The shoulder has two main bones called the humerus upper arm bone and the scapula shoulder blade. Shows anterior, posterior, lateral, and superior view of the shoulder. The purpose of this atlas is to focus the readers attention on a series of bone, ligament, muscle and tendon structures and ultrastructures within the shoulder on which only the most recent international literature has reported in specialized journals. Grays surgical anatomy 1st edition pdf free pdf epub. The latissimus dorsi, serratus anterior, pectoralis major, and deltoid can generate large torques about the shoulder joint due to their crosssectional anatomy and distance from the joint center of rotation. The glenoid cavity is shallow and contains the glenoid labrum which deepens it and aids in stability. Shoulder and elbow anatomical chart pdf medical books. A thorough understanding of the functional anatomy of the shoulder provides the clinician with a foundation for caring for athletes with shoulder injuries. These bursae allow the structures of the shoulder joint to slide easily over one another.
Shoulder, elbow, wrist and hand pdf by christine b. Significantly revised and updated, the new edition of this highly regarded reference on the shoulder continues to impress. Shoulder and elbow anatomical chart plastic styrene illustrates general shoulder and elbow anatomy. The sterno clavicular sc joint supports the connection of the arms and shoulders to the main skeleton on the front of the chest. The authors intention is to present the shoulder anatomy in a new and original way and, using a simple but dedicated descriptive language, to help the reader understand the complexity of scientific research, highlighting the importance of integrating anatomical, biomechanical and neurophysiological knowledge. Shoulder girdle it consist of two bones three joints scapula glenohumeral clavicle acromioclavicular sternoclavicular 3. This blog outlines basic anatomy of the shoulder and how it is prone to injury. Stability of the joint is governed by a combination of static ligaments, dynamic muscular forces, meniscocapsular aponeurosis, bony topography, and joint load. Functional anatomy of the shoulder pubmed central pmc. Anatomy and physiology the elbow joint is a hinge joint in other words, it can be bent and stretched. The shoulder muscles bridge the transitions from the torso into the headneck area and into the uppe this website provides over 0 free medical books and more for all students and doctors this website the best choice for medical students during and after learning medicine. The glenohumeral articulation involves the humeral head with the glenoid cavity of the scapula, and it represents the major articulation of the shoulder girdle2. With 120 degrees of unassisted flexion, the shoulder joint is the most mobile joint in the body.
Since this movement takes place between the upper arm humerus and the cubitus ulna, we speak of the socalled humeralulnar joint. Anatomy, shoulder and upper limb, glenohumeral joint ncbi. The anatomy of the shoulder is based on complex joint biomechanics. Each articulation in the body has the potential to exhibit, to some degree. Each joint or series of joints has a specific function and is prone to predictable levels of dysfunction. Introduction shoulder girdle is formed by scapula and clavicle and humerus upper end. Accuracies in the diagnosis of rotator cuff tears can reach 100% for fullthickness tears and 91% for partialthickness tears. The end of the scapula, the glenoid, refers to depression of the scapula entering into the formation of the shoulder joint. Illustrates impingement syndrome and acromioplasty. Anatomy of the human shoulder joint verywell health. Jul 16, 2019 the most flexible joint in the entire human body, our shoulder joint is formed by the union of the humerus, the scapula or shoulder blade, and the clavicle or collarbone.
Shoulder girdle permits largest rom of any complex in the body shoulder girdle increases rom with less compromise of stability scapulohumeral rhythm 4 joints vs. Anatomy of bones and joints pdf 48p this note covers the following topics. It contains the shoulder girdle, which connects the upper limb to the axial skeleton via the sternoclavicular joint. This book is distributed under the terms of the creative commons. Pdf the shoulder joint glenohumeral joint is a ball and socket joint with the most extensive range of motion in the human body. Shoulder humerus scapula clavicle sternum rotator cuff brachial plexus glenohumeral joint anatomy surgery. It is created by the ball at the upper end of the humerus fitting into the shallow socket glenoid of the scapula. Scapula clavicle sternum thoracic cage humerus figure 1 the shoulder pectoral girdle joints of. Mar 18, 20 anatomy of shoulder joint vamshi kiran 1. How to download atlas of functional shoulder anatomy pdf. The capsule separates the joint from the rest of the body and contains the joint fluid. Hart, mpa, ptt the shoulder complex consists of several ana tomical joints and one physiological joint. Arthrokinernatics arthrokinematics refers to the motion of a part.
