Scapula
The upper picture is an anterior (from the front) view of the thorax and shoulder girdle. The lower picture is a posterior (from the rear) view of the thorax (scapula shown in red).
Details
Identifiers
Latinscapula
(omo)
MeSHD012540
TA98A02.4.01.001
TA21143
FMA13394
Anatomical terms of bone

The scapula (pl.: scapulae or scapulas[1]), 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 (h)umerus, 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.[2]

Structure

The scapula is a thick, flat bone lying on the thoracic wall that provides an attachment for three groups of muscles: intrinsic, extrinsic, and stabilizing and rotating muscles. The intrinsic muscles of the scapula include the muscles of the rotator cuff—the subscapularis, teres minor, supraspinatus, and infraspinatus.[3] These muscles attach to the surface of the scapula and are responsible for the internal and external rotation of the shoulder joint, along with humeral abduction.

The extrinsic muscles include the biceps, triceps, and deltoid muscles and attach to the coracoid process and supraglenoid tubercle of the scapula, infraglenoid tubercle of the scapula, and spine of the scapula. These muscles are responsible for several actions of the glenohumeral joint.

The third group, which is mainly responsible for stabilization and rotation of the scapula, consists of the trapezius, serratus anterior, levator scapulae, and rhomboid muscles. These attach to the medial, superior, and inferior borders of the scapula.

The head, processes, and the thickened parts of the bone contain cancellous tissue; the rest consists of a thin layer of compact tissue.

The central part of the supraspinatus fossa and the upper part of the infraspinatous fossa, but especially the former, are usually so thin in humans as to be semitransparent; occasionally the bone is found wanting in this situation, and the adjacent muscles are separated only by fibrous tissue. The scapula has two surfaces, three borders, three angles, and three processes.

Surfaces

3d model of scapula, along with annotations showing the various parts of the scapula
Front or subscapular fossa

The front of the scapula (also known as the costal or ventral surface) has a broad concavity called the subscapular fossa, to which the subscapularis muscle attaches. The medial two-thirds of the fossa have 3 longitudinal oblique ridges, and another thick ridge adjoins the lateral border; they run outward and upward. The ridges give attachment to the tendinous insertions, and the surfaces between them to the fleshy fibers, of the subscapularis muscle. The lateral third of the fossa is smooth and covered by the fibers of this muscle.

At the upper part of the fossa is a transverse depression, where the bone appears to be bent on itself along a line at right angles to and passing through the center of the glenoid cavity, forming a considerable angle, called the subscapular angle; this gives greater strength to the body of the bone by its arched form, while the summit of the arch serves to support the spine and acromion.

The costal surface superior of the scapula is the origin of 1st digitation for the serratus anterior origin.

Figure 1 : Left scapula. Costal surface.
Back

The back of the scapula (also called the dorsal or posterior surface) is arched from above downward, and is subdivided into two unequal parts by the spine of the scapula. The portion above the spine is called the supraspinous fossa, and that below it the infraspinous fossa. The two fossae are connected by the spinoglenoid notch, situated lateral to the root of the spine.

  • The supraspinous fossa, above the spine of scapula, is concave, smooth, and broader at its vertebral than at its humeral end; its medial two-thirds give origin to the Supraspinatus. At its lateral surface resides the spinoglenoid fossa which is situated by the medial margin of the glenoid. The spinoglenoid fossa houses the suprascpular canal which forms a connecting passage between the suprascapular notch and the spinoglenoid notch conveying the suprascapular nerve and vessels.[4]
  • The infraspinous fossa is much larger than the preceding; 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.

There is a ridge on the outer part of the back of the scapula. This runs from the lower part of the glenoid cavity, downward and backward to the vertebral border, about 2.5 cm above the inferior angle. Attached to the ridge is a fibrous septum, which separates the infraspinatus muscle from the Teres major and Teres minor muscles. The upper two-thirds of the surface between the ridge and the axillary border is narrow, and is crossed near its center by a groove for the scapular circumflex vessels; the Teres minor attaches here.

The broad and narrow portions above alluded to are separated by an oblique line, which runs from the axillary border, downward and backward, to meet the elevated ridge: to it is attached a fibrous septum which separates the Teres muscles from each other.

Its lower third presents a broader, somewhat triangular surface, the inferior angle of the scapula, which gives origin to the Teres major, and over which the Latissimus dorsi glides; frequently the latter muscle takes origin by a few fibers from this part.

Figure 2 : Left scapula. Dorsal surface.
Side

The acromion forms the summit of the shoulder, and is a large, somewhat triangular or oblong process, flattened from behind forward, projecting at first laterally, and then curving forward and upward, so as to overhang the glenoid cavity.

