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Supraspinatous Fossa
The supraspinous fossa (supraspinatus fossa, supraspinatous fossa) of the posterior aspect of the scapula (the shoulder blade) is smaller than the infraspinous fossa, concave, smooth, and broader at its vertebral than at its humeral end. Its medial two-thirds give origin to the Supraspinatus. Structure The fossa can be exposed by the removal of skin and the superficial fascia of the back and the trapezius muscle. The supraspinous fossa is bounded by the spine of scapula on the inferior side, acromion process on the lateral side and the superior angle of scapula on the superior side. Supraspinatus muscle originates from the supraspinous fossa. Distal attachment of the levator scapulae muscle is also on the medial aspect of the fossa. Function The suprascapular artery and nerve are found within the fossa. The posterior branch of the suprascapular artery supplies the supraspinatous muscle. Dorsal scapular artery also gives off a collateral branch and anastomoses with the supr ...
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Scapula
The scapula (plural scapulae or scapulas), also known as the shoulder blade, is the bone that connects the humerus (upper arm bone) with the clavicle (collar bone). Like their connected bones, the scapulae are paired, with each scapula on either side of the body being roughly a mirror image of the other. The name derives from the Classical Latin word for trowel or small shovel, which it was thought to resemble. In compound terms, the prefix omo- is used for the shoulder blade in medical terminology. This prefix is derived from ὦμος (ōmos), the Ancient Greek word for shoulder, and is cognate with the Latin , which in Latin signifies either the shoulder or the upper arm bone. The scapula forms the back of the shoulder girdle. In humans, it is a flat bone, roughly triangular in shape, placed on a posterolateral aspect of the thoracic cage. Structure The scapula is a thick, flat bone lying on the thoracic wall that provides an attachment for three groups of muscles: intrin ...
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Suprascapular Artery
The suprascapular artery is a branch of the thyrocervical trunk on the neck. Structure At first, it passes downward and laterally across the scalenus anterior and phrenic nerve, being covered by the sternocleidomastoid muscle; it then crosses the subclavian artery and the brachial plexus, running behind and parallel with the clavicle and subclavius muscle and beneath the inferior belly of the omohyoid to the superior border of the scapula. It passes over the superior transverse scapular ligament in most of the cases while below it through the suprascapular notch in some cases. The artery then enters the supraspinous fossa of the scapula. It travels close to the bone, running through the suprascapular canal underneath the supraspinatus muscle, to which it supplies branches. It then descends behind the neck of the scapula, through the great scapular notch and under cover of the inferior transverse ligament, to reach the infraspinatous fossa, where it supplies infraspinatus a ...
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Supraspinatus Muscle
The supraspinatus (plural ''supraspinati'') is a relatively small muscle of the upper back that runs from the supraspinous fossa superior portion of the scapula (shoulder blade) to the greater tubercle of the humerus. It is one of the four rotator cuff muscles and also abducts the arm at the shoulder. The spine of the scapula separates the supraspinatus muscle from the infraspinatus muscle, which originates below the spine. Structure The supraspinatus muscle arises from the supraspinous fossa, a shallow depression in the body of the scapula above its spine. The supraspinatus muscle tendon passes laterally beneath the cover of the acromion. Research in 1996 showed that the postero-lateral origin was more lateral than classically described. The supraspinatus tendon is inserted into the superior facet of the greater tubercle of the humerus. The distal attachments of the three rotator cuff muscles that insert into the greater tubercle of the humerus can be abbreviated as SIT when vie ...
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Nerve Compression Syndrome
Nerve compression syndrome, or compression neuropathy, or nerve entrapment syndrome, is a medical condition caused by direct pressure on a nerve. It is known colloquially as a ''trapped nerve'', though this may also refer to nerve root compression (by a herniated disc, for example). Its symptoms include pain, tingling, numbness and muscle weakness. The symptoms affect just one particular part of the body, depending on which nerve is affected. Nerve conduction studies help to confirm the diagnosis. In some cases, surgery may help to relieve the pressure on the nerve but this does not always relieve all the symptoms. Nerve injury by a single episode of physical trauma is in one sense a compression neuropathy but is not usually included under this heading. Syndromes * Upper limb * Lower limb, abdomen and pelvis Signs and symptoms Tingling, numbness, and/or a burning sensation in the area of the body affected by the corresponding nerve. These experiences may occur directly fol ...
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Supraglenoid Tubercle
The supraglenoid tubercle is a region of the scapula from which the long head of the biceps brachii muscle originates. It is a small, rough projection superior to the glenoid cavity near the base of the coracoid process. The term supraglenoid is from the Latin ''supra,'' meaning above, and ''glenoid,'' meaning socket or cavity. Clinical relevance Biceps tendonitis Biceps tendonitis originates on the long head of the biceps brachii at the supraglenoid tubercle in 30% of cases. The main symptom is generally anterior biceps instability, but the disease can also be characterized by chronic anterior shoulder pain which radiates towards the lateral part of the elbow. In cases of biceps tendinitis, steroids can be injected fluoroscopically at the supraglenoid tubercle to reduce pain associated with the pathology. Avulsion The supraglenoid tubercle ossifies separately from the rest of the scapula, so may not be as strong as the rest of the bone. It can be pulled off ( avulsed), ...
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Suprascapular Notch
The suprascapular notch (or ''scapular notch'') is a notch in the superior border of the scapula, just medial to the base of the coracoid process. It forms the entrance site into the suprascapular canal. Structure This notch is converted into a foramen by the suprascapular ligament, and serves for the passage of the suprascapular nerve; sometimes the ligament is ossified. The suprascapular vessels varies in number as well as in their course as they run at the suprascapular notch site. The suprascapular artery pass above the suprascapular ligament in most cases. The suprascapular vein been found to pass above the suprascapular ligament as well as passing through the suprascapular notch. Types Two main classification systems exists with others being modified approaches of the same principle. Typing based on subjective observation of the suprascapular notch shape. Introduced by and modified by . There are six basic types of scapular notch: * Type I: Notch is absent. The supe ...