Human anatomy drawing for artists above male nude from the back by egon schiele, 1910, watercolor and charcoal, 18 x 12. Shoulder joint is formed by articulation of the scapula glenoid cavity and head of the humerus glenohumeral joint. The rotator cuff muscles of the shoulder produce a high tensile force, and help to pull the head of the humerus into the glenoid cavity. As with all joints, there is cartilage on both ends of the connection to allow for smooth movement. Keeping these muscles strong can relieve shoulder pain and prevent further injury. The only skeletal connection of upper limb to trunk is claviclescapula. The purpose of this atlas is to focus the readers attention on a series of bone, ligament, muscle and tendon structures and ultrastructures within the shoulder. Most shoulder motion occurs at the ballandsocket glenohumeral joint, but for full motion of the shoulder, the acromioclavicular joint.
The glenohumeral joint is structurally a ballandsocket joint and functionally. As a result, each joint has particular training needs. Explore our video tutorials, quizzes, articles and atlas images of glenohumeral joint for a full understanding of its anatomy. The muscles surrounding the joint undergo reflex spasm in response to pain originating in the joint, which in turn serves to immobilize the joint and thus reduce the pain. Stretching the muscles that you strengthen is important for restoring range of motion and preventing injury. Pdf anatomy, shoulder and upper limb, shoulder muscles. The scapulothoracic joint is the physiological, or func tional, joint between the underside of the scapula and the dorsal thoracic wall. Joint anatomy and basic biomechanics outline 3 from. Dec 17, 2018 pdf the humerus is the largest bone of the upper extremity and defines the human brachium arm. Each illustration is clealy labeled and injuries are textually described. The shoulder is commonly evaluated with ultrasonography us, with which various rotator cuff diseases can be effectively diagnosed, including tendinosis, tendon tear, and bursitis 1,2.
Normal anatomy and biomechanics of the knee fred flandry, md, facsw and gabriel hommel, md abstract. The acromioclavicular ac joint is where the clavicle meets the acromion. In this fourth installment of our functional anatomy series, we examine the four joints that make up the shoulder complex. Shoulder and elbow anatomical chart plastic styrene pdf. Anatomy, shoulder and upper limb, glenohumeral joint. Of note in the picture is the clavicle commonly known as the collar bone. It consists of a girdle of structures around the top of the thoracic cage. The shoulderdoc bookstore includes selected books and cdroms on the shoulder and elbow. Pdf anatomy, shoulder and upper limb, deltoid muscle. Anatomy and injuries of the shoulder anatomical chart. Strengthening the muscles that support your shoulder will help keep your shoulder joint stable. General considerations of bones, axial skeleton, appendicular skeleton, joints, types of movement, description of selected joints, effects of aging on the joints. This jointbyjoint idea has really taken on a life of its own, one i certainly didnt envision.
Most of these books have been read and recommended by our team. The lever is one of the simplest of all mechanical devices that can be called a machine. These three bones create two separate joints within the shoulder. Also shows the socket of shoulder joint anterior and disclocation of humerus. Many common resistancetraining exercises designed to isolate specific muscles dont account for the separate skeletal structures and how they are designed to move as a single unit. The shoulder complex has the greatest mo bility of all joints. Knowledge of anatomy is a necessary prerequisite to assess and plan the means and methods to deal with traumatic wrist injuries.