Figure 3 : Left scapula. Lateral surface.

Angles

There are 3 angles:

The superior angle of the scapula or medial angle, is covered by the trapezius muscle. This angle is formed by the junction of the superior and medial borders of the scapula. The superior angle is located at the approximate level of the second thoracic vertebra. The superior angle of the scapula is thin, smooth, rounded, and inclined somewhat lateralward, and gives attachment to a few fibers of the levator scapulae muscle.[5]

The inferior angle of the scapula is the lowest part of the scapula and is covered by the latissimus dorsi muscle. It moves forwards round the chest when the arm is abducted. The inferior angle is formed by the union of the medial and lateral borders of the scapula. It is thick and rough and its posterior or back surface affords attachment to the teres major and often to a few fibers of the latissimus dorsi. The anatomical plane that passes vertically through the inferior angle is named the scapular line.

The lateral angle of the scapula or glenoid angle also known as the head of the scapula is the thickest part of the scapula. It is broad and bears the glenoid fossa on its articular surface which is directed forward, laterally and slightly upwards, and articulates with the head of the humerus. The inferior angle is broader below than above and its vertical diameter is the longest. The surface is covered with cartilage in the fresh state; and its margins, slightly raised, give attachment to a fibrocartilaginous structure, the glenoidal labrum, which deepens the cavity. At its apex is a slight elevation, the supraglenoid tuberosity, to which the long head of the biceps brachii is attached.[6]

The anatomic neck of the scapula is the slightly constricted portion which surrounds the head and is more distinct below and behind than above and in front. The surgical neck of the scapula passes directly medial to the base of the coracoid process.[7]

Borders

There are three borders of the scapula:

  • The superior border is the shortest and thinnest; it is concave, and extends from the superior angle to the base of the coracoid process. It is referred to as the cranial border in animals.
At its lateral part is a deep, semicircular notch, the scapular notch, formed partly by the base of the coracoid process. This notch is converted into a foramen by the superior transverse scapular ligament, and serves for the passage of the suprascapular nerve; sometimes the ligament is ossified.
The adjacent part of the superior border affords attachment to the omohyoideus.
  • The axillary border (or "lateral border") is the thickest of the three. It begins above at the lower margin of the glenoid cavity, and inclines obliquely downward and backward to the inferior angle. It is referred to as the caudal border in animals.
It begins above at the lower margin of the glenoid cavity, and inclines obliquely downward and backward to the inferior angle.
Immediately below the glenoid cavity is a rough impression, the infraglenoid tuberosity, about 2.5 cm (1 in). in length, which gives origin to the long head of the triceps brachii; in front of this is a longitudinal groove, which extends as far as the lower third of this border, and affords origin to part of the subscapularis.
The inferior third is thin and sharp, and serves for the attachment of a few fibers of the teres major behind, and of the subscapularis in front.
  • The medial border (also called the vertebral border or medial margin) is the longest of the three borders, and extends from the superior angle to the inferior angle.[8] In animals it is referred to as the dorsal border.
Four muscles attach to the medial border. Serratus anterior has a long attachment on the anterior lip. Three muscles insert along the posterior lip, the levator scapulae (uppermost), rhomboid minor (middle), and to the rhomboid major (lower middle).[8]

Development

Figure 5 : Plan of ossification of the scapula. From seven centers.

The scapula is ossified from 7 or more centers: one for the body, two for the coracoid process, two for the acromion, one for the vertebral border, and one for the inferior angle. Ossification of the body begins about the second month of fetal life, by an irregular quadrilateral plate of bone forming, immediately behind the glenoid cavity. This plate extends to form the chief part of the bone, the scapular spine growing up from its dorsal surface about the third month. Ossification starts as membranous ossification before birth.[9][10] After birth, the cartilaginous components would undergo endochondral ossification. The larger part of the scapula undergoes membranous ossification.[11] Some of the outer parts of the scapula are cartilaginous at birth, and would therefore undergo endochondral ossification.[12]

At birth, a large part of the scapula is osseous, but the glenoid cavity, the coracoid process, the acromion, the vertebral border and the inferior angle are cartilaginous. From the 15th to the 18th month after birth, ossification takes place in the middle of the coracoid process, which as a rule becomes joined with the rest of the bone about the 15th year.

Between the 14th and 20th years, the remaining parts ossify in quick succession, and usually in the following order: first, in the root of the coracoid process, in the form of a broad scale; secondly, near the base of the acromion; thirdly, in the inferior angle and contiguous part of the vertebral border; fourthly, near the outer end of the acromion; fifthly, in the vertebral border. The base of the acromion is formed by an extension from the spine; the two nuclei of the acromion unite, and then join with the extension from the spine. The upper third of the glenoid cavity is ossified from a separate center (sub coracoid), which appears between the 10th and 11th years and joins between the 16th and the 18th years. Further, an epiphysial plate appears for the lower part of the glenoid cavity, and the tip of the coracoid process frequently has a separate nucleus. These various epiphyses are joined to the bone by the 25th year.

