Shoulder primary structures Flashcards
This ligament forms a roof over the humeral head and helps to
- limit superior translation of the humeral head
- prevent separation of the AC jt
coracoacromial ligament
This ligament surrounds the AC jt on all sides and helps to control horizontal movements of the clavicle
acromioclavicular ligament
This ligament acts as the primary support of the AC joint, limiting superior translation of the clavicle
coracoclavicular ligament
The coracoclavicular ligament consists of:
- conoid ligament
- trapezoid ligament
This ligament helps to unite the supraspinatus and subscapularis tendons and limits inferior translation of the humeral head
coracohumeral ligament
This ligament attaches between the medial portion of the clavicle and the first rib and is the primary supporting ligament for the SC jt
costoclavicular ligament
This ligament limits shoulder adduction as well as ER with shoulder in 0-45˚ abduction
superior glenohumeral ligament
This ligament limits shoulder ER in 45-90˚abduction
middle glenohumeral ligament
This ligament has an anterior and posterior band that limits ER/IR above 90˚ abduction. Between the two bands is an axillary pouch that limits inferior translation when the shoulder is above 90˚ abduction
interior glenohumeral ligament
This consists of a dense fibrous connective tissue that is often damaged with recurrent shoulder instability
glenoid labrum
From where does the joint capsule arise?
arises from the glenoid fossa and glenoid labrum to blend with the RC muscles
The joint capsule is twice as large as the size of the humeral head and is reinforced by the
- GH ligaments
- coracohumeral ligament
What is the rotator interval?
space in the anterosuperior shoulder that consists of and is bordered by
- coracohumeral ligament
- superior GH ligament
- jt capsule
- supraspinatus/subscapularis tendons
Where is the subacromial bursa located?
- over supraspinatus tendon/distal mm belly
- under acromion and deltoid
This bursa overlies the anterior jt capsule and lies beneath the subscapularis muscle
Anterior shoulder fullness may indicate articular effusion 2/2 distention of the bursa
subscapular bursa