The scapula, a large, flat, triangular bone located on the thoracic cage's posterolateral aspect, comprises two surfaces (costal and dorsal), three borders (superior, axillary, and vertebral), three angles (superior, inferior, and lateral), and three processes (spine, acromion, and coracoid). Its anatomy facilitates muscle attachments and arm movement, with specific origins and insertions described for various muscles. Additionally, the document outlines the ligaments associated with the scapula and criteria for side determination.
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
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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
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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
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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
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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
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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
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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
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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