A second joint in the shoulder is the junction of the collar bone with the shoulder blade, called the acromioclavicular joint. Steve ramsey woodworking for mere mortals 2,652,798 views. Commonly thought of as a single joint, the shoulder is actually made up of two separate joints the glenohumeral and acromioclavicular joints. The omnidirectional shoulder is the most mobile and the most versatile of the human joints. A detailed chart showing normal anatomy of the shoulder as well as common injuries. The latter also includes minor articulations of the sternoclavicular sc, acromioclavicular ac. If you are experiencing shoulder pain, book an appointment with us today. Dec 17, 2018 the wrist joint also referred to as the radiocarpal joint is a condyloid synovial joint of the distal upper limb that connects and serves as a transition point between the forearm and hand. Steinbach md editor mri of the upper extremity is a complete guide to mri evaluation of shoulder, elbow, wrist, hand, and. The glenohumeral joint is structurally a ballandsocket joint and functionally is considered a diarthrodial, multiaxial, joint 1.
The shoulder joint is a ball and socket joint between the scapula and the humerus. Bones of shoulder region the bones of the region are. Also, forearm movements occur in concert with both hand and shoulder movements 47. See below bones of forearm radius ulna humeroradial joint humeroulnar joint proximal radioulnar joint distal radioulnar joint bones of wrist and hand 8 carpal bones 5 metacarpal 14 phalanges intercarpal joint. Pdf the deltoid muscle is a large triangular shaped muscle associated with. Primary care sports medicine fellow steadman hawkins clinic of the carolinas. It is a ballandsocket joint, formed between the glenoid fossa of scapula gleno and the head of humerus humeral acting in conjunction with the pectoral girdle, the shoulder joint allows for a wide range of motion at the upper limb. The shoulder joint glenohumeral joint is a ball and socket joint with the most extensive range of motion in the human body. Learn how the separate joints are designed to function as an integrated unit and the. Although the bony anatomy and articulation of the glenohumeral joint are important for stability, the addition of the glenoid labrum as well as static and dynamic stabilizers to the shoulder biomechanics contribute to a complex interaction to produce stability through the joint.
Functionally, the knee comprises 2 articulationsthe patellofemoral and tibiofemoral. Anatomy and physiology, ed 7, new york, 2006, mcgraw. The stability of the glenohumeral joint is also affected by the large muscles acting away from the shoulder joint itself. Download atlas of functional shoulder anatomy pdf ebook.
The shoulder has two main bones called the humerus upper arm bone and the scapula shoulder blade the end of the scapula, the glenoid, refers to depression of the scapula entering into the formation of the shoulder joint the shoulder joint is a ballandsocket joint between the glenoid fossa of the scapula and the head of the humerus articular cartilage cushions this joint by covering. Movements of the hand are made more effective through proper hand positioning by the elbow, shoulder joint, and shoulder girdle. Bobby masocol md primary care sports medicine fellow. Click now and learn everything about its anatomy and function at kenhub. All decisions about arthroscopy must be made in conjunction with your surgeon or a licensed healthcare provider. The shoulder is a very general term including all the structures of the anatomy of the region. Injury to the shoulder joint is followed by pain, limitation of movement, and. However, the elbow joint is also a rotary joint that allows the lower arm to turn outward. Anatomy of the shoulder joint this movie is an educational resource only and should not be used to make a decision on shoulder arthroscopy. However the socket of the glenoid cavity of the scapula is itself quite shallow. Characteristics of synovial joints where additional support is needed, the joint capsule is thickened to form tough, nonelastic ligaments to provide additional support. Shoulder area include gleno humeral acromio clavicular scapulo thoracic sterno clavicular 3.
The shoulder joint the shoulder is the most flexible joint in the body making it the most susceptible to instability and injury. The glenohumeral, or shoulder, joint is a synovial joint that attaches the upper limb to the axial skeleton. The shoulder is a ball and socket type of synovial joint. This book is distributed under the terms of the creative commons attribution 4. The shoulder is structurally and functionally complex as it is one of the most freely moveable areas in the human body due to the articulation at the glenohumeral joint. Anterior view showing muscles, bones, liagments, nerves, veins and arterires. Injury to 1 or more of these components through overuse or acute trauma disrupts this complex interrelationship and places the shoulder at increased risk. The authors intention is to present the shoulder anatomy in a new and original way and, using a simple but dedicated descriptive language, to help the reader understand the complexity of scientific research, highlighting the importance of integrating. Webmds shoulder anatomy page provides an image of the parts of the shoulder and describes its function, shoulder problems, and more. The position of the limb, thus, depends both on the position of the girdle in relation to the trunk and on the posture at the shoulder joint. Oct 23, 2019 the shoulder capsule surrounds the ballandsocket part of the shoulder joint. Chapter 5 the shoulder joint manual of structural kinesiology r. Shoulderdoc is proud to be able to make available some of the great outofprint and rare books on the shoulder and elbow. Vishram singh anatomy free pdf download medicforyou.
