ANATOMY OF THE SHOULDER JOINT DR.R.CHITRA., MD,DNB PROFESSOR & HOD OF ANATOMY SIDDHARTHA MEDICAL COLLEGE VIJAYAWADA
SHOULDER JOINT-multiaxial spheroidal joint
Differences between two limb girdles? SHOULDER JOINT
SHOULDER JOINT PECTORAL GIRDLE 1)Dermal and endochordal 2)Two principal components, clavicle and scapula remain separate 3)No articulation with the vertebral column 4)No direct ventral articulation PELVIC GIDLE 1)Entirely endochordal 2)Three components fuse into a single bone 3)Articulates with sacral vertebrae 4)Direct ventral articulation at pubis
SHOULDER JOINT PECTORAL GIRDLE 5)Shallow joint with limb allowing wide range of movement PELVIC GIRDLE 5)Deep joint with limb limiting range of movement
SHOULDER -BONES Deepened by glenoidal labrum Covered by hyaline articular cartilage
SHOULDER JOINT-LIGAMENTS Capsule is so lax that the bones can be distracted for 2 to 3 cm
SHOULDER JOINT-ROTATOR CUFF
SHOULDER JOINT-LIGAMENTS Capsule has two to three openings: an anterior, below the coracoid process and another between the tubercles-long tendon of biceps and its synovial sheath
SHOULDER JOINT-LIGAMENTS Anteriorly: three gleno humeral ligaments-superior, middle and inferior
SHOULDER JOINT-TRANSVERSE HUMERAL LIGAMENT
SHOULDER JOINT-DELTOID RELATION
SHOULDER JOINT-RELATIONS
SHOULDER JOINT-BURSAE
Anterior and posterior circumflex humeral, suprascapular and circumflex scapular vessels Suprascapular, axillary and the lateral pectoral nerves SHOULDER JOINT-VESSELS AND NERVES
https://youtu.be/X4ozqdbAp-E?si=J6lA4lXIjczGrrAt
SHOULDER JOINT-PECTORALIS MAJOR
SHOULDER JOINT-LATISSIMUS DORSI
SHOULDER REGION-TERES MAJOR
Flexion-Pectoralis major, Deltoid, coracobrachialis assisted by biceps Extension-Deltoid and Teres major Abduction-Deltoid, SCAPULOHUMERAL RHYTHM Medial rotation-PM, deltoid, LD, TM, Subscapulais Lateral rotation- infraspinatus, deltoid. TM SHOULDER JOINT-MOVEMENTS