Gross anatomical study of the inferior transverse scapular ligament was carried out in 119 cadaveric shoulders. The ligament was present in 116 shoulders (97.5%) and absent in 3 shoulders (2.5%). Thickness of the inferior transverse scapular ligament was various and was classified by its appearance in four groups: absent, thin membranous, fascia-like thick membranous or thick ligamentous band. A thin membranous ligament was seen in 31 shoulders (26%), a fascia-like ligament in 46 shoulders (38.7%), a thick membranous ligament in 14 shoulders (11.8%) and a thick ligamentous band in 25 shoulders (21%), respectively. The space under the ligament also varied.