Mukadder Sunar’s research while affiliated with Erzincan University and other places

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Publications (5)


Geometric features of the trapezoid line on the clavicle, (A) Trapezoid type, (B) Ellipsoid type, (C) Triangle type
Anatomical types of the trapezoid line (attachment site of the trapezoid ligament on the clavicle), (A) Fovea type, (B) Linea type, (C) Tuberosity type, (D) Tubercle type
Anatomical types of the conoid tubercle (attachment site of the conoid ligament on the clavicle), (A) Crest type, (B) Spine type, (C) İmpression type, (D) Adhesion type, (E) Tubercle type, (F) Tuberosity type
Inferior view of the right clavicle (The coracoclavicular ligaments attachment sites), CL: clavicular length, (a) width of the acromial end, (b) distance from the lateral end of the trapezoid ligament attachment site to the acromial end of the clavicle, (c) distance from the medial end of the trapezoid ligament attachment site to the posterior margin of the clavicle, (d) distance from the medial end of the trapezoid ligament attachment site to the anterior margin of the clavicle, (e) distance from the widest point of the trapezoid ligament attachment site the anterior margin of the clavicle, (f) distance from the lateral end of the trapezoid ligament attachment site to the anterior margin of the clavicle, (g) distance from the widest point of the trapezoid ligament attachment site the acromial end of the clavicle, (A) sagittal dimension (or width) of the trapezoid ligament attachment site, (B) transvers dimension (or length) of the trapezoid ligament attachment site, TA: attachment site of the trapezoid ligament (red circle), (h) distance from the lateral end of conoid ligament attachment site to the acromial end of the clavicle, (i) distance from the widest point of the conoid ligament attachment site the acromial end of the clavicle, (C) sagittal dimension (width) of the conoid ligament attachment site, (D) transvers dimension (length) of the conoid ligament attachment site, CA: attachment site of the conoid ligament (purple circle)
A Coracoclavicular (* red) and acromioclavicular (* green) joint facets. B The articulation facets as they articulated in the coracoclavicular (* red) and acromioclavicular joint (* green)
Morphometric features, variability and clinical significance of coracoclavicular tuberosity
  • Article
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February 2025

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29 Reads

Surgical and Radiologic Anatomy

Yalçın Akbulut

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Mukadder Sunar

Purpose The aim of this study was to construct an osteological map of the morphological projection of the coracoclavicular ligament on the clavicle. Methods In this study, 93 dry clavicles without age and sex records were used. The attachment sites of the trapezoid and conoid ligaments were examined structurally and formally. Results The attachment sites of the trapezoid ligament were triangular in 9 clavicles, ellipsoidal in 18 clavicles and trapezoidal in 62 clavicles. The anatomical structures of the attachment sites of the trapezoid ligament were as follows: 57 were tuberosities, 12 were tubercles, 11 were lines, and 9 were fovea. The attachments of the conoid ligament on the clavicle were low in 23 clavicles, moderate in 37 clavicles and high in 29 clavicles. The anatomical structure of the attachment sites of the conoid ligament was as follows: 50 were tubercles, 20 were tuberosities, 8 were adhesions, 6 were crests, 3 were impressions, and 2 were spines. The attachments of the conoid ligament on the clavicle were low in 20 clavicles, moderate in 50 clavicles, and high in 19 clavicles. The prevalence of the coracoclavicular joint was 6% in this study. Conclusion In conclusion, we believe that this study provides guidance for clinicians by revealing the osteological traces of the components of the coracoclavicular ligament or the coracoclavicular joint on the clavicle.

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Number and localisation of nutrient foramen on clavicle and its relationship with other clavicle parameters

August 2024

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17 Reads

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Yalçın Akbulut

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Büşra Emir

BACKGROUND: Nutrient foramen (NF) is a hole in the long bones that allows the passage of the nutrient artery. The vasculature of the bone is very important for fracture healing and vascularised bone grafting. Therefore, information about the location and number of NFs is important for surgical and clinical practice. The clavicle is the most commonly fractured bone. The aim of this study was to analyse the relationship between the location and number of NFs on the clavicle and other clavicle parameters. MATERIALS AND METHODS: This study was performed on 86 dry clavicles of contemporary adult individuals without age and gender records. Some clavicle parameters and NF parameters were measured and the relationship between them was analysed. Measurements were performed using a digital caliper. RESULTS: Most of the clavicles had a single NF. There was a positive correlation between DFant/DFpost (distance between NF and anterior border/distance between NF and posterior border) and vertical thickness of sternal end (VTs), vertical thickness of thinnest point (VTt) and clavicular thinnest point index (CIt) in all cases (p < 0.05). Sagittal thickness of acromial end (STa), vertical thickness of clavicle (VTc), sagittal thickness of clavicle (STc), and sagittal thickness of thinnest point (STt) were associated with NF counts. The most common localisation of NFs was type 2. The NFs were mostly located in the inferior position. CONCLUSIONS: Relationships between the number and morphometric characteristics of NFs and some clavicle parameters were determined. We suggest that knowledge of the number and morphometric characteristics of NFs is important for the protection of the nutrient artery in orthopaedic surgery applications.


