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Radiological Anatomy
of Shoulder Joint
Chandan Prasad Rajbhar
Tutor
College of paramedical sciences
TMU, Moradabad
WHAT’S A SHOULDER JOINT??
• 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).
• MOTIONS THE SHOULDER JOINT INCLUDE
• The shoulder joint allows for a wide range of motion at the upper limb
• Flexion
• Extension
• Abduction
• Adduction
• External/lateral rotation
• Internal/medial rotation
• And circumduction
STRUCTURES OF THE SHOULDER
JOINT
• Articulating Surfaces
• The shoulder joint is formed by
the articulation of the head of the
humerus with the glenoid
cavity (or fossa) of the scapula.
• The articulating surfaces are
covered with hyaline cartilage.
JOINT CAPSULE AND BURSAE
• The joint capsule is a fibrous sheath which encloses the structures of the joint.
• It extends from anatomical neck of the humerus to the glenoid fossa. The joint
capsule is lax, permitting greater mobility.
• The synovial membrane lines the inner surface of the joint capsule, and produces
synovial fluid to reduce friction between the articular surfaces.
• BURSAE
• A bursa is a synovial fluid filled sac, which acts as a cushion between tendons and
other joint structures.
CLINICALLY IMPORTANT BURSAE
• Subacromial
• Located deep to the deltoid and acromion, and superficial to the
supraspinatus tendon and joint capsule.
• It reduces friction beneath the deltoid, promoting free motion of the rotator
cuff tendons.
• Subacromial bursitis (i.e. inflammation of the bursa) can be a cause of
shoulder pain.
• Subscapular
• Located between the subscapularis tendon and the scapula.
• It reduces wear and tear on the tendon during movement at the shoulder
joint.
LIGAMENTS
• Glenohumeral ligaments (superior, middle and inferior)
• It connects the humerus to the glenoid fossa.
• Main source of stability for the shoulder, holding it in place and preventing it
from dislocating anteriorly.
• Coracohumeral ligament – attaches the base of the coracoid process to the
greater tubercle of the humerus.
• Transverse humeral ligament – spans the distance between the two
tubercles of the humerus.
• Coraco–clavicular ligament – composed of the trapezoid and conoid
ligaments and runs from the clavicle to the coracoid process of the scapula.
ROTATOR CUFF
• The rotator cuff muscles are four muscles that form a
musculotendinous unit around the shoulder joint.
• These are the
• Supraspinatus
• Infraspinatus
• Teres minor and
• Subscapularis muscles.
• The function of this entire muscular apparatus is to produce movement
at the shoulder joint.
Supraspinatus
Infraspinatus
Teres minor
Subscapularis muscles
BLOOD SUPPLY
• Blood supply to the shoulder joint comes
from the
• Anterior and Posterior circumflex humeral
• Circumflex scapular and
• Suprascapular arteries.
THANK YOU

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Radiological anatomy of shoulder joint

  • 1. Radiological Anatomy of Shoulder Joint Chandan Prasad Rajbhar Tutor College of paramedical sciences TMU, Moradabad
  • 2. WHAT’S A SHOULDER JOINT?? • 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).
  • 3. • MOTIONS THE SHOULDER JOINT INCLUDE • The shoulder joint allows for a wide range of motion at the upper limb • Flexion • Extension • Abduction • Adduction • External/lateral rotation • Internal/medial rotation • And circumduction
  • 4. STRUCTURES OF THE SHOULDER JOINT • Articulating Surfaces • The shoulder joint is formed by the articulation of the head of the humerus with the glenoid cavity (or fossa) of the scapula. • The articulating surfaces are covered with hyaline cartilage.
  • 5. JOINT CAPSULE AND BURSAE • The joint capsule is a fibrous sheath which encloses the structures of the joint. • It extends from anatomical neck of the humerus to the glenoid fossa. The joint capsule is lax, permitting greater mobility. • The synovial membrane lines the inner surface of the joint capsule, and produces synovial fluid to reduce friction between the articular surfaces. • BURSAE • A bursa is a synovial fluid filled sac, which acts as a cushion between tendons and other joint structures.
  • 6. CLINICALLY IMPORTANT BURSAE • Subacromial • Located deep to the deltoid and acromion, and superficial to the supraspinatus tendon and joint capsule. • It reduces friction beneath the deltoid, promoting free motion of the rotator cuff tendons. • Subacromial bursitis (i.e. inflammation of the bursa) can be a cause of shoulder pain. • Subscapular • Located between the subscapularis tendon and the scapula. • It reduces wear and tear on the tendon during movement at the shoulder joint.
  • 7.
  • 8. LIGAMENTS • Glenohumeral ligaments (superior, middle and inferior) • It connects the humerus to the glenoid fossa. • Main source of stability for the shoulder, holding it in place and preventing it from dislocating anteriorly. • Coracohumeral ligament – attaches the base of the coracoid process to the greater tubercle of the humerus. • Transverse humeral ligament – spans the distance between the two tubercles of the humerus. • Coraco–clavicular ligament – composed of the trapezoid and conoid ligaments and runs from the clavicle to the coracoid process of the scapula.
  • 9.
  • 10. ROTATOR CUFF • The rotator cuff muscles are four muscles that form a musculotendinous unit around the shoulder joint. • These are the • Supraspinatus • Infraspinatus • Teres minor and • Subscapularis muscles. • The function of this entire muscular apparatus is to produce movement at the shoulder joint.
  • 15. BLOOD SUPPLY • Blood supply to the shoulder joint comes from the • Anterior and Posterior circumflex humeral • Circumflex scapular and • Suprascapular arteries.