SHOULDER

ROLL no.:- 6180

 INTRODUCTION
It consist of two bone i.e. scapula & clavicle
& three joints – Glenohumeral joint,
Acromioclavicular joint , Sternoclavicular joint

It is one of the most mobile joint in human body.

It’s the major joint connecting the upper limb to
the trunk.

1. The clavicle articulates with sternum=>

Sternoclavicular joint
2. The Clavicle articulates with scapula =>
Acromioclavicular joint
 STERNOCLAVICULAR JOINT
• The sternoclavicular joint is saddle joint between the
sternal end of clavicle & manubrium of sternum with the
articulation of 1st costal cartilage.

• Blood supply- Internal Thoracic & supra scapular arteries

• Nerve supply- Medial supraclavicular nerve

• Movements- its has large degree of mobility. There are

several movements i.e.
Elevation
depression
 retraction
protraction
 rotation
• Capsule- Strong joint capsule: consists of the
sternal end of the clavicle, the manubrium of the
sternum & part of the 1st costal cartilage. The
articular surface are covered with fibro cartilage.

• The joint is separated into 2 compartments by a

fibro- cartilaginous articular disc.

• Ligaments- 2 ligaments present:

o Interclavicular ligament
o Costoclavicular ligament
 ACROMIOCLAVICULAR JOINT
• The acromioclavicular joint is a plane type of synovial joint which is a
top joint at the shoulder. It is the junction between the acromion of
scapula and the clavicle.

• The joint capsule consists of a loose fibrous layer which encloses the two
articulation surfaces. It also give rise to the articular disc.

• The joint mainly consist of an articulation between the acromion of

scapula & the lateral end of clavicle

• Blood supply- Suprascapular & thoraco-acromial arteries

• Nerve supply- Lateral supraclavicular nerve
• Coracoclavicular ligament- it consist of 2 ligaments : Conoid &
Trapezoid ligament.
Trapezoid part is attached below the upper surface of Coracoid process
& above trapezoid line
Conoid part is attached below to the root of coracoid process just
lateral to scapular notch & above its attached to the surface of clavicle on
the conoid process.