Shoulder
Shoulder
Shoulder
Osteology Osteology
Osteology
Osteology
1
Scapulo-Thoracic “Jt.” Arthrology
z Scapulo-thoracic Jt.
z Movements
z Scapula
• Elevation
• Depression
• Abduction
• Adduction
• Upward rotation
• Downward rotation
• Protraction
• Retraction
Sterno-Clavicular Jt.
Sterno-Clavicular Jt.
Arthrology Arthrology
z Sterno-clavicular z Costo-clavicular
z Jt. Surfaces/Type z Joint Surfaces/Connections/Type
z Capsule/Ligaments z Capsule/Ligaments
z Movements
• Elevation
• Depression
• Anterior/posterior rotation
• A-P Glide
2
Costo-Clavicular Joint Arthrology
z Coraco-clavicular
z Joint Surfaces/Type
z Capsule/Ligaments
3
Coraco-Acromial Joint Gleno-Humeral Arthrology
z Gleno-Humeral
z Joint Surfaces/Type
z Capsule/Ligaments
z Movements
z Osteokinematic
• Flex/ext.
• Abd/Add
• Int./Ext. rotation
4
Gleno-Humeral Joint Gleno-Humeral Joint
Myology
Myology
z Superficial Muscles of the Back
• Trapezius
• Latissimus Dorsi
• Rhomboids
• Levator Scapulae
Myology
Myology
5
Myology Myology
Interlude
Myology
z Muscles connecting scapula to humerus
• Teres Major
• Rotator Cuff
• Supraspinatus
• Infraspinatus
• Teres Minor
• Subscapularis
• Deltoid
Myology Myology
6
Myology
Myology
Myology Myology
z Anterior Muscles
• Serratus Anterior
• Pec. Major
• Pec. Minor
• Coracobrachialis
Myology
Myology
7
Myology
Myology
Brachial Plexus
Brachial Plexus
8
BP Continued
Brachial Plexus
Brachial Plexus
Brachial Plexus
9
Radial Nerve Radial Cutaneous
10
Blood Supply
Blood Supply
z Subclavian aa
• Dorsal Scapular
• Suprascapular
• Internal Thoracic
11
Blood Supply
Blood Supply
z 3rd Portion
• Subscapular
• Thoracodorsal
• Scapular Circumflex
• Anterior humeral circumflex
• Posterior humeral circumflex
Major Veins
Anastomoses
12
Lymphatics
13