Failure of bony union between the acromion and spine sometimes occurs (see os acromiale), the junction being effected by fibrous tissue, or by an imperfect articulation; in some cases of supposed fracture of the acromion with ligamentous union, it is probable that the detached segment was never united to the rest of the bone.

"In terms of comparative anatomy the human scapula represents two bones that have become fused together; the (dorsal) scapula proper and the (ventral) coracoid. The epiphyseal line across the glenoid cavity is the line of fusion. They are the counterparts of the ilium and ischium of the pelvic girdle."

— R. J. Last – 'Last's Anatomy

Function

The following muscles attach to the scapula:

MuscleDirectionRegion
Pectoralis Minorinsertioncoracoid process
Coracobrachialisorigincoracoid process
Serratus Anteriorinsertionmedial border
Triceps Brachii (long head)origininfraglenoid tubercle
Biceps Brachii (short head)origincoracoid process
Biceps Brachii (long head)originsupraglenoid tubercle
Subscapularisoriginsubscapular fossa
Rhomboid Majorinsertionmedial border
Rhomboid Minorinsertionmedial border
Levator Scapulaeinsertionmedial border
Trapeziusinsertionspine of scapula
Deltoidoriginspine of scapula
Supraspinatusoriginsupraspinous fossa
Infraspinatusorigininfraspinous fossa
Teres Minororiginlateral border
Teres Majororiginlateral border
Latissimus Dorsi (a few fibers, attachment may be absent)origininferior angle
Omohyoidoriginsuperior border

Movements

Movements of the scapula are brought about by the scapular muscles. The scapula can perform six actions:

Clinical significance

Scapular fractures

A winged scapula (left)
Left scapula, anterior surface. Anatomic neck: red, Surgical neck: purple

Because of its sturdy structure and protected location, fractures of the scapula are uncommon. When they do occur, they are an indication that severe chest trauma has occurred.[15] Scapular fractures involving the neck of the scapula have two patterns. One (rare) type of fracture is through the anatomical neck of the scapula. The other more common type of fracture is through the surgical neck of the scapula. The surgical neck exits medial to the coracoid process.[16]

An abnormally protruding inferior angle of the scapula is known as a winged scapula and can be caused by paralysis of the serratus anterior muscle. In this condition the sides of the scapula nearest the spine are positioned outward and backward. The appearance of the upper back is said to be wing-like. In addition, any condition causing weakness of the serratus anterior muscle may cause scapular "winging".

Scapular dyskenesis

The scapula plays an important role in shoulder impingement syndrome.[17]

Abnormal scapular function is called scapular dyskinesis. One action the scapula performs during a throwing or serving motion is elevation of the acromion process in order to avoid impingement of the rotator cuff tendons.[17] If the scapula fails to properly elevate the acromion, impingement may occur during the cocking and acceleration phase of an overhead activity. The two muscles most commonly inhibited during this first part of an overhead motion are the serratus anterior and the lower trapezius.[18] These two muscles act as a force couple within the glenohumeral joint to properly elevate the acromion process, and if a muscle imbalance exists, shoulder impingement may develop.

Other conditions associated with scapular dyskenesis include thoracic outlet syndrome and the related pectoralis minor syndrome.[19][20]

Etymology

The name scapula as synonym of shoulder blade is of Latin origin.[21] It is commonly used in medical English[21][22][23] and is part of the current official Latin nomenclature, Terminologia Anatomica.[24] Shoulder blade is the colloquial name for this bone.

In other animals

Scapulae, spine and ribs of Eptesicus fuscus (Big Brown Bat).

In fish, the scapular blade is a structure attached to the upper surface of the articulation of the pectoral fin, and is accompanied by a similar coracoid plate on the lower surface. Although sturdy in cartilagenous fish, both plates are generally small in most other fish, and may be partially cartilagenous, or consist of multiple bony elements.[25]

In the early tetrapods, these two structures respectively became the scapula and a bone referred to as the procoracoid (commonly called simply the "coracoid", but not homologous with the mammalian structure of that name). In amphibians and reptiles (birds included), these two bones are distinct, but together form a single structure bearing many of the muscle attachments for the forelimb. In such animals, the scapula is usually a relatively simple plate, lacking the projections and spine that it possesses in mammals. However, the detailed structure of these bones varies considerably in living groups. For example, in frogs, the procoracoid bones may be braced together at the animal's underside to absorb the shock of landing, while in turtles, the combined structure forms a Y-shape in order to allow the scapula to retain a connection to the clavicle (which is part of the shell). In birds, the procoracoids help to brace the wing against the top of the sternum.[25]

