Schultergürtel/en

Shoulder blade (Scapula)


Collarbone (Clavicula)


Acromioclavicular joint


Sternoclavicular joint


Humeroscapular joint


Shoulder girdle musculature

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Overview

The shoulder girdle connects the free upper extremity with the Trunk. The bony structure consists of the Scapula (Shoulder blade) and the Clavicula (collarbone). The two bones are connected by the acromioclavicular joint (Art. acromioclavicularis). The collarbone has a direct connection to the trunk via the sternoclavicular joint (Art. sternoclavicularis). The shoulder blade, on the other hand, is embedded in muscle loops and has no direct connection to the trunk.

Anatomy

The shoulder girdle has a bony structure in pairs and consists of the scapula (shoulder blade) and clavicle (collarbone) on both the right and left sides of the body. The clavicle is an "s"-shaped curved tubular Bone. The shoulder blade, on the other hand, is formed by a flat triangular bone embedded in muscle loops. The free upper extremities (arms) are connected to the trunk by the shoulder girdle. The direct connection is through the sternoclavicular joint, also called medial clavicle joint. This is the point where the clavicle and sternum meet and is the only bony connection between the upper extremities and the trunk. The scapula and clavicle correlate with each other via the acromioclavicular joint (lateral clavicle joint). The humeroscapular joint (shoulder joint) connects the Humerus with the shoulder girdle.

Alignment of clavicle and scapula

As a result of the evolutionary uprighting of the human being to an upright position, the shoulder blades have shifted dorsally to the almost frontal rear surface of the thorax. In a cranial view, the scapula and the frontal plane form an angle of 30°. Between the clavicle and the scapula is a larger angle of about 60°. This causes the shoulder joints to tilt forward slightly.

Shoulder girdle as a zonoskeleton

The shoulder girdle, like the pelvic girdle, belongs to the zonoskeleton. These are bone elements that are attached proximally to the trunk. Here this is fulfilled by the shoulder blade and the collarbone. The shoulder girdle thus represents a movable body appendage, which is formed by different sections.

Function

The shoulder girdle provides stability between the trunk and the upper free limb. This is ensured less by bony connections than much more by the shoulder girdle musculature. This also ensures good movement of the shoulder. The clavicle and the scapula have only little movement to each other. However, the combination with the musculature and the shoulder joint allows a very large range of motion.

Movement

The scapula and clavicle are mechanically connected by the clavicle joints. Thus the shoulder blade moves with every movement of the clavicle. The scapula then slides over the thorax due to the shoulder blade-thoracic joint. The scapula can make the following movements:

• Pivoting laterally
• Lifting and lowering
• Forward and backward

The sternoclavicular joint raises and lowers the shoulder around an almost sagittal axis. Forward and backward movement around a longitudinal axis is also caused by the medial clavicle joint. From a lateral viewpoint, the clavicle in the steroclavicular joint moves approximately on a conical mantle.

Diseases

• Dysostosis cleidocranialis
• Incisura-scapulae syndrome
• Clavicle fractures
• Scapular fractures

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Exercises

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