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LEARNING OBJECTIVES
At the end of the presentation, the student should be able to :
Articular Surfaces:
Spheroidal humeral head,
Concave glenoid cavity.
Coracoacromial arch or
Secondary socket for the head
of humerus.
Glenoid labrum.
LIGAMENTS
CAPSULAR LIGAMENT.
CORACOHUMERAL LIGAMENT.
GLENOHUMERAL LIGAMENT.
TRANSVERSE HUMERAL LIGAMENT.
GLENOID LABRUM.
ARTICULAR CAPSULE OF THE GLENOHUMERAL JOINT
Loose fibrous capsule surrounds the joint.
Attached medially to margin of the glenoid cavity.
Attached laterally to the anatomical neck of the humerus.
Superiorly,encroaches on the root of the coracoid process so that the fibrous capsule
encloses the supraglenoid tubercle & hence attachment of the long head of the biceps
muscle within the joint.
GLENOHUMERAL LIGAMENTS
This ligament is taut during external rotation and plays a small role in the stability of
the shoulder.
This ligament is taut during external rotation and plays a small role in
stability of the shoulder.
This ligament is taut during external rotation, and plays a small role in
stability of the shoulder.
GLENOID LABRUM
Fibrocartilagenous rim which deepens the glenoid cavity.
SHOULDER JOINT
Frequently injured due to anatomical design
– shallowness of glenoid fossa.
– laxity of ligamentous structures.
– anterior or anteroinferior glenohumeral subluxations & dislocations –
common.
– posterior dislocations – rare.
– posterior instability problems somewhat common.
BURSAE
Subacromial bursa(subdeltoid bursa)
Subcapsular bursa, communicates with the joint cavity.
Others related to corachobrachialis, long head of triceps
Take origin from scapula and inserted to greater and lesser tubercles of
humerus.
Their tendons become flattened and blend with each other and the capsule
while crossing the joint.
SUPRASPINATUS
O: Supraspinous fossa.
I: Superior facet on greater tubercle of humerus.
A: Initiates and assists Deltoid in abduction; acts with other
rotator cuff muscles.
N: Suprascapular Nerve.
INFRASPINATUS
TERES MINOR:
SUBSCAPULARIS:
MOVEMENTS:
MUSCLES
• ANTERIOR:
– Pectoralis major
– Corachobrachialis.
– Subscapularis.
• SUPERIOR:
– Deltoid.
– Supraspinatus.
DELTOID MUSCLE:
ANTERIOR FIBERS: Abduction, flexion, horizontal adduction, & internal
rotation
POSTERIOR FIBERS: Abduction, extension, horizontal abduction, &
external rotation
MIDDLE FIBERS: Abduction
CORACOBRACHIALIS MUSCLE:
FLEXION
ADDUCTION
HORIZONTAL ADDUCTION