CHAP 10

JOINTS OF UPPER LIMB

LN
1. Describe shoulder jt.

Q SHOULDER JT./GLENOHUMERAL JT.

- TYPE –

1. synovial joint
a. ball & socket variety

- ARTICULAR SURF. –

1. shoulder jt. formed by articulation of

a. glenoid cavity of scapula
b. & head of humerus
2. weak mobile jt.
a. becoz glenoid cavity
i. too small & shallow to hold head of humerus
3. stability of jt. maintained by
a. coracoacromial arch (secondary socket for head of humerus)
b. musculotendinous cuff of shoulder/rotator cuff
c. glenoidal labrum
i. deepens glenoid fossa
d. muscles attaching humerus to pectoral girdle
i. long head of biceps brachii
ii. long head of triceps brachii
e. atmospheric pressure

- LIGAMENTS –

1. capsular lig.
a. attachment
i. medially : scapula beyond margins of labrum & supraglenoid tubercle
ii. laterally : anatomical neck of humerus
1. except
a. inferiorly attachment extends down to surgical neck
b. superiorly deficient for passage of tendon of long head of biceps
brachii
iii. anteriorly : reinforced by sup., middle, inf. glenohumeral lig.
2. coracohumeral lig.
a. extends from
i. root of coracoid process
ii. to neck of humerus
iii. opposite greater tubercle
b. gives strength to capsule
 3. transverse humeral lig.
4. glenoidal labrum
a. fibrocartilaginous rim
i. covering margins of glenoid cavity
b. increase depth of cavity

- RELATIONS –

1. sup.
a. coracoacromial arch
b. subacromial bursa
c. supraspinatus
d. deltoid
2. inf.
a. long head of triceps brachii
b. axillary nerve
c. post. circumflex humeral artery
3. ant.
a. subscapularis
b. coracobrachialis
c. short head of biceps brachii
d. deltoid
4. post.
a. infraspinatus
b. teres minor
c. deltoid
5. within the joint
a. tendon of long head of biceps brachii

- BLOOD SUPPLY –

1. S A P S
a. suprascapular vessels
b. ant. circumflex humeral vessels
c. post. circumflex humeral vessels
d. subscapular vessels

- NERVE SUPPLY –

1. S A M
a. suprascapular nerve
b. axillary nerve
c. musculocutaneous nerve

- MOVEMENTS OF SHOULDER JT. –