Figure 1
The morphometric features, variability and clinical significance of the coracoclavicular tuberosity (trapezoid line and conoid tubercle)

May 2024

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33 Reads

Purpose: The coracoclavicular ligament attaches to the coracoclavicular tuberosity, and consists of the conoid and trapezoid ligaments. It plays an important role in the stability of the acromioclavicular joint. In addition, it is clinically important that the little-known coracoclavicular joint causes shoulder pain and upper extremity paresthesias. The aim of this study was to create an osteologic map of the morphologic projection of the coracoclavicular ligament or joint components on the clavicle. Methods: In this study, 93 dry clavicles without age and sex records were used. The attachment sites of the trapezoid and conoid ligaments, which form the coracoclavicular ligament, were examined structurally and formally. Results: The attachment sites of the trapezoid ligament were found to be triangular in 9 clavicles, ellipsoidal in 18 clavicles and trapezoid in 62 clavicles. Anatomical structure of the attachment sites of the trapezoid ligament; 57 were tuberosities, 12 were tubercles, 11 were line and 9 were fovea. The attachments of the conoid ligament on the clavicle were found to be 23 weak, 37 moderate and 29 strong. Anatomical structure of the attachment sites of the conoid ligament; 50 were tubercle, 20 were tuberosity, 8 were massa, 6 were crista, 3 were impressio and 2 were spina. The attachments of the conoid ligament on the clavicle were found to be 20 weak, 50 moderate and 19 strong. The incidence of coracocalavicular joint was 6% in this study. Conclusion: In conclusion, this study provides an osteologic map of the morphologic projections of the components of the coracoclavicular ligament or joint in the clavicle. It was thought that the results of this study could shed light on surgeons in orthopedic surgery and clinicians in the field of physical therapy.


The investigation of the number and localization of the foramen nutricium on the clavicle and its relationship with other clavicular parameters

October 2023

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84 Reads

Purpose The aim of this study was to analyze the relationship between the location and number of foramen nutricium (FN) on the clavicle and other clavicular parameters. Methods This study was performed on 86 dry clavicles (46 left, 40 right). Morphometric measurements were measured with a digital caliper. Results The most of the bones had a single FN. There was no FN on 3 bones, and there were 4 FN on 2 bones. The right-left side differences in the sagittal and vertical thickness of the sternal end (STs and VTs, respectively), the distance of the FN to the sternal end and the posterior edge (DFS and DFpost, respectively) and the foraminal index (FI) were statistically significant. There was a positive correlation between some FN parameters and clavicular parameters. FN was mostly located in Type 2 and was mostly located in the inferior face. The bones without FN were longer and thicker. The vertical and sagittal thickness of the thinnest point of the clavicle was greater in bones with 4 FN. Conclusion It was observed that there was a relationship between the number and location of the FN and its morphometric features, and many clavicular parameters. Knowing the location of the FN on the clavicle is important for protecting the nutrient artery in orthopedic surgery applications.


Fig 2. 1.cervical vertebrae (atlas). FT: Foramen transversarium, AFT: Accessory foramen transversarium, IAFT: Incomplete accessory foramen transversarium, FA: Foramen arcuate
Morphometric Analysis and Incidence of Accessory Foramen Transversarium in a Population in Eastern Turkey

September 2023

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102 Reads

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2 Citations

International Journal of Medical Science and Clinical Research Studies

The aim of this study is to reveal the incidence and morphometric features of the accessory foramen transversarium in the population in eastern Turkey. In the study, a total of 125 cervical vertebrae of unknown gender and age, located in the Anatomy Department of Ataturk, Erzincan Binali Yıldırım and Kafkas University Medical Faculties, were used and accessory foramen transversarium was detected in 22 (17.6 %) of these cervical vertebrae. In this study, the area, vertical and horizontal diameters of the accessory foramen transversarium were measured for the first time. It was determined that the accessory foramen transversarium with the largest area was in C3-C6 (6.8 mm2) and the smallest area was in C7 (1.06 mm2). It was determined that the largest vertical diameter was C7 (2.38 mm), the smallest one was C3-C6 (0.91 mm), the largest horizontal diameter (3.66 mm), and the smallest (1.6 mm) were C3-C6. In addition, accessory foramen transversariums were typified. One foramen arcuate was also detected during the examinations. As a result, osteometric measurements of the accessory foramen transversarium were revealed. We think that these data will be an important reference in head and neck surgery, in the clinical approach of a. vertebralis, and in the evaluations of radiologists in the neck region.

Citations (1)


... We also reported that cervical vertebrae with incomplete accessory FT ( Figure 4) were observed in 2% of the samples, and asymmetrical FT of both sides ( Figure 5) was observed in six bone samples ( Table 5). Anatomical studies focusing on the incidence of accessory foramina in different populations have provided valuable insights into the prevalence of these variations and their clinical implications [10]. The identification of the accessory foramina and the morphometric analysis of the FT contribute to a better understanding of the anatomical diversity of the cervical vertebrae [11]. ...

Reference:

Unveiling Morphological Diversity: An Anatomical Investigation of the Foramen Transversarium in the Cervical Vertebrae
Morphometric Analysis and Incidence of Accessory Foramen Transversarium in a Population in Eastern Turkey

International Journal of Medical Science and Clinical Research Studies