SHOULDER ANATOMY
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Transcript of SHOULDER ANATOMY
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SHOULDER ANATOMY
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BONY ANATOMY
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Humerus
• proximal end articulates with scapula to from shoulder
• distal end articulates with bones of the forearm to form elbow
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Scapula• the shoulder blade
Glenoid fossa has ring of cartilage called labrum to deepen the articular surface
• the glenoid fossa of the scapula articulates with the humerus to form the glenohumeral joint (shoulder)
• the acromion process articulates with the clavicle to from the acromioclavicular joint (tip of the shoulder)
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Clavicle
• distally articulates with the acromion process to form the AC joint
• Proximally articulates with the sternum to form SC joint
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Review of Joints• Glenoid fossa+humerus=glenohumeral joint (GH)
(scapula)• Acromion process + clavicle =acromioclavicular
(scapula) (AC)• Sternum + clavicle=sternoclavicular (SC)• Scapula+rib cage= scapulothoracic articulation
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MUSCLATURE
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Trapezius• large, triangular muscle
• starts at base of skull, runs out to tip of shoulder and down to the 12th thoracic vertebrae
• functions to shrug and square the shoulders
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Rhomboids• group of two muscles that run diagonally from the spine to the medial border of the scapula
• they function to retract the scapula
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Latissimus Dorsi• the “lats”
• gives wing like appearance to sides
• starts along the thoracic vertebrae of back and inserts on the anterior aspect of humerus
• functions extend , adduct and medially rotate the arm
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Pectoralis Major• the chest muscle
• originates along the sternum and clavicle, inserts on the humerus
• it functions to:
~ adduct
~ flex
~medially rotate
the arm.
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Deltoid• the muslce that gives contour to the shoulder
• originates along the spine of the scapula and clavicle, inserts on the humerus
• all fibers abduct the arm
• anterior fibers: flex and medially rotate arm
• posterior fibers: extend and laterally rotate arm
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Biceps• the “popeye” muscle
• on anterior aspect of arm
• crosses both the shoulder and elbow
• flexes the arm
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Triceps• on the posterior aspect of the arm
• crosses both the shoulder and elbow
• extends the arm
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Rotator Cuff• Group of four muscles
that act to hold the head of the humerus into the glenoid fossa– Supraspinatus– Infraspinatus– Teres Minor– Subscapularis
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Rotator Cuff cont.
• Supraspinatus: 1st 10 degrees of abduction• Infraspinatus: external rotation• Teres minor: external rotation• Subscapularis: internal rotation
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** Note that there are no muscles on the inferior aspect of the shoulder!! This will be important when we talk about shoulder injuries
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Labrum• Ring of cartilage similar to the menisci of
the knee. • Deepens the articular surface of the genoid
fossa and adds to the stability of the shoulder