ANATOMY OF
SCAPULA
Vibhuti Nautiyal
MPT (Musculoskeletal)
ANATOMY
 Large, flat and triangular bone
 Placed on the posterolateral aspect of the thoracic cage
 Has two surfaces, three borders, three angles and three processes
TWO SURFACES
1. Costal surface:
 Also known as ventral surface or subscapular fossa
 Presents a broad concavity (directed medially and forwards)
 Medial two- thirds of the fossa are marked by several oblique ridges; run lateralward
and upwards
 Lateral third of the fossa is smooth
 Thick ridge adjoins the lateral border
 Almost rod- like
 Acts as a lever for the action of S.A in overhead abduction of the arm
2. Dorsal surface:
 Arched from above downwards
 Gives attachment to the spine of scapula which divides the surface into two unequal parts: suraspinatous
fossa and infraspinatous fossa
 Two fossa are connected by the supraglenoid notch, situated lateral to the root of the spine
a. Supraspinatus fossa:
 Smaller of the two
 Concave, smooth and broader
 Medial two thirds give origin to the supraspinatus
b. Infraspinatous fossa:
 Much larger
 Shallow concavity at its upper part
 Centre presents a prominent convexity
 Medial two- thirds gives origin to the Infraspinatus muscle
THREE BORDERS
1. Superior border:
 Shortest and thinnest, most irregular
 Concave
 Extends from the medial angle to the base of the coracoid process
 Near the root of the coracoid process it presents the suprascapular notch
2. Axillary border or lateral border:
 Thickest
 Begins above at the lower margin of the glenoid cavity
 Inclines obliquely downward and backward to the inferior angle
 At the upper end it presents the infraglenoid tubercle
3. Vertebral border or medial border:
 Longest
 Extends from the superior angle to the inferior angle
THREE ANGLES
1. Superior angle:
 Formed by the junction of the superior and vertebral borders
 Thin, smooth, rounded
 Inclined somewhat lateralward
 Covered by the trapezius
2. Inferior angle:
 Thick and rough
 Formed by the union of the vertebral and axillary border
 Covered by the Latissimus dorsi
 Moves forwards round the chest when the arm is abducted
3. Lateral angle:
 Also known as glenoid angle
 Thickest part of the bone
 Bears the glenoid cavity or fossa
 Directed forwards, laterally and slightly upwrads
THREE PROCESSES
1. Spine or Spinous process:
 Triangular part of bone
 Three borders and two surfaces
 Divides the dorsal surface of the scapula into the supraspinous and infraspinous fossae
 Posterior border is called the crest of the spine
 Crest has upper and lower lips
 Lateral border is the shortest, is slightly concave, thick and round
2. Acromion process:
 Large and somewhat triangular
 Has two borders, medial and lateral
 Lateral border is thick and irregular
 Medial border is shorter than the lateral and concave
 Two surfaces, superior and inferior
 Superior surface is directed upwards, backward and lateralwards; convex, rough
 Inferior surface is smooth and concave
 A facet for the calvicle
3. Coracoid process:
 Thick curved process
 Attached by a broad base to the upper part of the neck of the scapula
 Directed forwards and slightly laterally
ATTACHMENTS
1. Muscles: origin
 Subscapularis: medial two- thirds of the subscapular fossa
 Supraspinatus: medial two- thirds of the supraspinatous fossa including the upper
surface of the spine
 Infraspinatus: medial two- thirds of the infraspinatous fossa including the lower surface
of the spine
 Deltoid: lower border of the crest of the spine and from the lateral border of the
acromion
 Biceps brachii: long head; supraglenoid tubercle, short head; lateral part of the tip of the
coracoid process
 Coracobrachialis: medial part of the tip of the coracoid process
 Triceps brachii: long head from the infraglenoid tubercle
 Teres minor: dorsal surface, upper two- thirds, lateral border
 Teres major: dorsal surface, lower one- third, lateral border
 Omohyoid: suprascapular notch
Insertion:
 Trapezius: upper border of the crest of the spine and medial border of the acromoin
 S.A: medial border of the costal surface
 Pectoralis minor: medial border and the superior surface of the coracoid process
 Leavtor scapulae: dorsal aspect, medial border, from the superior angle to the root of the spine
 Rhomboideus minor: medial border, dorsal aspect, opposite the root of the spine
 Rhomboideus major: medial border, dorsal aspect, between the root of the spine and the inferior angle
Ligaments:
 Glenoid labrum: margin of the glenoid cavity
 Capsule of the AC joint: margin of the acromion facet
 Coracoacromial ligament: lateral border of the coracoid process, medial side of the tip f the acromion
process
 Coracohumeral ligament: root of the coracoid process
 Coracoclavicular ligament: coracoid process
 Suprascapular ligament: bridges across the suprascapular notch
SIDE DETERMINATION
 Lateral or glenoid angle is large and bears the glenoid cavity
 The dorsal surface is convex and is divided by the triangular spine into the supraspious
and infrsapinous fossa
 Costal surface is concave
 Lateral thickest border runs from the glenoid cavity above to the inferior angle below
THANK YOU

Anatomy of scapula

  • 1.
