Shoulder

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

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Shoulder

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
Updated on 22 June 2024

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