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Brachial Plexus
The brachial plexus is a network () of nerves formed by the anterior rami of the lower four cervical nerves and first thoracic nerve ( C5, C6, C7, C8, and T1). This plexus extends from the spinal cord, through the cervicoaxillary canal in the neck, over the first rib, and into the armpit, it supplies afferent and efferent nerve fibers the to chest, shoulder, arm, forearm, and hand. Structure The brachial plexus is divided into five ''roots'', three ''trunks'', six ''divisions'' (three anterior and three posterior), three ''cords'', and five ''branches''. There are five "terminal" branches and numerous other "pre-terminal" or "collateral" branches, such as the subscapular nerve, the thoracodorsal nerve, and the long thoracic nerve, that leave the plexus at various points along its length. A common structure used to identify part of the brachial plexus in cadaver dissections is the M or W shape made by the musculocutaneous nerve, lateral cord, median nerve, medial cord, and ...
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Anastomosis
An anastomosis (, plural anastomoses) is a connection or opening between two things (especially cavities or passages) that are normally diverging or branching, such as between blood vessels, leaf#Veins, leaf veins, or streams. Such a connection may be normal (such as the foramen ovale (heart), foramen ovale in a fetus's heart) or abnormal (such as the atrial septal defect#Patent foramen ovale, patent foramen ovale in an adult's heart); it may be acquired (such as an arteriovenous fistula) or innate (such as the arteriovenous shunt of a metarteriole); and it may be natural (such as the aforementioned examples) or artificial (such as a surgical anastomosis). The reestablishment of an anastomosis that had become blocked is called a reanastomosis. Anastomoses that are abnormal, whether congenital disorder, congenital or acquired, are often called fistulas. The term is used in medicine, biology, mycology, geology, and geography. Etymology Anastomosis: medical or Modern Latin, from Gre ...
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Dorsal Scapular Artery
The transverse cervical artery (transverse artery of neck or transversa colli artery) is an artery in the neck and a branch of the thyrocervical trunk, running at a higher level than the suprascapular artery. Structure It passes transversely below the inferior belly of the omohyoid muscle to the anterior margin of the trapezius, beneath which it divides into a superficial and a deep branch. It crosses in front of the phrenic nerve and the scalene muscles, and in front of or between the divisions of the brachial plexus, and is covered by the platysma and sternocleidomastoid muscles, and crossed by the omohyoid and trapezius. The transverse cervical artery originates from the thyrocervical trunk, it passes through the posterior triangle of the neck to the anterior border of the levator scapulae muscle, where it divides into deep and superficial branches. * Superficial branch ** Ascending branch ** Descending branch (also known as superficial cervical artery, which supplies t ...
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Suprascapular Nerve
The suprascapular nerve is a nerve that branches from the upper trunk of the brachial plexus. It is responsible for the innervation of two of the muscles that originate from the scapula, namely the supraspinatus muscle, supraspinatus and infraspinatus muscles. Structure The suprascapular nerve arises from the upper trunk of the brachial plexus which is formed by the union of the Anterior ramus of spinal nerve, ventral rami of the fifth and sixth cervical nerves. After branching from the upper trunk, the nerve passes across the posterior triangle of the neck parallel to the inferior belly of the omohyoid muscle and deep to the trapezius muscle. It then runs along the Scapula#Borders, superior border of the scapula through the suprascapular canal, in which it enters via the suprascapular notch inferior to the superior transverse scapular ligament and enters the supraspinous fossa. It then passes beneath the supraspinatus, and curves around the lateral border of the spine of the scapul ...
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Levator Scapulae Muscle
The levator scapulae is a slender skeletal muscle situated at the back and side of the neck. As the Latin name suggests, its main function is to lift the scapula. Anatomy Attachments The muscle descends diagonally from its origin to its insertion. Origin The levator scapulae originates from the posterior tubercles of the transverse processes of cervical vertebrae C1-4. At its origin, it attaches via tendinous slips. Insertion It inserts onto the medial border of the scapula (with its site of insertion extending between the superior angle of the scapula superiorly, and the junction of spine of scapula and medial border of scapula inferiorly). Relations One of the muscles within the floor of the posterior triangle of the neck, the superior part of levator scapulae is covered by sternocleidomastoid and its inferior part by the trapezius. It is bounded in front by the scalenus medius and behind by splenius cervicis. The spinal accessory nerve crosses laterally in the middl ...
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Infraspinous Fossa
The infraspinous fossa (infraspinatus fossa or infraspinatous fossa) of the scapula is much larger than the supraspinatous fossa; toward its vertebral margin a shallow concavity is seen at its upper part; its center presents a prominent convexity, while near the axillary border is a deep groove which runs from the upper toward the lower part. The medial two-thirds of the fossa give origin to the Infraspinatus; the lateral third is covered by this muscle. Additional images File:Infraspinatus fossa of left scapula- animation.gif, Left scapula. Infraspinatous fossa shown in red. File:Infraspinatus fossa - animation.gif, Animation. Infraspinatous fossa shown in red. File:Infraspinatous fossa of scapula01.png, Still image. File:Gray203.png, Left scapula. Dorsal surface. ("Infra-spinatous" fossa visible at bottom right.) File:Scapula post.jpg, Left scapula. Dorsal surface. Infraspinatous fossa not labeled, but visible at center. File:Infraspinatus muscle back2.png, Infraspin ...
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