Shoulder joint

It involves an articulation between the glenoid fossa of the scapula (shoulder blade) and the head of the humerus (upper arm bone).

[3] Synovium extends below the long head of biceps and subscapularis tendon to form subscapular bursa.

[5] The tendon of the long head of the biceps brachii passes through the bicipital groove on the humerus and inserts on the superior margin of the glenoid cavity to press the head of the humerus against the glenoid cavity.

[4] The supraspinatus, infraspinatus and teres minor muscles aid in abduction and external rotation.

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.

Such an imbalance could cause a forward head carriage which in turn can affect the range of movements of the shoulder.

The capsule can become inflamed and stiff, with abnormal bands of tissue (adhesions) growing between the joint surfaces, causing pain and restricting the movement of the shoulder, a condition known as frozen shoulder or adhesive capsulitis.

In younger people, these dislocation events are most commonly associated with fractures on the humerus and/or glenoid and can lead to recurrent instability.

The contrast should not enter subacromial bursa unless supraspinatus tendon is completely ruptured.

Supraspinatus outlet view X-ray, showing subacromial space measurement
Bursae of shoulder joint: (1) and (6) subacromial-subdeltoid bursa, (2) subscapular recess, (3) subcoracoid bursa, (4) coracoclavicular bursa, (5) supra-acromial bursa
Dorsal scapular nerve (rhomboids, levator scapulae) Suprascapular nerve (supraspinatus, infraspinatus) Nerve to subclavius (subclavius) Lateral pectoral nerve (pectoralis major) Musculocutaneous nerve (coracobrachialis, brachialis, biceps brachii) Axillary nerve (deltoid, teres minor) Median nerve (forearm flexors except FCU and radial part of FDP, thenar muscles) Ulnar nerve (FCU and ulnar part of FDP, most intrinsic hand muscles Medial cutaneous nerve of forearm Medial cutaneous nerve of arm Radial nerve (triceps brachii, supinator, anconeus, forearm extensors, brachioradialis) Lower subscapular nerve (lower part of subscapularis, teres major) Thoracodorsal nerve (latissimus dorsi) Medial pectoral nerve (pectoralis major, pectoralis minor) Upper subscapular nerve (upper part of subscapularis) Long thoracic nerve of Bell (serratus anterior) Cervical spinal nerve 5 Cervical spinal nerve 6 Cervical spinal nerve 7 Cervical spinal nerve 8 Thoracic spinal nerve 1
Anatomical illustration of the brachial plexus with areas of roots, trunks, divisions and cords marked. Clicking on names of branches will link to their Wikipedia entry.
Animation of shoulder joint showing the supraspinatus muscle
Animation of the shoulder joint. The muscles shown are subscapularis muscle (at right), infraspinatus muscle (at top left), teres minor muscle (at bottom left)