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Shoulder and Scapular Region
Shoulder and Scapular Region
55
Medical
Graduate
08/23/2010

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Term
Clavicle
Definition
Suspends the scapula and the free limb. Allows for maximum freedom of motion.

Sternal end connects to the manubrium of the sternum at the stemoclavicular joint.

Acromial end connects to the acromium of the scapula at the acromioclavicular joint.
Term
Impression for costoclavicular ligament
Definition
Attachment point for strong ligaments.

Binds the inferior surface of the clavicle to the 1st rib.
Term
Subclavian groove
Definition
In the medial third of the shaft of the clavicle.

Attachment site for the subclavius muscle.
Term
Conoid tubercle
Definition
Near the acromial end of the clavicle.

Gives attachment to the conoid ligament, the medial part of the coracoclavicular ligament by which the remainder of the upper limb is passively suspended from the clavicle.
Term
Scapula
Definition
Triangular flat bone of the posterolateral aspect of the thorax

Connects to the clavicle at the acromioclavicular joint and to the humerus at the glenohumeral joint
Term
Subscapular fossa
Definition
costal (or anterior) surface of the scapula
Term
Spine of scapula
Definition
Thick projecting ridge of bone located superiorly on the posterior surface of the scapula

Divides the small supraspinous fossa and the much larger infraspinous fossa.
Term
Supraspinous fossa
Definition
The small, posterior surface of the scapula, superior to the infraspinous fossa
Term
Infraspinous fossa
Definition
Large, posterior surface of the scapula.

Located inferior to the supraspinous fossa.
Term
Acromion
Definition
Lateral portion of the spine of scapula.

Forms the subcutaneous point of the shoulder.

Atriculates with the acromial end of the clavicle.
Term
Medial margin
Definition
Also called the vetebral margin

Medial border of the scapula
Term
Lateral margin
Definition
Also called the axillary margin

Lateral border of the scapula.
Term
Superior margin
Definition
Superior border of the scapula.

Located anterior to the spine of scapula

Lateral third has scapular notch
Term
Scapular notch
Definition
Notch at the junction of the medial two thirds and lateral one thirds of the superior margin of the scapula.

Bridged by superior transverse scapular ligament.
Term
Glenoid cavity
Definition
Cavity on the lateral surface of the scapula (located superolaterally).

Receives and atriculates with the head of the humerus at the glenohumeral joint.
Term
Infraglenoid tubercle
Definition
Lateral surface of the scapula located inferior to the glenoid cavity
Term
Supraglenoid tubercle
Definition
Lateral surface of the scapula, located superior to the glenoid cavity.
Term
Neck of Scapula
Definition
Also called collum

Shallow constriction between the body and the head of the posterior surface of the scapula.
Term
Coracoid process
Definition
Located superolaterally to the glenoid cavity. Attachment site of three muscles.
Term
Head of humerus
Definition
Spherical protrusion that articulates with the glenoid cavity at the glenohumeral joint.
Term
Anatomical neck
Definition
Formed by the grove that circumscribes the head of humerus.

Separates the head from the greater and lesser tubercle.

Indicates line of attachment of the glenohumeral joint capsule.
Term
Surgical neck
Definition
Common site of fracture

Narrow portion distal to the neck and tubercles.
Term
Greater tubercle
Definition
Junction between the head/neck and shaft of the humerus

Located on the lateral margins of the humerus.
Term
Lesser tubercle
Definition
Junction of the head/neck and shaft of the humerus.

Projects anteriorly from the humerus.
Term
Intertubercular sulcus
Definition
Also called the bicipital groove

Separates the tubercles.

Provides protected passage for the slender tendon of the long head of the biceps muscle.
Term
Deltoid tuberosity
Definition
Located on the lateral surface of the humerus.

Attachment site for the deltoid muscle.
Term
Sulcus nervi radialis
Definition
On the posterior surface of the humerus.

Location of the radial nerve and deep artery as they pass anterior to the long head and between the medial and the lateral heads of the triceps brachii muscle.
Term
Medial and lateral supracondylar ridge
Definition
Sharp ridges at the widening of the humeral bone at its distal end.
Term
Condyle of humerus
Definition
Includes the trochlea; capitulum; and the olecranon, coronoid, and radial fossae.
Term
Capitellum
Definition
Also called capitulum

Surface of the condyle located on the lateral side.

