2. Bones
• The shoulder
(glenohumeral joint) is
a ball and socket joint.
• The ball is at the top of
the arm bone (the
humerus).
• The socket is the
glenoid which is part
of the shoulder blade
(scapula).
Humerus Scapula
3. Soft tissue
• The glenohumeral joint
is surrounded by a
sleeve of tissue (the
capsule).
• The capsule is thick in
places & forms
ligaments.
Capsule
4. Tendons
• Outside the capsule
are the tendons of the
rotator cuff.
• Tendons are where
muscles attach to
bone.
• Muscle pulling on
bones through
tendons produces
movement at joints.
5. Rotator Cuff
• The rotator cuff is
composed of 4 tendons
• Subscapularis (at the
front)
• Supraspinatus and
infraspinatus (at the
top)
• Teres minor (at the
back).
Subscapularis
Supraspinatus
Infraspinatus
Teres Minor
6. Subacromial space
• Above the rotator cuff is the
acromion which is the bone
you can feel on the top of
your shoulder.
• The acromion is part of the
shoulder blade (scapula).
• The subacromial space is
between the undersurface of
the acromion and the upper
surface of the rotator cuff.
• The subdeltoid or
subacromial bursa (a sac of
fluid) occupies the
subacromial space.
Acromion
Subacromial bursa
7. Clavicle and AC joint
• At the front of the
shoulder the acromion
articulates with the
collar bone (clavicle) at
the acromioclavicular
joint (ACJ)
• The ACJ is stabilised by
the ACJ capsule and the
coracoclavicular
ligaments
Clavicle
Acromion AC joint
Coracoclavicular
Ligaments
ACJ capsule
8. Biceps tendon
• The biceps muscle (the strong
muscle at the front of the arm)
has two tendons.
• One (long head or LHB) is
attached to the top of socket of
the shoulder joint.
• The second tendon is attached to
the coracoid process (part of the
scapula). This is a finger-like
projection of bone that you can
feel about 4 cm below the outer
part of your collar bone.
• The two tendons join together to
form the biceps muscle at the top
of the arm
LHB
Coracoid
process
Biceps Muscle