The Shoulder Joint

Masoom Parmar writes about the anatomy of the most flexible joint in the human body.

The most flexible joint in the entire human body, our shoulder joint is formed by the union of the humerus, the scapula (or shoulder blade), and the clavicle (or collarbone). Commonly thought of as a single joint, the shoulder is actually made up of two separate joints – the glenohumeral and acromioclavicular joints. These two joints work together to allow the arm both to circumduct in a large circle and to rotate around its axis at the shoulder.

Pic courtesy: hfmhealth.org
Pic courtesy: hfmhealth.org

The glenohumeral joint is a ball-and-socket joint formed between the articulation of the rounded head of the humerus (the upper arm bone) and the cup-like depression of the scapula, called the glenoid fossa. The glenoid fossa forms a very shallow socket, so the muscles, ligaments, and cartilage of the shoulder joint reinforce its structure and help to prevent dislocations. A ring of cartilage known as the labrum surrounds the glenoid fossa to extend the size of the socket while maintaining flexibility. To further reinforce the shoulder, the four muscles of the rotator cuff extend from the scapula and surround the head of the humerus to both rotate the arm and prevent dislocation.

The acromioclavicular joint is formed by an articulation between the lateral end of the clavicle and the acromion process of the scapula. It is a flat, gliding joint that gives the shoulder joint additional flexibility that would not be possible with just the glenohumeral joint.

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