RANZCR Syllabus
Category 1
• Articular surfaces
• Fibrous capsule & joint cavity
• Labrum
Category 2
• Tendon of long head of biceps
• Subacromial bursa
Category 3
• Glenohumeral ligaments
• Articular surfaces
• Fibrous capsule & joint cavity
• Labrum
Category 2
• Tendon of long head of biceps
• Subacromial bursa
Category 3
• Glenohumeral ligaments
Shoulder |
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| CATEGORY 1PENDING |
The glenohumeral joint is a synovial ball-and-socket joint with the most extensive range of motion in the body.
Articular surfaces
- Head of humerus – hemispherical
- The portion of the humeral head which articulates with the scapular glenoid is intracapsular; and the small region without overlying hyaline cartilage, inside the joint capsule and lateral to the hyaline cartilage, is known as the bare area
- Glenoid cavity (fossa)
- Glenoid labrum – peripherally surrounds and reinforces the glenoid cavity
Arterial Supply
- Originates from the subclavian cavity
Venous drainage
- Anterior and posterior circumflex humeral veins
- Tributary of the axillary vein
Nerve supply
- Axillary nerve
- Subscapular nerve
- Suprascapular nerve
Lymphatics
Lymph drains into axillary nodes and subclavian trunk
Normal Variants
- Buford complex – relative deficiency of anterior labrum, associated with cord-like middle glenohumeral ligament
- Sublabral foramen
- Long head of biceps inserts into osseous glenoid, above glenoid labrum
- Long head of biceps inserts into the superior surface of glenoid labrum
- Long head of biceps inserts into labrum and produces meniscoid insertion
