prado Reis
https://orcid.org/0000-0002-7776-1831
Deise Maria Furtado de Mendonça
https://orcid.org/0000-0001-9166-1995

Abstract

The supracondylar process is a rare anatomical variation characterized by an irregular bone prominence with a variable size. Found in the anteromedial part of the distal region of the humerus, can compress the median nerve and other structures. The aim of this paper was to perform a morphological and morphometric evaluation of this variation in a right dry humerus. Faces, margins, and shape of the process were observed. Measurements was taken from the process and the entire bone. The apex of the process points toward the transition between the trochlea and the humeral capitulum. The bony spicule was 6.24 mm long. The base of the spicule measured 6.80 mm in length and 4.18 mm in width. Longitudinal crests associated with the base of the process and a deep longitudinal depression were observed. The combined longitudinal length of the caudal and cranial crests together was 32.37 mm. The distance from the bone spicule to the medial epicondyle was 65.29 mm. In pathological cases, vascular disturbances, sensory deficits, and decreased muscle strength can be observed. A comprehensive description of this variation is crucial for enhancing current knowledge and awareness in clinical practice, as it aids in accurate diagnosis and treatment.

Article Details

How to Cite
Aragão, J. A., Prado, M. L. de L., Sant’Anna Aragão, I. C., Sant’Anna Aragão, F. M., Reis, F. P., & Mendonça, D. M. F. de. (2024). Case Report on a Supracondylar Process of the Humerus: Morphological and Morphometric analysis. Brazilian Journal of Case Reports, 4(4), 50–56. https://doi.org/10.52600/2763-583X.bjcr.2024.4.4.50-56
Section
Clinical Case Reports
Author Biographies

Marcelo Lucas de Lima Prado, Medical Student, Department of Medicine, Federal University of Sergipe (UFS), Aracaju, SE, Brazil.

Medical Student, Department of Medicine, Federal University of Sergipe (UFS), Aracaju, SE, Brazil.

Iapunira Catarina Sant’Anna Aragão, Medical Clinic Resident of Municipal Hospital Munir Rafful (HMMR), Volta Redonda

Medical Clinic Resident of Municipal Hospital Munir Rafful (HMMR), Volta Redonda, RJ, Brazil

Felipe Matheus Sant’Anna Aragão, Medical Clinic Resident of Faculty of Medicine of São José do Rio Preto (FAMERP)

Medical Clinic Resident of Faculty of Medicine of São José do Rio Preto (FAMERP), São José do Rio Preto, São Paulo, Brazil.

Francisco Prado Reis, Titular Professor, Medical School of Tiradentes University (UNIT)

Titular Professor, Medical School of Tiradentes University (UNIT), Aracaju, SE, Brazil.

Deise Maria Furtado de Mendonça, Associate Professor of Human Anatomy, Department of Morphology, Federal University of Sergipe (UFS).

Associate Professor of Human Anatomy, Department of Morphology, Federal University of Sergipe (UFS).

References

Gamble JG, Krygier JE. Fracture of the Supracondylar Process in a Child: A Case Report and Review of the Literature. JBJS Case Connect. 2019 Dec;9(4):e0396.

May-Miller P, Robinson S, Sharma P, Shahane S. The Supracondylar Process: A Rare Case of Ulnar Nerve Entrapment and Literature Review. J Hand Microsurg. 2019 Oct;11(Suppl 1):S06-S10.

Varlam H, St Antohe D, Chistol RO. Le processus sus-condylien et le foramen sus-trochleen de l'humerus. Etude comparative et anatomo-clinique [Supracondylar process and supratrochlearforamen of the humerus: a case report and a review of the literature]. Morphologie. 2005 Sep;89(286):121-5.

Newman A. The supracondylar process and its fracture. Am J Roentgenol Radium Ther Nucl Med. 1969 Apr;105(4):844-9.

Shivaleela, C., Suresh, B.S., Kumar, G. V., Lakshmiprabha, S. Morphological study of the supracondylar process of the humerus and its clinical implications. J Clin Diagn Res. 2014 Jan;8(1):1-3.

Suresh SS. Fracture of supracondylar process of the humerus. Sultan Qaboos Univ Med J. 2008 Jul;8(2):223-5.

Engber WD, McBeath AA, Cowle AE. The supracondylar process. Clin Orthop Relat Res. 1974 Oct;(104):228-31.

Aydinlioglu A, Cirak B, Akpinar F, Tosun N, Dogan A. Bilateral median nerve compression at the level of Struthers' ligament. Case report. J Neurosurg. 2000 Apr;92(4):693-6.

Adams, B.J., Crabtree, P.J. Comparative Skeletal Anatomy. Humana Press, Totowa, NJ. 2008 https://doi.org/10.1007/978-1-59745-132-1

Kirberger RM, du Plessis WM, Turner PH. Radiologic anatomy of the normal appendicular skeleton of the lion (Panthera leo). Part 1: thoracic limb. J Zoo Wildl Med. 2005 Mar;36(1):21-8.

