surgical anatomy of shoulder joint

Injuries resulting from dysfunction are common and potentially debilitating. If this ligament thickens it can cause impingement syndrome. Acromioclavicular (AC) joint - between the clavicle and scapula. To reduce the disproportion in surfaces, the glenoid fossa is deepened by a fibrocart… Human Anatomy. It is important for the surgeon to be aware of commonly used arthroscopic and surgical approaches to the glenohumeral joint along with anatomic structures at risk with each surgical approach and methods of avoiding injury. Next: Gross Anatomy. Bones and joints form the deepest layer of the shoulder. This site complies with the C onse- quently, they are susceptibleto injury and de- generation. If the joint comes completely out of place, this is called a shoulder dislocation. Glenoid cavity: It is a shallow, concave, oval fossa, directed anterolaterally and slightly superiorly- that is considerably smaller than the ball (head of … It is like a washer, it is a rubbery structure which encircles the glenoid cavity. He was able to perform the required delicate procedure to repair my SSN as well as repair other issues within my shoulder that required attention. Above images from WikiRadiography (WetPaint) here. The axillary nerve is invariably reported to be one of the most commonly injured nerves during surgical procedures of the shoulder, and the importance of protecting it cannot be overemphasized. A Systematic Review. The acromioclavicular joint is where the acromion, part of the shoulder blade (scapula) and the collar bone (clavicle) meet. It contains lubricating fluid which allows muscles to move freely over one another without friction. To provide more stability to this glenohumeral joint, the socket is made deeper by the glenoid labrum. Well, Dr. Millett is also a very empathetic and caring person with a fantastic team of assistants and supporting staff who all take extra time and attention to explain the details and answer any questions.The whole Steadman Clinic experience with Dr. Millett far exceeded all of my expectations. The deltopectoral approach is the workhouse approach to the shoulder for use in shoulder stabilisation, arthroplasty and fracture fixation. Open Operative Treatment for Anterior Shoulder Instability: When and Why? See osteosarcoma of the humeral head here. Hip-joint 182 Knee-joint 184 Articulations between the Tibia and Fibula 188 Ankle-joint . I now have full range of motion. MOVEMENTS OF THE GLENOHUMERAL JOINT – Movements of the shoulder joint (glenohumeral joint) usually involve moving the humerus on the scapula. There are several modifications to this approach to increase exposure, such as coracoid or clavicle osteotomy or anterior deltoid release. The glenohumeral articulation is a versatile joint that requires a complex integration of bony ligamentous, musculotendinous and neurovascular sutures for proper function. 181 Articulation of th e Phalanges . I rely on my life-long habit of fly fishing for psychological support. Scapulothoracic joint - where the scapula meets the ribs at the back of the chest. It sits in a groove at the top of the humerous and attaches the biceps muscle to the bone at the top of the shoulder socket. HONcode standard for trustworthy health information:. Shoulder joint, anterior view. Glenoid Resurfacing: What Are the Limits to Asymmetric Reaming for Posterior Erosion? Acromio-clavicular joint (AC joint) The Gleno-humeral joint consists of the bony articulation between the head of the humerus (arm bone) and the glenoid, which is the socket of the scapula (shoulder blade). If the joint is too loose, is may slide partially out of place, a condition called shoulder subluxation. Subacromial joint space 3. In this issue we focus on glenohumeral and acromioclavicular joints. Vail, CO 81657, Tel: 970-479-5871 The majority of shoulder surgery is performed via the anterior or anterolateral aspect of the shoulder joint. Sven OstermeierOrthopaedic Specialist Consultant for Shoulder Surgery, Certified Centre for Arthroplasty (Centre for Endoprosthesis), Orthopaedic Gelenk-Klinik is certified Centre for Endoprosthesis (EPZ). This rare injury can be difficult to manage without a thorough understanding of the complex anatomy of the shoulder girdle. Like most synovial joints, the articulating surfaces are covered with hyaline cartilage. The head of the humerus is much larger than the glenoid fossa, giving the joint a wide range of movement at the cost of inherent instability. The stability of the joint is increased by the coracoacromial arch, the fusion of tendons of scapular muscles with the joint capsule and the muscles attaching the humerus to the pectoral girdle. Arthroscopically Assisted Anatomic Coracoclavicular Ligament Reconstruction Technique Using Coracoclavicular Fixation and Soft-Tissue Grafts, Two-Year Outcomes After Primary Anatomic Coracoclavicular Ligament Reconstruction, Acromioclavicular and coracoclavicular PDS augmentation for complete AC joint dislocation showed insufficient properties in a cadaver model, The effects of arm elevation on the 3-dimensional acromiohumeral distance: a biplane fluoroscopy study with normative data, Acromioclavicular joint reconstruction with coracoacromial ligament transfer using the docking technique, Acromioclavicular Joint Injuries: Anatomy, Diagnosis and Treatment, Acromioclavicular Joint Instability—Reconstruction Indications and Techniques, Subcoracoid Impingement: Factors Associated with the Size and Location of the Coracohumeral Interval, Anterior Shoulder Instability in the Professional Athlete: Return to Competition, Time to Return, and Career Length, Impact of Age and Subscapularis Tendon Reparability on Return to Recreational Sports Activities and 2-Year Outcomes After Reverse Total Shoulder Arthroplasty, Operative treatment of torsional humeral shaft fractures in throwers leads to an earlier return to sport: a survey of expert shoulder and elbow surgeons, Outcomes After Arthroscopic Pancapsular Capsulorrhaphy With Suture Anchors for the Treatment of Multidirectional Glenohumeral Instability in Athletes, Posterior bony Bankart bridge technique results in reliable clinical 2-year outcomes and high return to sports rate for the treatment of posterior bony Bankart lesions, Return to Recreational Sporting Activities Following Total Shoulder Arthroplasty, Shoulder Injuries in the Throwing Athlete, Shoulder Injuries in the Throwing Athlete 2, Cartilage Microfrature Joint Preservation Surgery, The Use of Biological Approaches in the Treatment of Shoulder Pathology, Treatment of Osteoarthritis of the Knee with Microfracture and Rehabilitation, Survivorship and Patient-Reported Outcomes After Comprehensive Arthroscopic Management of Glenohumeral Osteoarthritis, Arthroscopic Management of Glenohumeral Arthrosis, Chondral and Osteochondral Lesions of the Humerous: Diagnosis and Management, Outcomes of Full-Thickness Articular Cartilage Injuries of the Shoulder Treated With Microfracture, Intramedullary Fixation of Midshaft Clavicle Fractures, Concomitant glenohumeral pathologies associated with acute and chronic grade III and grade V acromioclavicular joint injuries, Surgical Anatomy of the Sternoclavicular Joint, Clinical outcomes after autograft reconstruction for sternoclavicular joint instability, Biomechanical Comparison of Surgical Techniques for Resection Arthroplasty of the Sternoclavicular Joint, Arthroscopic Sternoclavicular Joint Resection Arthroplasty: A Technical Note and Illustrated Case Report, Instability and Degenerative Arthritis of the Sternoclavicular Joint, Midshaft Clavicle Fracture Open Reduction and Internal Fixation, Biomechanical Consequences of Coracoclavicular Reconstruction Techniques on Clavicle Strength, Stability of mid-shaft clavicle fractures after plate fixation versus intramedullary repair and after hardware removal, Distal Clavicle Fixation in the Skeletally Immature, Decision-making in the treatment of diaphyseal clavicle fractures: is there agreement among surgeons? 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