  • 2.
    ANATOMY  Large, flatand triangular bone  Placed on the posterolateral aspect of the thoracic cage  Has two surfaces, three borders, three angles and three processes
  • 4.
    TWO SURFACES 1. Costalsurface:  Also known as ventral surface or subscapular fossa  Presents a broad concavity (directed medially and forwards)  Medial two- thirds of the fossa are marked by several oblique ridges; run lateralward and upwards  Lateral third of the fossa is smooth  Thick ridge adjoins the lateral border  Almost rod- like  Acts as a lever for the action of S.A in overhead abduction of the arm
  • 5.
    2. Dorsal surface: Arched from above downwards  Gives attachment to the spine of scapula which divides the surface into two unequal parts: suraspinatous fossa and infraspinatous fossa  Two fossa are connected by the supraglenoid notch, situated lateral to the root of the spine a. Supraspinatus fossa:  Smaller of the two  Concave, smooth and broader  Medial two thirds give origin to the supraspinatus
  • 6.
    b. Infraspinatous fossa: Much larger  Shallow concavity at its upper part  Centre presents a prominent convexity  Medial two- thirds gives origin to the Infraspinatus muscle
  • 8.
    THREE BORDERS 1. Superiorborder:  Shortest and thinnest, most irregular  Concave  Extends from the medial angle to the base of the coracoid process  Near the root of the coracoid process it presents the suprascapular notch 2. Axillary border or lateral border:  Thickest  Begins above at the lower margin of the glenoid cavity
  • 9.
     Inclines obliquelydownward and backward to the inferior angle  At the upper end it presents the infraglenoid tubercle 3. Vertebral border or medial border:  Longest  Extends from the superior angle to the inferior angle
  • 11.
    THREE ANGLES 1. Superiorangle:  Formed by the junction of the superior and vertebral borders  Thin, smooth, rounded  Inclined somewhat lateralward  Covered by the trapezius 2. Inferior angle:  Thick and rough  Formed by the union of the vertebral and axillary border  Covered by the Latissimus dorsi
  • 12.
     Moves forwardsround the chest when the arm is abducted 3. Lateral angle:  Also known as glenoid angle  Thickest part of the bone  Bears the glenoid cavity or fossa  Directed forwards, laterally and slightly upwrads
  • 13.
    THREE PROCESSES 1. Spineor Spinous process:  Triangular part of bone  Three borders and two surfaces  Divides the dorsal surface of the scapula into the supraspinous and infraspinous fossae  Posterior border is called the crest of the spine  Crest has upper and lower lips  Lateral border is the shortest, is slightly concave, thick and round
  • 14.
    2. Acromion process: Large and somewhat triangular  Has two borders, medial and lateral  Lateral border is thick and irregular  Medial border is shorter than the lateral and concave  Two surfaces, superior and inferior  Superior surface is directed upwards, backward and lateralwards; convex, rough  Inferior surface is smooth and concave  A facet for the calvicle
  • 15.
    3. Coracoid process: Thick curved process  Attached by a broad base to the upper part of the neck of the scapula  Directed forwards and slightly laterally
  • 17.
    ATTACHMENTS 1. Muscles: origin Subscapularis: medial two- thirds of the subscapular fossa  Supraspinatus: medial two- thirds of the supraspinatous fossa including the upper surface of the spine  Infraspinatus: medial two- thirds of the infraspinatous fossa including the lower surface of the spine  Deltoid: lower border of the crest of the spine and from the lateral border of the acromion  Biceps brachii: long head; supraglenoid tubercle, short head; lateral part of the tip of the coracoid process
  • 18.
     Coracobrachialis: medialpart of the tip of the coracoid process  Triceps brachii: long head from the infraglenoid tubercle  Teres minor: dorsal surface, upper two- thirds, lateral border  Teres major: dorsal surface, lower one- third, lateral border  Omohyoid: suprascapular notch Insertion:  Trapezius: upper border of the crest of the spine and medial border of the acromoin  S.A: medial border of the costal surface  Pectoralis minor: medial border and the superior surface of the coracoid process  Leavtor scapulae: dorsal aspect, medial border, from the superior angle to the root of the spine
  • 19.
     Rhomboideus minor:medial border, dorsal aspect, opposite the root of the spine  Rhomboideus major: medial border, dorsal aspect, between the root of the spine and the inferior angle Ligaments:  Glenoid labrum: margin of the glenoid cavity  Capsule of the AC joint: margin of the acromion facet  Coracoacromial ligament: lateral border of the coracoid process, medial side of the tip f the acromion process  Coracohumeral ligament: root of the coracoid process  Coracoclavicular ligament: coracoid process  Suprascapular ligament: bridges across the suprascapular notch
  • 22.
    SIDE DETERMINATION  Lateralor glenoid angle is large and bears the glenoid cavity  The dorsal surface is convex and is divided by the triangular spine into the supraspious and infrsapinous fossa  Costal surface is concave  Lateral thickest border runs from the glenoid cavity above to the inferior angle below
  • 24.