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Spinoglenoid Notch
The great scapular notch (or ''spinoglenoid notch'') is a notch which serves to connect the supraspinous fossa and infraspinous fossa. It lies immediately medial to the attachment of the acromion to the lateral angle of the scapular spine. The suprascapular artery and suprascapular nerve pass around the great scapular notch anteroposteriorly. Supraspinatus and infraspinatus are both supplied by the suprascapular nerve, which originates from the superior trunk of the brachial plexus (roots C5-C6). Additional images File:Great scapular notch - animation01.gif, Left scapula. Great scapular notch shown in red. File:Great scapular notch - animation04.gif, Animation. Great scapular notch shown in red. See also * Suprascapular notch The suprascapular notch (or ''scapular notch'') is a notch in the superior border of the scapula, just medial to the base of the coracoid process. It is converted into the suprascapular canal by the suprascapular ligament. Structure This notc ... ...
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Supraspinous Fossa
The supraspinous fossa (supraspinatus fossa, supraspinatous fossa) of the posterior aspect of the scapula (the shoulder blade) is smaller than the infraspinous fossa, concave, smooth, and broader at its vertebral than at its humeral end. Its medial two-thirds give origin to the Supraspinatus. Structure The fossa can be exposed by the removal of skin and the superficial fascia of the back and the trapezius muscle. The supraspinous fossa is bounded by the spine of scapula on the inferior side, acromion process on the lateral side and the superior angle of scapula on the superior side. Supraspinatus muscle originates from the supraspinous fossa. Distal attachment of the levator scapulae muscle is also on the medial aspect of the fossa. Function The suprascapular artery and nerve are found within the fossa. The posterior branch of the suprascapular artery supplies the supraspinatous muscle. Dorsal scapular artery also gives off a collateral branch and anastomoses with the s ...
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Infraspinous Fossa
The infraspinous fossa (infraspinatus fossa or infraspinatous fossa) of the scapula is much larger than the supraspinatous fossa; toward its vertebral margin a shallow concavity is seen at its upper part; its center presents a prominent convexity, while near the axillary border is a deep groove which runs from the upper toward the lower part. The medial two-thirds of the fossa give origin to the infraspinatus; the lateral third is covered by this muscle. Additional images File:Infraspinatus fossa of left scapula- animation.gif, Left scapula. Infraspinatous fossa shown in red. File:Infraspinatus fossa - animation.gif, Animation. Infraspinatous fossa shown in red. File:Infraspinatous fossa of scapula01.png, Still image. File:Gray203.png, Left scapula. Dorsal surface. ("Infra-spinatous" fossa visible at bottom right.) File:Scapula post.jpg, Left scapula. Dorsal surface. Infraspinatous fossa not labeled, but visible at center. File:Infraspinatus muscle back2.png, Infraspi ...
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Acromion
In human anatomy, the acromion (from Greek: ''akros'', "highest", ''ōmos'', "shoulder", : acromia) or summit of the shoulder is a bony process on the scapula (shoulder blade). Together with the coracoid process, it extends laterally over the shoulder joint. The acromion is a continuation of the scapular spine, and hooks over anteriorly. It articulates with the clavicle (collar bone) to form the acromioclavicular joint. Structure The acromion forms the summit of the shoulder and is a large, somewhat triangular or oblong process, flattened from behind forward. It projects laterally at first, then curves forward and upward to overhang the glenoid fossa.''Gray's Anatomy'' 1918, see infobox It starts from the base of acromion which marks its projecting point emerging from the spine of scapula. Surfaces Its superior surface, directed upward, backward, and lateralward, is convex, rough, and gives attachment to some fibers of the deltoideus, and in the rest of its extent is subc ...
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Scapular Spine
The spine of the scapula or scapular spine is a prominent plate of bone, which crosses obliquely the medial four-fifths of the scapula at its upper part, and separates the Supraspinatous fossa, supra- from the infraspinatous fossa. Structure It begins at the vertical (vertebral or medial) border by a smooth, triangular area over which the tendon of insertion of the lower part of the Trapezius glides. Gradually becoming more elevated, it ends in the acromion, which overhangs the shoulder-joint. The spine is triangular, and flattened from above downward, its apex being directed toward the vertebral border. Root The ''root of the spine'' of the scapula is the most medial part of the scapular spine. It is termed "triangular area of the spine of scapula", based on its triangular shape giving it distinguishable visible shape on x-ray images. The root of the spine is on a level with the tip of the spinous process of the third thoracic vertebra.Gray's Anatomy (1918)p.1306/ref> File:Ro ...
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Suprascapular Artery
The suprascapular artery is a branch of the thyrocervical trunk on the neck. Structure At first, it passes downward and laterally across the scalenus anterior and phrenic nerve, being covered by the sternocleidomastoid muscle; it then crosses the subclavian artery and the brachial plexus, running behind and parallel with the clavicle and subclavius muscle and beneath the inferior belly of the omohyoid to the superior border of the scapula. It passes over the superior transverse scapular ligament in most of the cases while below it through the suprascapular notch in some cases. The artery then enters the supraspinous fossa of the scapula. It travels close to the bone, running through the suprascapular canal underneath the supraspinatus muscle, to which it supplies branches. It then descends behind the neck of the scapula, through the great scapular notch and under cover of the inferior transverse ligament of scapula, inferior transverse ligament, to reach the infraspinatous fos ...