The shoulder joint is formed where the humerus upper arm. A multitude of leading international authorities30% new to this 4th editionpresent todays most comprehensive, indepth view of the current state of shoulder practice, all in a beautifully illustrated, fullcolor 2volume masterwork. The anatomy of the shoulder is based on difficult joint biomechanics, which guarantee the coexistence of every most mobility and stability inside the same joint. Please use the link provided below to generate a unique link valid for 24hrs. Loss or weakness of abduction of shoulder between 15 degrees to 90 degrees due to paralysis of deltoid. Anatomy and injuries of the shoulder illustrates the following normal anatomy. The high range of motion of the shoulder comes at the expense of decreased stability of the joint, and it is. Shoulder books shoulderdoc is proud to be able to make available some of the great outofprint and rare books on the shoulder and elbow. Medical books shoulder and elbow anatomical chart plastic styrene.
Since the other joints of the shoulder girdle can accept these forces and move, stabilization of the appropriate bony ele ments is imperative for joint specific treatment. The shoulder joint is a ballandsocket joint between the glenoid fossa of the scapula and the head of the humerus. On one hand, this mobility is because of little bony congruity of. Shoulder joint is the most mobile joint of the human body. This book provides detailed information on functional anatomy, physical examination, and clinical radiology of the shoulder with a view to enabling the clinician to identify the most suitable treatment approach to different shoulder joint pathologies. For this week, were going to start from scratch and walk you through some of the basic anatomy of the shoulder, relevant to most of our burlington readers to keep it simple, the humerus is the bone in your arm that forms a joint with the scapula or shoulder blade as many call it. This work is divided into chapters, the subjects of which are complete in themselves, the pupil may commence the study of the structure, use, and laws of the several parts of which the human system is composed, by selecting such chapters as fancy or utility may dictate, without reference to their present arrangement, as well commence with the. The shoulder, in conjunction with the elbow joint and the ulnar and radial bones of the forearm, may be operated to create a powerful lever to perform lifting or prying movements. The vishram singh anatomy was one of the books a first year student during his mbbs would grab to read and look the insights as he opens bd chaurasia sideways. Anatomy, shoulder and upper limb, shoulder statpearls. It is one of the largest and most complex joints in the body.
Review pertinent anatomy and pathology associated with common causes of shoulder pain. Written and edited by expert surgeons in collaboration with a worldrenowned anatomist, this exquisitely illustrated reference consolidates surgical, anatomical and technical knowledge for the entire human body in a single volume. While the joint capsule itself is a contiguous supportive structure surrounding. A patients guide to shoulder anatomy compliments of. The shoulder joint is formed where the humerus upper arm bone fits into the scapula shoulder blade, like a ball and socket. To improve the stability of the shoulder joint, there is a tough cartilage ring around the socket called the labrum. Rounded contourprofile of shoulder is lost due to paralysis of deltoid sensory loss over lower half of the outer aspect of shoulder regimental badge area. The joint is sensitive to pain, pressure, excessive traction, and distension. The shoulder is one of the largest and most complex joints in the body. Several ligaments make up parts of the joint capsule, and these ligaments are important in keeping the shoulder joint in proper position.
Here is the very basic anatomy of the shoulder joint aka glenohumeral joint showing the ball and socket joint where the humerus bone of the arm meets the scapula. Shoulder muscles and chest human anatomy diagram free pdf. A ball at the top of the upper arm bone the humerus fits neatly into a socket, called the glenoid, which is part of the shoulder blade scapula. Shoulder girdle clavicle scapula sternoclavicular joint acromioclavicular joint bones of arm humerus upper end. Cadaveric study of the articular branches of the shoulder.
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