Makungu M, Groenewald HB, du Plessis WM, Barrows M, Koeppel KN. Thoracic Limb Morphology of the Ring-tailed Lemur (Lemur catta) Evidenced by Gross Osteology and Radiography. Anat Histol Embryol. 2015 Aug;44(4):288-98.

Orellana, Elise R., "Genus Varecia : anatomy, morphology, and pathology". Graduate Research Theses & Dissertations. 3266. 2015. https://huskiecommons.lib.niu.edu/allgraduate-thesesdissertations/3266

Schultz, A.H. Proportions, Variability and Asymmetries of the Long Bones of the Limbs and Clavicles in Man and Apes. 1937 Hum Biol 9, 281–328.

Siqueira RC, Rahal SC, Inamassu LR, Mamprim MJ, Felix M, Castilho MS, Mesquita LR, Ribeiro VL, Teixeira CR, Rassy FB. Osteology and radiology of the Maned Wolf (Chrysocyon brachyurus) pelvic limb. Anat Histol Embryol. 2017 Dec;46(6):572-581.

Sisson, S., Grossman, J.D., Getty, R., 1975. Sisson and Grossman’s the Anatomy of the Domestic Animals, 5th ed. Philadelphia.

van Staden SL. The thoracic limb of the suricate (Suricata suricatta): osteology, radiologic anatomy, and functional mor-phologic changes. J Zoo Wildl Med. 2014 Sep;45(3):476-86.

Miyake J, Kawabata H, Takeuchi M. Rapid growth of supracondylar process: a case report. J Pediatr Orthop B. 2013 Mar;22(2):141-3.

Talha H, Enon B, Chevalier JM, L'Hoste P, Pillet J. Brachial artery entrapment: compression by the supracondylar process. Ann Vasc Surg. 1987 May;1(4):479-82.

Spinner RJ, Lins RE, Jacobson SR, Nunley JA. Fractures of the supracondylar process of the humerus. J Hand Surg Am. 1994 Nov;19(6):1038-41.

Ay S, Bektas U, Yilmaz C, Diren B. An unusual supracondylar process syndrome. J Hand Surg Am. 2002 Sep;27(5):913-5.

Adachi B. Das Arterien system der Japaner. Kyoto: Verlag der Kaiserlich-Japanischen Universitat, Kenyusha Press. 1928.

Terry RJ. A study of the supracondyloid process in the living. Am J Phys Anthropol. 1921; 4: 129-39.

Camerlinck M, Vanhoenacker FM, Kiekens G. Ultrasound demonstration of Struthers' ligament. J Clin Ultrasound. 2010 Nov-Dec;38(9):499-502.

Parkinson CE. The supracondyloid process. Radiology. 1954 Apr;62(4):556-8.

Prabahita B, Pradipta RC, Talukdar KL. A study of supracondylar process of humerus. Journal of Evolution of Medical and Dental Sciences. 2012; 1(5):822.

Gupta RK, Mehta CD. A study of the incidence of supracondylar process of the humerus. J Anat Soc. 2008; 57 (2):111-15.

Natsis K. Supracondylar process of the humerus: study on 375 Caucasian subjects in Cologne, Germany. Clin Anat. 2008 Mar;21(2):138-41.

Martin-Schütz GO, Arcoverde M, Barros G dos R, Babinski MA, Manaia JHM, Silva CRC de M, et al. A Meta-Analysis of the Supracondylar Process of the Humerus with Clinical and Surgical Applications to Orthopedics. International Journal of Morphology 2019;37(1):43–7.

Caetano EB, Sabongi JJ Neto, Vieira LA, Caetano MF, de Bona JE, Simonatto TM. Struthers' Ligament and Supracondylar Humeral Process: An Anatomical Study and Clinical Implications. Acta Ortop Bras. 2017 Jul-Aug;25(4):137-142.

Opanova MI, Atkinson RE. Supracondylar process syndrome: case report and literature review. J Hand Surg Am. 2014 Jun;39(6):1130-5.

Shon HC, Park JK, Kim DS, Kang SW, Kim KJ, Hong SH. Supracondylar process syndrome: two cases of median nerve neu-ropathy due to compression by the ligament of Struthers. J Pain Res. 2018 Apr 16;11:803-807.

Pedret C, Balius R, Alomar X, Vilaró J, Ruiz-Cotorro A, Minoves M. Stress fracture of the supracondylar process of the humerus in a professional tennis player. Clin J Sport Med. 2015 Jan;25(1):e20-2.

Bhatnagar S, Iwanaga J, Dumont AS, Tubbs RS. Lateral Supracondylar Spur Process of the Humerus. Cureus. 2021 Feb 23;13(2):e13514.

Nikumbh, Roopali & Nikumbh, Dhiraj & Doshi, Megha. Morphometric Study of the Supracondylar Process of the Humerus with its Clinical Utility. Int J Anat Res 2016;4(1):1941-1944.

Most read articles by the same author(s)