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Questions and Answers
What is the primary function of the subacromial bursa?
What is the primary function of the subacromial bursa?
Which muscles are primarily responsible for shoulder abduction above 90 degrees?
Which muscles are primarily responsible for shoulder abduction above 90 degrees?
Which condition is characterized by pain during abduction of the arm between 50-130 degrees?
Which condition is characterized by pain during abduction of the arm between 50-130 degrees?
Which nerve is NOT involved in the innervation of the glenohumeral joint?
Which nerve is NOT involved in the innervation of the glenohumeral joint?
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What condition is most directly caused by tendons rubbing under the coracoacromial arch?
What condition is most directly caused by tendons rubbing under the coracoacromial arch?
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Which ligament prevents upper displacement of the humerus?
Which ligament prevents upper displacement of the humerus?
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What structure separates the tendon of the supraspinatus muscle from the coracoacromial arch?
What structure separates the tendon of the supraspinatus muscle from the coracoacromial arch?
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Which extracapsular ligament holds the tendon of the long head of the biceps in place?
Which extracapsular ligament holds the tendon of the long head of the biceps in place?
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What function does the subscapular bursa serve?
What function does the subscapular bursa serve?
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Which ligament connects the base of the coracoid process to the anterior part of the greater tubercle of the humerus?
Which ligament connects the base of the coracoid process to the anterior part of the greater tubercle of the humerus?
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What type of joint is the shoulder joint classified as?
What type of joint is the shoulder joint classified as?
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What contributes to the instability of the glenohumeral joint?
What contributes to the instability of the glenohumeral joint?
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Which structure deepens the glenoid cavity of the scapula?
Which structure deepens the glenoid cavity of the scapula?
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What type of capsule surrounds the shoulder joint?
What type of capsule surrounds the shoulder joint?
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Which ligaments provide support to the shoulder joint anteriorly?
Which ligaments provide support to the shoulder joint anteriorly?
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What is the function of the subscapular bursa in the shoulder joint?
What is the function of the subscapular bursa in the shoulder joint?
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Which tendon passes through the joint outside the synovial membrane?
Which tendon passes through the joint outside the synovial membrane?
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What separates the tendon of the subscapularis from other structures in the shoulder?
What separates the tendon of the subscapularis from other structures in the shoulder?
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What condition can result from the painful arc/impingement syndrome during arm abduction?
What condition can result from the painful arc/impingement syndrome during arm abduction?
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What anatomical feature increases the likelihood of supraspinatus tendon impingement?
What anatomical feature increases the likelihood of supraspinatus tendon impingement?
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Why is the inferior aspect of the glenohumeral joint particularly vulnerable to dislocation?
Why is the inferior aspect of the glenohumeral joint particularly vulnerable to dislocation?
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Which tendon, when injured, can lead to paralysis of the deltoid muscle and loss of shoulder abduction?
Which tendon, when injured, can lead to paralysis of the deltoid muscle and loss of shoulder abduction?
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What describes a common cause of rotator cuff injuries in older adults?
What describes a common cause of rotator cuff injuries in older adults?
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Which ligament provides superior stability to the shoulder joint?
Which ligament provides superior stability to the shoulder joint?
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What is a consequence of a poorly healed rotator cuff tear?
What is a consequence of a poorly healed rotator cuff tear?
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Which area indicates loss of sensation due to axillary nerve injury?
Which area indicates loss of sensation due to axillary nerve injury?
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Flashcards
Shoulder Joint
Shoulder Joint
The shoulder joint, also known as the glenohumeral joint, is formed by the articulation of the glenoid cavity of the scapula and the head of the humerus. It's classified as a ball-and-socket synovial joint, allowing for a wide range of movements in various planes.
Glenoid Cavity
Glenoid Cavity
The glenoid cavity is a shallow socket on the scapula that receives the head of the humerus. It is deepened by a rim of fibrocartilage called the glenoid labrum.
Shoulder Joint Capsule
Shoulder Joint Capsule
The fibrous capsule, a tough membrane, encloses the shoulder joint, attaching to the glenoid labrum, scapula, and humerus. It helps stabilize the joint and allows for a wide range of motions.
Glenohumeral Ligaments
Glenohumeral Ligaments
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Rotator Cuff Muscles
Rotator Cuff Muscles
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Subscapular Bursa
Subscapular Bursa
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Coracohumeral Ligament
Coracohumeral Ligament
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Long Head of Biceps Brachii Tendon
Long Head of Biceps Brachii Tendon
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Coracoacromial ligament
Coracoacromial ligament
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Subacromial bursa
Subacromial bursa
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Rotator Cuff
Rotator Cuff
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Bicipital groove
Bicipital groove
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Subacromial Bursitis
Subacromial Bursitis
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Abduction of the Arm
Abduction of the Arm
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Rotator Cuff Problems
Rotator Cuff Problems
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Rotator Cuff Tendinitis Leading to Bursitis
Rotator Cuff Tendinitis Leading to Bursitis
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Rotator Cuff Injuries
Rotator Cuff Injuries
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Impingement Syndrome
Impingement Syndrome
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Why Are Rotator Cuff Injuries Common in Athletes & Workers?
Why Are Rotator Cuff Injuries Common in Athletes & Workers?