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Suprascapular Nerve
The suprascapular nerve is a mixed (sensory and motor) nerve that branches from the upper trunk of the brachial plexus. It is derived from the ventral rami of cervical nerves C5-C6. It provides motor innervation to the supraspinatus muscle, and the infraspinatus muscle. Structure Origin The suprascapular nerve arises from the upper trunk of the brachial plexus which is formed by the union of the ventral rami of the cervical nerves C5-C6. Course and relations After branching from the upper trunk, the nerve passes across the posterior triangle of the neck parallel to the inferior belly of the omohyoid muscle and deep to the trapezius muscle. It then runs along the superior border of the scapula through the suprascapular canal, in which it enters via the suprascapular notch inferior to the superior transverse scapular ligament and enters the supraspinous fossa. It then passes beneath the supraspinatus and curves around the lateral border of the spine of the scapula through ...
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Supraspinatus
The supraspinatus (: supraspinati) is a relatively small muscle of the upper back that runs from the supraspinous fossa superior portion of the scapula (shoulder blade) to the greater tubercle of the humerus. It is one of the four rotator cuff muscles and also abducts the arm at the shoulder. The spine of the scapula separates the supraspinatus muscle from the infraspinatus muscle, which originates below the spine. Structure Origin The supraspinatus muscle arises from the medial two-thirds supraspinous fossa of the scapula. Insertion The supraspinatus tendon inserts onto the superior facet of the greater tubercle of the humerus. Relations The supraspinatus muscle tendon passes laterally beneath the cover of the acromion. The tendon blends with the shoulder joint capsule. Nerve supply The supraspinatus muscle is innervated by suprascapular nerve (C5-6) of the upper trunk of the brachial plexus. Function The supraspinatus muscle performs abduction of the arm, and p ...
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Infraspinatus
In human anatomy, the infraspinatus muscle is a thick triangular muscle, which occupies the chief part of the infraspinatous fossa.''Gray's Anatomy'', see infobox. As one of the four muscles of the rotator cuff, the main function of the infraspinatus is to externally rotate the humerus and stabilize the shoulder joint. Structure It attaches medially to the infraspinous fossa of the scapula and laterally to the middle facet of the greater tubercle of the humerus. The muscle arises by fleshy fibers from the medial two-thirds of the infraspinatous fossa, and by tendinous fibers from the ridges on its surface; it also arises from the infraspinatous fascia which covers it, and separates it from the teres major and teres minor. The fibers converge to a tendon, which glides over the lateral border of the spine of the scapula and passing across the posterior part of the capsule of the shoulder-joint, is inserted into the middle impression on the greater tubercle of the humerus. The t ...
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Brachial Plexus
The brachial plexus is a network of nerves (nerve plexus) formed by the anterior rami of the lower four Spinal nerve#Cervical nerves, cervical nerves and first Spinal nerve#Thoracic nerves, thoracic nerve (cervical spinal nerve 5, C5, Cervical spinal nerve 6, C6, cervical spinal nerve 7, C7, cervical spinal nerve 8, C8, and thoracic spinal nerve 1, T1). This plexus extends from the spinal cord, through the cervicoaxillary canal in the neck, over the first rib, and into the axilla, armpit, it supplies Afferent nerve fiber, afferent and efferent nerve fibers to the chest, shoulder, arm, forearm, and hand. Structure The brachial plexus is divided into five ''roots'', three ''trunks'', six ''divisions'' (three anterior and three posterior), three ''cords'', and five ''branches''. There are five "terminal" branches and numerous other "pre-terminal" or "collateral" branches, such as the subscapular nerve, the thoracodorsal nerve, and the long thoracic nerve, that leave the plexus at vari ...
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Suprascapular Notch
The suprascapular notch (or ''scapular notch'') is a notch in the superior border of the scapula, just medial to the base of the coracoid process. It is converted into the suprascapular canal by the suprascapular ligament. Structure This notch is converted into a foramen by the suprascapular ligament, and serves for the passage of the suprascapular nerve. The suprascapular vessels vary in number as well as in their course as they run at the suprascapular notch site. The suprascapular artery pass above the suprascapular ligament in most cases. The suprascapular vein may pass through the suprascapular notch or it may instead pass superior to the suprascapular ligament. Types Two main classification systems exist; others are modified approaches of the same principle. Typing based on subjective observation of the suprascapular notch shape. Introduced by and modified by There are six basic types of scapular notch: * Type I: Notch is absent. The superior border forms a wide ...
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Suprascapular Canal
The suprascapular canal is an anatomical passage between two openings found on the upper dorsal aspect of the shoulder. It is found bilaterally running on superior-lateral aspect of the dorsal surface of the scapula underneath the supraspinatus muscle. Structure The suprascapular canal is an osteofibrous canal situated in the spinoglenoid fossa conveying suprascapular nerve and vessels. Its passage covered by the supraspinatus fascia and connects between its entrance formed by the suprascapular notch (enclosed by the suprascapular ligament) and its exit formed by spinoglenoid notch (enclosed by the spinoglenoid ligament). Clinical significance As the suprascapular nerve travels through the suprascapular canal narrow sites, it can potentially get entrapped leading to suprascapular nerve entrapment syndrome. The causes have different anatomical implications at each site. The mechanisms varies and range from anatomical variations to pathological formations as well as from ne ...
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