Final W5 L2 Shoulder Joint
Final W5 L2 Shoulder Joint
Final W5 L2 Shoulder Joint
and joint
Asmaa Ibrahim Ahmed
• Articulating surfaces:
• Medial end of
clavicle
• With clavicular notch
of sternum
Sternoclavicular joint
• Capsule: surrounds the
articular margins & is
lined by synovial
membrane
• 4 Ligaments reinforce
the joint:
1. Anterior sternoclavicular
2. Posterior sternoclavicular
3. Costoclavicular
4. Interclavicular
• Arterial supply:
Internal thoracic
Nerve supply:
• Medial
supraclavicular n & n
to subclavius
2-
Acromioclavicular
joint
2-Acromioclavicular joint
• Type:
• Plane synovial joint
• Articulating
surfaces:
• Facet on medial
surface of acromion
with acromial end
of clavicle
• Capsule:
surrounds the
articular margins
& is lined by
synovial
membrane
• Ligaments of
acromioclavicular
joint:
1. Small acromioclavicular
ligament
2. Large & strong
coracoclavicular ligament
formed of 2 parts:
a) Trapezoid part attached to
trapezoid line of clavicle
b) Conoid part attached to
conoid tubercle of clavicle
• Arterial supply:
• Suprascapular &
thoracoacromial
arteries
• Nerve supply:
• Suprascapular &
lateral
supraclavicular
nerves
Movements of the shoulder
Girdle
• Movements of the
clavicle at the
sternoclavicular and
acromioclavicular
joints are always
associated with
movements of the
scapula
Scapular movements
include
1. Elevationupper fibers of trapezius & levator
scapulae
2. Depressionpectoralis minor & lower digitations of
serratus anterior + gravity
3. Protraction pectoralis minor & serratus anterior
4. Retraction trapezius & rhomboids
5. Rotation upas when u raise the arm above the head
by upper fibers of trapezius & lower digitations of
serratus anterior
6. Rotation down gravity + levator scapulae,
rhomboids & pectoralis minor
Subclavius steadies the clavicle during
movements of shoulder girdle
3 - Shoulder joint
Shoulder joint
Definition:
It’s articulation
between the
head of the
humerus and
glenoid cavity of
the scapula.
Type:
Medially: is
attached to the
glenoid margin
outside the
glenoidal
labrum & the
supra - glenoid
tubercle.
The Fibrous Capsule:
Laterally is
attached to
the
anatomical
neck of the
humerus, but
infero -
medially it
descends on
the surgical
Intracapsular Structures:
1. Labrum
glenoidale:
A fibrocartilagenous ring
attached to the margins
of glenoid cavity to
deepen it.
2.Synovial membrane:
C
It’s intracapsular
S
extrasynovial.
Capsule’s Openings:
Anterior
opening which
communicates
the joint cavity
with the
subscapular
bursa.
Capsule’s Openings:
The second
opening is at the
upper end of the
bicipital groove
for the escape of
the tendon of the
long head of
biceps.
Capsule’s Openings:
Posterior
opening
which
communicates
the joint cavity
with the
infraspinatus
bursa.
Supporting Ligaments Of the Joint: