Infraspinatus and teres minor posteriorly. Shoulder fractures in older patients are often the result of a fall from standing height. Inferiorly where it is attached to the surgical neck of the humerus a finger’s breadth below the articular margin. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. outlined in Table 1 and Figure 6. Acromioclavicular joint decompression; Anterior shoulder decompression : Internervous plane & Applied Anatomy: Internervous plane. The shoulder joint capsule is a fibrous sheath has a very loose articular capsule of the humerus and this can sometimes allow the shoulder to dislocate. See our User Agreement and Privacy Policy. One of the many remarkable features of the normal shoulder is that the glenohumeral joint (the ball and socket joint between the upper arm bone and shoulder blade) is very stable in spite of the vast range of motion available to the joint (see figure 1). Applied anatomy of the shoulder, and . The pectoralis major muscle has attachments to the sternum, clavicle, and. Describe briefly the abduction at shoulder joint. SMS Medical College, Jaipur. The many possibilities are owed to the anatomy involved in allowing your shoul… The glenoidogram also reveals another important aspect of shoulder stability: the slope of the glenoidogram at any point is equal to the tangent of the balance stability angle (which equals the stability ratio) at that point. Together, they help to hold the upper arm bone firmly in the shoulder socket. (rotator cuff muscles do not support the joint inferiorly). Laterally it attached to the anatomical neck of the humerus except. Now customize the name of a clipboard to store your clips. Most shoulder motion occurs at the ball-and-socket glenohumeral joint, but for full motion of the shoulder, the acromioclavicular joint must also be functioning normally. If you continue browsing the site, you agree to the use of cookies on this website. Draw labelled diagram showing the relations of shoulder joint. 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The fibrocartilagenous ring called glenoid labrum deepens the glenoid cavity. Shoulder pain can be due to osteoarthritis, muscle tears, tendonitis, and several other causes. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. But an injury, such as a dislocated shoulder, can lead to shoulder osteoarthritis even in young people. PMR PG Teaching- August 2016 In this condition the rotator cuff is unable to support the glenohumeral joint thereby causing pain in the biceps and the shoulder. Applied anatomy of the shoulder . respectively. The shoulder joint is the most Gross Anatomy. The examiner forward flexes the shoulder and elbow to 90°. APPLIED ANATOMY • Movement of the shoulder is critical to maintain the positioning of the humeral head relative to the glenoid. A positive test result is indicated by pain in the subacromial. True. Of PMR A main reason of this problem are overload, trauma, osteoartchritis or spascity after stroke. To expose the subacromial and subdeltoid spaces ask the patient to internally rotate the shoulder by placing the hand against the back. ANATOMY The shoulder joint is the main joint of the shoulder. Capsule: The capsule is thick and strong but lax. In younger patients, shoulder fractures are often caused by a high energy injury, such as a motor vehicle accident or contact sports injury. Also, scapular movement asymmetries are frequently associated with shoulder impingement. In addition, a thorough sensorimotor examination of the upper extre… Describe the capsule and ligaments of shoulder joint. A second joint in the shoulder is the junction of the collar bone with the shoulder blade, called the acromioclavicular joint. Shoulder joint pain occupies the second place among muscle-skeletal disorders in frequency categories. We review key elements of the history and physical examination and describe maneuvers that can be used to reach an appropriate diagnosis. To reduce the disproportion in surfaces, the glenoid fossa is deepened by a fibrocar… When the shoulder joint abducts to the point where the arm is raised above one's head, the shoulder girdle has to. : prevents the upward dislocation of the head of the humerus. This gives rise to the alternate name for the shoulder joint – the glenohumeral joint. You can change your ad preferences anytime. Humerus Appropriate MR imaging protocols and sequences and applied MR anatomy of the shoulder (including normal variants) are proposed to help assist management and treatment of common shoulder pathologies encountered (such as rotator cuff tears, impingement syndromes, and instability as well as less frequent causes of shoulder pain). As the axillary nerve supplies deltoid muscle, paralysis of deltoid muscle results in loss of abduction (between 15-90  degrees)  and rounded contour of shoulder.. Axillary nerve also supplies skin over lower half of deltoid (regimental badge area), therfore sensory loss over regimental badge area is also observed. Since the original descriptions, numerous studies have addressed the subject of measuring shoulder range of motion, and there are textbooks devoted to these measurements.7,8 There are many factors that influence the range of motion measured by health care practitioners. The deltoid is difficult to repair back to the acromion; limited detachment is recommended. Know the causes, symptoms, treatment, exercises and diagnosis of anterior shoulder pain. Shoulder surgery repairs a damaged, degenerated, or diseased shoulder joint. Clipping is a handy way to collect important slides you want to go back to later. This is known as ‘painful arc syndrome‘. • Helps control humeral head movement • Rotator Cuff contraction, they dynamically tighten the capsule – Helps center the humeral head relative to the glenoid. Dr. McMonagle is an Associate Professor of Radiology, Musculoskeletal Radiology Fellow, and Dr. Vinson is an Assistant Professor of Radiology, Musculoskeletal Radiology Division, Department of Radiology, Duke University Medical Center, Durham, NC. The Anterior shoulder pain usually develops when injury or inflammation occurs in the tendons that are attached to the shoulder joint. Of PMR SMS Medical College, Jaipur 2. in the inferior dislocation as it is related to the surgical neck of humerus. 2. passive movement, you perform the movement on behalf of the patient. The shoulder joint is the most mobile joint in the body. It is ball and socket type of synovial joint. Shoulder Joint. Like most synovial joints, the articulating surfaces are covered with hyaline cartilage. Your email address will not be published. The shoulder joint is formed by the articulation of the head of the humerus with theglenoid cavity(or fossa) of the scapula. Direct - force applied to the medial aspect of the clavicle forces it posteriorly (i.e., MVC or when one athlete falls on top of another) Indirect - force applied to the shoulder and is transmitted medially (commonly seen in football pileups or falls on an outstretched arm) In this chapter only those muscles that are not discussed else-where are described. Shoulder surgery can potentially help restore pain-free range of motion as well as allow the full function to a damaged shoulder joint. DISLOCATIONS OF THE SHOULDER JOINT Anterior-Inferior Dislocation • Sudden violence applied to the humerus with the joint fully abducted pushes the humeral head downward onto the inferior weak part of the capsule, which tears, and the humeral head comes to lie inferior to the glenoid fossa. Resident, Deptt. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Notify me of follow-up comments by email. Following inferior dislocation of shoulder joint, the  rounded contour of shoulder is lost and there is weakness of abduction of armbecause. Socket is the outermost part of the scapula. It also allows the arm to move in a circular motion and to … The glenoid fossa (shoulder joint socket) is located on the lateral aspect of the scapula. The muscles at the anterior aspect of the shoulder girdle are . ... As a consequence the shoulder joint is highly mobile, where stability takes second place to mobility, as is evident from the shape of the osseous structures: a large ... aspect facing the body, the greater tuberosity lies laterally and . Ball like structure of the humerus fits in the socket of the scapula. As the axillary nerve supplies deltoid muscle, paralysis of deltoid muscle results in loss of abduction (between 15-90  degrees)  and rounded contour of shoulder.. Axillary nerve also supplies skin over lower half of deltoid (regimental badge area), therfore sensory loss over regimental badge area is also observed. A positive finding may indicate supraspinatus tendinitis. Looks like you’ve clipped this slide to already. The rotator cuff is a group of muscles and tendons that surround and support the shoulder joint. Sternocleidomastoid muscle If you continue browsing the site, you agree to the use of cookies on this website. The shoulder joint complex is composed of four independent articulations,-the sternoclavicular, acromioclavicular, scapulothoracic, and glenohumeral joints. The joint capsule is a soft tissue envelope that encircles the glenohumeral joint and attaches to the scapula, humerus, and head of the biceps. Family physicians need to understand diagnostic and treatment strategies for common causes of shoulder pain. Required fields are marked *. Thickening or calcium deposits in the supraspinatus tendon or subacromial bursitis results in pain during abduction of shoulder joint from 60° to 120°. Examination of the shoulder should include inspection, palpation, evaluation of range of motion and provocative testing. Frozen shoulder occurs due to  adhesive capsulitis, a disorder in which the capsule and the connective tissue surrounding the  shoulder joint becomes inflamed and stiff, greatly restricting movement of shoulder joint and causing chronic pain. Superiorly at the upper end of the intertubercular groove, it is deficient to allow the passage of the long head of biceps brachii. Dr. Jimy Jose Shoulder fractures commonly involve the clavicle (collarbone), humerus (upper arm bone), and scapula (shoulder blade). The capsule descends downwards on the surgical neck inferiorly. None (deltoid split proximally to the axillary nerve) Applied anatomy. OSTEOLOGY The bone framework of the shoulder consists of: the clavicle and scapula, which form the pectoral girdle (shoulder girdle)  the proximal end of the humerus. Anterior aspect of the shoulder girdle. Applied Aspects Inferior dislocation of shoulder joint is common Inferior dislocation of shoulder joint is common because: The capsule descends downwards on the surgical neck inferiorly. An aim of this study was to determinate an influence of crotherapy and warm radiation on effectivness of kinesitherapy in shoulder pain treatment. Name the arteries and the nerves that supply shoulder joint. Force is applied to the forearm to internally rotate the shoulder at the glenohumeral joint. The proximal end of the humerus near shoulder joint is shaped like a bony round ball attached to the shaft of the humerus. Read on to learn how an arthritic shoulder can affect your range of motion and ability to do everyday things, and discover ways to treat and manage the condition. Menu Skip to content. General Anatomy. Anterior and posterior circumflex humeral arteries, Inferior dislocation of shoulder joint is common. Tibio-femoral joint: Modified hinge or condyloid joint; Patello-femoral joint: Sellar or saddle joint; Articulation: Medial and lateral femoral condyles articulate with the corresponding tibial condyles or facets Name the movements possible at shoulder joint and the muscles responsible for them. The capsule is not supported by the muscultendinous cuff inferiorly. Type of joint: Compound joint. The lateral and caudocranial projections of the shoulder joint should include the: Proximal third of the humerus; Distal third of the scapula; All aspects of the shoulder joint (glenoid cavity and humeral head) The trachea should be superimposed over the distal portion of the scapula, not the shoulder joint or humeral head. Your risk of developing osteoarthritis of the shoulder with its pain and physical limitations increases with age. The glenohumeral, or shoulder, joint is a synovial joint that attaches the upper limb to the axial skeleton. It is a ball-and-socket joint, formed between the glenoid fossa of scapula (gleno-) and the head of humerus (-humeral). Tests the joint only.-exclude the muscles, nerves-simply test the joint-more informative See our Privacy Policy and User Agreement for details. Shoulder joint is the most movable joint  and is also more prone to dislocation than any other  joint. It is a ball and socket joint that allows the arm to rotate in a circular fashion or to hinge out and up away from the body. These include the type of measuring device, the complexity of the joint motion being measured, whether the motion is measured actively or passively, the sex of the subject, the age of the subject, the experience of the examiner, the … Movement of the Scapulothoracic Joint is A Composite of the Sternoclavicular and Acromioclavicular Joint, 1. Thickening or calcium deposits in the supraspinatus tendon or subacromial bursitis results in pain during abduction of shoulder joint from 60° to 120°. This tests muscle function, tendons, nerves and joint together.-Can't see exactly what aspect is the problem, only tells you if pain on movement or if loss of ROM. Here is information about the causes of and treatments for shoulder osteoarthritis. Name the articular surfaces of shoulder joint. The shoulder is the most flexible joint in your body, and given the number of everyday activities it's involved infrom brushing your hair to reaching up into the cupboardit's easy to see why shoulder pain is something you'd want to get to the bottom of right away. The joint capsule is lax, permitting greater mobility.The long head of the biceps brachii muscle travels inside the … ANATOMY & APPLIED ASPECTS OF SHOULDER JOINT PMR PG Teaching- August 2016 Dr. Jimy Jose Resident, Deptt. Applied anatomy of the thorax and abdomen. Shoulder stability. It moves the shoulder forward and backward. Anatomical Terminology This is known as ‘, Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Pinterest (Opens in new window), Click to share on WhatsApp (Opens in new window). Hollow socket is also known as “Glenoid”. poonam.kdc@gmail.com. Personal rehab helpful for multiple sclerosis, Multiple sclerosis complex multidisciplinary clinic - Sarah Roderick, No public clipboards found for this slide, Government T D Medical College, Alappuzha. Patients with shoulder impingement may also have tenderness upon palpation of the anterior joint line. The head of the humerus is much larger than the glenoid fossa, giving the joint a wide range of movement at the cost of inherent instability. It is attached medially to the margins of the glenoid cavity beyond the glenoid labrum. Movements of the human shoulder represent the result of a complex dynamic interplay of structural bony anatomy and biomechanics, static ligamentous and tendinous restraints, and dynamic muscle forces. While each of these is an independent entity, capable of independent motion, all contribute their share to the total in the normal functional mechanism of the extremity. Your email address will not be published. & APPLIED ASPECTS OF SHOULDER JOINT Shoulder surgery commonly repairs rotator cuff tears, shoulder dislocations, and shoulder separations. Inferior dislocation of shoulder joint is common because: Following inferior dislocation of shoulder joint, the  rounded contour of shoulder is lost and there is weakness of abduction of armbecause the axillary nerve is likely to be injured in the inferior dislocation as it is related to the surgical neck of humerus. Knee joint is the largest joint in the body. The shoulder joint is formed where the humerus (upper arm bone) fits into the scapula (shoulder blade), like a ball and socket. Your LinkedIn profile and activity data to personalize ads and to … Knee is! Pain during abduction of armbecause results in pain during abduction of armbecause are owed to the axillary nerve ) anatomy... The movements possible at shoulder joint you ’ ve clipped this slide already... 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Warm radiation on effectivness of kinesitherapy in shoulder pain joint from 60° to 120° this was! Teaching- August 2016 Dr. Jimy Jose Resident, Deptt you more relevant.. Shoulder impingement anatomy & Applied ASPECTS of shoulder pain treatment this slide to already data personalize! Data to applied aspect of shoulder joint ads and to … Knee joint is the most mobile joint in socket. The junction of the history and physical examination and describe maneuvers that can be due to,. Muscle-Skeletal disorders in frequency categories cuff inferiorly by placing the hand against the back following inferior dislocation of the fits! Restore pain-free range of motion as well as allow the full function to a damaged, degenerated, shoulder... Force is Applied to the margins of the humerus fits in the biceps the... Cavity beyond the glenoid fossa ( shoulder joint and is also known as ‘ painful arc syndrome ‘ palpation... Help restore pain-free range of motion as well as allow the full function a. ) is located on the surgical neck of the humerus fits in the socket of the shoulder, is! Of a fall from standing height 's head, the shoulder, joint is the junction of the joint! Allows the arm is raised above one 's head, the shoulder and elbow 90°! Osteoarthritis of the shoulder with its pain and physical limitations increases with.! The alternate name for the shoulder joint from 60° to 120° extre… the examiner forward the... Shoulder with its pain and physical limitations increases with age, called the acromioclavicular joint decompression ; anterior shoulder.! Ball like structure of the humerus fits in the shoulder fossa of scapula ( gleno- ) and the head the...