Atriculates with the head of the radius
Term
Trochlea
Definition
Surface of the condyle on the medial side.

Atriculates with the proximal end of the ulna.
Term
Olecranon fossa
Definition
On the posterior side of the condyle.

Accommodates the olecranon of the ulna during full extension of the elbow.
Term
Radial fossa
Definition
Superior to the capitulum on the anterior surface of the condyle.

Accommodates the edge of the head of the radius when the forearm is fully flexed.
Term
Coronoid fossa
Definition
Superior to the trochlea on the anterior side of the condyle.

Accommodates the coronoid process of the ulna during full extension of the elbow.
Term
Medial epicondyle
Definition
At the distal-most end of the humerus bone, medial to the condyle.

Site of muscle attachment.
Term
Sulcus nervi ulnaris
Definition
Also called the groove for ulnar nerve

On the posterior surface of the medial epicondyle, allows passage of the ulnar nerve.
Term
Lateral epicondyle
Definition
At the distal-most part of the humerus bone, lateral to the condyle.

Site of muscle attachment.
Term
Clavipectoral fascia
Definition
Descends from the clavicle

Deep layer. Encloses subclavius and pectoralis minor (along with pectoralis fascia).

Becomes continuous with axillary fascia. (lateral to area of discussion).
Term
Costocoracoid membrane
Definition
Part of the clavipectoral fascia that separates the subclavius and pectoralis minor muscles.
Term
Pectoralis major muscle
Definition
Large, fan-shaped muscle that covers the superior part of the thorax.
Term
Clavicular head
Definition
Proximal attachment of the pectoralis major muscle.

Attaches to the anterior surface of the medial half of the clavicle.
Term
Sternocostal head
Definition
Proximal attachment of the pectoralis major muscle.

Attaches to the anterior surface of the sternum, superior six costal cartilages, and external abdominal oblique aponeurosis.
Term
Pectoralis minor muscles
Definition
Lies in the anterior wall of the axilla.

Almost completely covered by pectoralis major.

Attached to the anterior ends of the
3rd-5th ribs near their costal cartilages and the coracoid process of the scapula.

Can assist in deep inspiration.
Term
Subclavius muscle
Definition
From the first rib to the clavicle

Reinforces and anchors clavicle.
Term
Serratus anterior
Definition
Overlies the lateral part of the thorax and forms the medial wall of the axilla.

Attached from ribs 1-8 to costal surface of medial margin of the scapula.
Term
Trapezius muscle
Definition
Runs along the posterior surface.

From the skull to vetebrate T-12. Also to clavicle and scapula.

Elevates, retracts, and depresses scapula

Tilts glenoid upward enabling elevation of arm above the horizontal plane.
Term
Latissiums dorsi muscle
Definition
From lower four ribs, T7-L5, illiac crest, and sacrum to intertubercular sulcus.
Term
Levator scapulae muscle
Definition
From the transverse processes of upper cervical vertebrate to superior angle of scapula.
Term
Rhomboid muscles
Definition
From medial margin of scapula to spinous processes of C6-T4.
Term
Deltoid muscle
Definition
From clavicle and scapula to deltoid tuberosity

Weak Abductor for first 15 degrees.
Term
Teres major muscle
Definition
From lower lateral margin of scapula to crest of lesser tubercle.
Term
Supraspinatus muscle
Definition
Primary muscle for first 15 degrees of abduction

Only nonrotator in rotator cuff muscles (remember SITS)

Suspraspinous fossa of scapula to superior facet of greater tubercle of humerus.
Term
Infraspinatus muscle
Definition
Strong lateral rotator

From Inraspinous fossa of scapula to middle facet of great tubercle of humerus

Remember SITS for rotator cuff muscles
Term
Teres minor muscle
Definition
Synergistic as lateral rotator

Middle part of lateral border of scapula to inferior facet of greater tubercle of humerus
Term
Subscapularis
Definition
Medial rotator

Subscapular fossa of scapula to lesser tubercle of humerus.
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