[Scapular crest. Anatomical and harvesting technique]

Area of Science:

• Orthopedic Surgery
• Bone Grafting Techniques
• Anatomy

Context:

• The scapular crest pedicle bone graft has demonstrated clinical value over the past decade.
• Its unique properties differentiate it from other scapular bone sources.
• Understanding its specific anatomy and vascularization is crucial.

Purpose:

• To compare the scapular crest bone graft to cortico-diaphyseal bone.
• To describe the vascularization of the centromedullary space within the scapular crest.
• To detail the anatomical features, including the cartilaginous apophysis in children.
• To outline the harvesting difficulties associated with its vascular and muscular characteristics.

Summary:

• The scapular crest bone graft offers established clinical benefits.
• Its distinct properties and vascular supply require specialized consideration.
• The inferior portion presents unique anatomical features, particularly in pediatric patients.
• This paper details the challenges encountered during graft harvesting.

Impact:

• Provides critical anatomical and surgical insights for orthopedic surgeons.
• Informs best practices for utilizing scapular crest bone grafts.
• Highlights potential complications and difficulties in harvesting.
• Contributes to the understanding of bone graft versatility and application.