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Where the clavicle comes together with the sternum is the only true bone to bone connection between the upper extremity and the trunk
Also called collarbone
Bone that connects the sternum to the scapula
Connects medially to the sternoclavicular joint
Connects laterally to the acromion of the scapula at the acromioclavicular joint
Protects important nerves and blood vessels that are deep to it
Brachial plexus and subclavian artery and vein
Located on the posterior side of the ribcage
Forms part of the shoulder girdle
Connects to the humerus and clavicle
Provides attachment points for various muscles such as the rotator cuff muscles, serratus anterior, trapezius, and rhomboids
Bone of the upper arm
Proximal end articulates with the glenoid fossa of the scapula, forming the glenohumeral joint
Provides attachment points for muscles that perform shoulder and elbow movements
Distal end articulates with the radius and ulna
Glenohumeral joint:
Main shoulder joint
Ball and socket joint where the head of the humerus fits into the glenoid fossa of the scapula
Is stabilized by the muscles of the rotator cuff
Shape allows for lots of actions such as flexion, extension, abduction, adduction, rotation, and circumduction
Acromioclavicular joint:
Joint between acromion of the scapula and the clavicle
Helps to move the scapula smoothly and efficiently in coordination with shoulder movement
Sternoclavicular joint:
Joint between the sternum and clavicle
Allows slight movement of the clavicle for more smooth and efficient shoulder movement
Scapulothoracic joint:
Is where the scapula glides over the posterior rib cage
Not a true synovial joint as there is no joint capsule, cartilage, or synovial fluid
The scapula moves in coordination with the shoulder
General rule is for every 2 degrees of glenohumeral joint movement, there is 1 degree of scapulothoracic joint movement
During shoulder flexion and abduction beyond 30 degrees
This is called scapulohumeral rhythm
Quiz Questions
1. What is the only true bone-to-bone connection between the upper extremity and the trunk?
A. Sternoclavicular joint
B. Acromioclavicular joint
C. Scapulothoracic joint
D. Glenohumeral joint
2. Which bone connects the sternum to the scapula?
A. Radius
B. Clavicle
C. Humerus
D. Ulna
3. The humerus articulates with which part of the scapula at the shoulder?
A. Coracoid process
B. Glenoid fossa
C. Acromion
D. Spine of the scapula
4. What type of joint is the glenohumeral joint?
A. Hinge joint
B. Ball-and-socket joint
C. Pivot joint
D. Saddle joint
5. What motion does the glenohumeral joint allow?
A. Flexion and extension
B. Flexion, extension, abduction, adduction, external rotation
C. Abduction, adduction, flexion, extension
D. Flexion, extension, abduction, adduction, rotation, and circumduction
6. What is the primary role of the sternoclavicular joint?
A. To stabilize the acromion
B. To allow slight movement of the clavicle for smooth shoulder motion
C. To stabilize the scapula
D. To connect the scapula to the humerus
7. What is the general rule of movement for the scapulothoracic joint during shoulder flexion and abduction?
A. For every 1 degree of glenohumeral joint movement, there is 2 degrees of scapulothoracic movement
B. For every 2 degrees of glenohumeral joint movement, there is 1 degree of scapulothoracic movement
C. Scapulothoracic joint does not move during glenohumeral motion
D. Scapulothoracic joint moves equally with the glenohumeral joint
8. What is the term for the coordinated movement between the scapula and humerus during shoulder flexion or abduction?
A. Scapulohumeral rhythm
B. Scapular kinesis
C. Acromioclavicular coordination
D. Scapular dyskinesis
Quiz Answers
A
B
B
B
D
B
B
A
References
Images from: Atlas of Anatomy 4th Edition, Gilroy et al., 2020, Thieme Medical Publishers
Information based on lecture content from professor Dr. Earl Mayhew, DPT, BIO 634 - Human Anatomy course, University of Michigan-Flint, Fall 2022