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Inferior Glenohumeral Joint Dislocation
Inferior Glenohumeral Joint Dislocation
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Axillary Nerve Injury
Axillary Nerve Injury
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Shoulder Joint Stability
Shoulder Joint Stability
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Glenoid Labrum
Glenoid Labrum
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Study Notes
Shoulder Joint Overview
- The shoulder joint, also known as the glenohumeral joint, is a ball-and-socket synovial joint formed between the glenoid cavity of the scapula and the head of the humerus.
- This structure allows for a wide range of movements in multiple planes.
- Bone structure and movement range influence the joint's stability.
- Shoulder movement occurs at both the glenohumeral and scapulothoracic joints.
Joint Structure and Stability
- The joint is lined with synovium and enclosed in a fibrous capsule.
- The glenoid cavity is deepened by a glenoid labrum, a rim of fibrocartilage, but despite this, the glenohumeral joint remains relatively unstable.
- Instability arises due to the shallowness of the glenohumeral joint and the disproportion of the articular surfaces.
- Stability is maintained by the capsule, various ligaments, and the rotator cuff muscles.
Capsule Structure
- The capsule is attached to the glenoid labrum, the scapula, and the anatomical head of the humerus.
- It bridges the intertubercular groove of the humerus and extends medially to the surgical neck of the humerus.
- The capsule is tough but relatively lax to facilitate a broad range of movement.
- Thickening of the capsule occurs in regions where it attaches to three glenohumeral ligaments and a coracohumeral ligament.
Bursae of the Shoulder
- Subscapular bursa facilitates the movement of the subscapularis tendon over the scapula.
- A bursa is a fluid-filled sac that reduces friction between articulating surfaces, reducing friction between the tendon and the surrounding structures (e.g., scapula).
- The subscapular bursa connects to the synovium and the joint cavity, making movement smooth.
- Subacromial bursa facilitates the movement of the supraspinatus tendon under the coracoacromial arch and over the deltoid muscle.
- Inflammation of the bursa can result in subacromial bursitis, causing pain during arm abduction.
Ligaments of the Shoulder
- Intracapsular ligaments: Three fibrous bands between the glenoid labrum and the humerus. These support the anterior capsule, including the superior, middle, and inferior glenohumeral ligaments.
- Extracapsular ligaments:
- Coracoacromial ligament links the acromion and coracoid process
- Coracohumeral ligaments connect the coracoid process to the greater tubercle of the humerus.
- Transverse humeral ligament holds the tendon of the long head of the biceps in place during movement.
Coraco Acromial Arch
- The coracoacromial arch is a strong osseoligamentous structure that provides a smooth undersurface over the acromion.
- The coracoacromial ligament and coracoid process form this arch.
- The arch overhangs the humeral head, preventing superior displacement of the humerus.
- Within this space, there's a subacromial bursa and other rotator cuff tendons.
Movements of the Shoulder
- Flexion: Primarily by the pectoralis major, anterior deltoid, coracobrachialis, and biceps brachii.
- Extension: Primarily by the latissimus dorsi and posterior deltoid.
- Abduction: Begins with the supraspinatus (15-20 degrees), then central deltoid (20-90 degrees), and finally scapula rotation by the trapezius and serratus anterior (above 90 degrees).
Neurovascular Supply
- Blood supply via the anterior and posterior circumflex humeral arteries and the suprascapular artery.
- Innervation by the suprascapular, axillary, and lateral pectoral nerves which originate from the brachial plexus (C5-C6).
- Injuries to the brachial plexus can affect shoulder movement.
Clinical Applications
- Axillary nerves and circumflex artery are vulnerable during intramuscular injections and shoulder dislocations.
- Rotator cuff problems include tendon rubbing under the coraco-acromial arch and inflammation or wear of tendons.
- Chronic inflammation can lead to problems like impingement syndrome, occurring between 70–120 degrees of abduction.
Shoulder Disorders
- Rotator cuff problems: Tendon rubbing under the coraco-acromial arch causes irritation and inflammation; this can lead to bursitis, supraspinatus tendonitis, rotator cuff injury, and degeneration or rupture of the tendons.
- Dislocation: The inferior aspect of the glenohumeral joint is the least protected, thus inferior displacement is common.
- Axillary nerve injury: Injured during dislocation or intramuscular injections. Symptoms include deltoid paralysis, loss of abduction, and sensory loss.
- Frozen shoulder: Adhesive fibrosis and scarring between the inflamed capsule, rotator cuff, subacromial bursa, and the deltoid. Often causes difficulty in abducting the arm.
- Glenoid labrum tears: Common in athletes or those with shoulder instability or partial dislocation (subluxation) marked by pain and popping/snapping sensations.
- Osteoarthritis: A less common cause due to degenerative changes in articular cartilage. Usually secondary to trauma, including previous dislocations, humeral head fractures, or large rotator cuff tendon tears.
Stability
- Tendons of the rotator cuff (anterior, posterior, superior) provide stability
- Glenohumeral intracapsular ligaments (anterior, inferior) provide stability
- Coracohumeral ligaments (superior)
- Coracoacromial arch (superior)
- Deepening of the glenoid cavity by the glenoid labrum
- Splinting effect of the long head of the biceps and triceps.
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Description
Test your knowledge of shoulder anatomy and its functions with this quiz. Explore key structures, ligaments, and conditions associated with the shoulder joint. Perfect for students of anatomy or anyone interested in human biomechanics.