Glenohumeral Joint
(Redirected from Shoulder Joint)
Description




General
- Shoulder Joint
- Glenohumeral Joint
General
- Defined by the articulation of the head of the Humerus and the glenoid cavity of the Scapula
- Classified as a synovial "ball and socket" joint
- Sometimes referred to as a golf ball and a tee
Articulating Surfaces
- Formed by an articulation between the head of the humerus and the glenoid cavity (or fossa) of the scapula.
- Articulating surfaces are covered with hyaline cartilage.
- Head of the humerus is much larger than the glenoid fossa
- This gives the joint a wide range of movement at the cost of instability
- Glenoid Labrum: reduces the disproportion in surfaces with a deepened fibrocartilage rim
Joint Capsule
- Fibrous sheath which encloses the structures of the joint
- Extends from the anatomical neck of the humerus to the border or ‘rim’ of the glenoid fossa
- Capsule is lax, permitting greater mobility (particularly abduction)
- Synovial membrane lines the inner surface of the joint capsule
- Produces synovial fluid to reduce friction between the articular surfaces
Static stabilizers
- Bony structures
- Ligaments
- Negative intra-articular pressure
Dynamic Stabilizers
- Rotator Cuff
- Long head of the Biceps Brachii
- Periscapular Muscles
Function
- Geometry provides functional benefit by allowing for a broad arc of motion
- However, only 25% of the humeral head is in contact with the glenoid at any point in the arc of motion[4]
- Compromise is potential instability
Movement
- Extension: posterior deltoid, latissimus dorsi, teres major
- Flexion: pectoralis major, anterior deltoid, coracobrachialis
- Biceps brachii weakly assists in forward flexion
- Abduction:
- First 0-15 degrees: supraspinatus
- 15-90 degrees: The middle fibres of the deltoid
- Past 90 degrees: trapezius, serratus anterior retract the scapula achieve abduction
- Adduction: pectoralis major, latissimus dorsi, teres major
- Internal rotation: subscapularis, pectoralis major, latissimus dorsi, teres major, anterior deltoid
- External rotation: infraspinatus, teres minor
- Circumduction: produced by a combination of the movements described above.
Bursae
Vascular Supply
- Anterior Circumflex Humeral Artery
- Posterior Circumflex Humeral Artery
- Suprascapular Artery
- Scapular Circumflex Artery
Nerve
Clinical Significance
See Also
References
- ↑ Image courtesy of kenhub.com, "Glenohumeral Joint"
- ↑ Mancuso, Matteo. Evaluation and robotic simulation of the glenohumeral joint. No. 10009. EPFL, 2020.
- ↑ Hwang, Eunjoo. A finite element model of the superior glenoid labrum. Diss. 2014.
- ↑ Campbell WC, Canale ST, Beaty JH. Campbell’s operative orthopaedics. 11th ed. Philadelphia: Mosby/Elsevier; 2008