In the fossil therapsids, a third bone, the true coracoid, formed just behind the procoracoid. The resulting three-boned structure is still seen in modern monotremes, but in all other living mammals, the procoracoid has disappeared, and the coracoid bone has fused with the scapula, to become the coracoid process. These changes are associated with the upright gait of mammals, compared with the more sprawling limb arrangement of reptiles and amphibians; the muscles formerly attached to the procoracoid are no longer required. The altered musculature is also responsible for the alteration in the shape of the rest of the scapula; the forward margin of the original bone became the spine and acromion, from which the main shelf of the shoulder blade arises as a new structure.[25]

In dinosaurs

In dinosaurs the main bones of the pectoral girdle were the scapula (shoulder blade) and the coracoid, both of which directly articulated with the clavicle. The clavicle was present in saurischian dinosaurs but largely absent in ornithischian dinosaurs. The place on the scapula where it articulated with the humerus (upper bone of the forelimb) is called the glenoid. The scapula serves as the attachment site for a dinosaur's back and forelimb muscles.

See also

References

  1. ↑ O.D.E. 2nd Ed. 2005
  2. ↑ "Scapula (Shoulder Blade) Anatomy, Muscles, Location, Function | EHealthStar". www.ehealthstar.com. 2 December 2014. Retrieved 2016-03-17.
  3. ↑ Marieb, E. (2005). Anatomy & Physiology (2nd ed.). San Francisco, CA: Pearson Benjamin Cummings.
  4. ↑ Al-Redouan, Azzat; Holding, Keiv; Kachlik, David (2021). ""Suprascapular canal": Anatomical and topographical description and its clinical implication in entrapment syndrome". Annals of Anatomy. 233: 151593. doi:10.1016/j.aanat.2020.151593. PMID 32898658.
  5. ↑ Gray, Henry (1918). Anatomy of the Human Body, 20th ed. / thoroughly rev. and re-edited by Warren H. Lewis. Philadelphia: Lea & Febiger. p. 206. OL 24786057M.
  6. ↑ Al-Redouan, Azzat; Kachlik, David (2022). "Scapula revisited: new features identified and denoted by terms using consensus method of Delphi and taxonomy panel to be implemented in radiologic and surgical practice". J Shoulder Elbow Surg. 31 (2): e68-e81. doi:10.1016/j.jse.2021.07.020. PMID 34454038.
  7. ↑ Frich, Lars Henrik; Larsen, Morten Schultz (2017). "How to deal with a glenoid fracture". EFORT Open Reviews. 2 (5): 151–157. doi:10.1302/2058-5241.2.160082. ISSN 2396-7544. PMC 5467683. PMID 28630753.
  8. 1 2 Shuenke, Michael (2010). Thieme Atlas of Anatomy: General Anatomy and Musculoskeletal System. New York: Everbest Printing Ltd. ISBN 978-1-60406-286-1.
  9. ↑ "GE Healthcare - Home". www.gehealthcare.com.
  10. ↑ Thaller, Seth; Scott Mcdonald, W (2004-03-23). Facial Trauma. ISBN 978-0-8247-5008-4.
  11. ↑ "Ossification". Medcyclopaedia. GE. Archived from the original on 2011-05-26.
  12. ↑ "II. Osteology. 6a. 2. The Scapula (Shoulder Blade). Gray, Henry. 1918. Anatomy of the Human Body".
  13. ↑ Paine, Russ; Voight, Michael L. (2016-11-22). "The role of the scapula". International Journal of Sports Physical Therapy. 8 (5): 617–629. ISSN 2159-2896. PMC 3811730. PMID 24175141.
  14. ↑ Saladin, K (2010). Anatomy & Physiology. McGraw-Hill.
  15. ↑ Livingston DH, Hauser CJ (2003). "Trauma to the chest wall and lung". In Moore EE, Feliciano DV, Mattox KL (eds.). Trauma. Fifth Edition. McGraw-Hill Professional. p. 516. ISBN 0-07-137069-2.
  16. ↑ van Noort, A; van Kampen, A (Dec 2005). "Fractures of the scapula surgical neck: outcome after conservative treatment in 13 cases" (PDF). Arch Orthop Trauma Surg. 125 (10): 696–700. doi:10.1007/s00402-005-0044-y. PMID 16189689. S2CID 11217081. Archived from the original (PDF) on 2009-09-19.
  17. 1 2 Kibler, BW. (1998). The role of the scapula in athletic shoulder function. The American Journal of Sports Medicine, 26(2), 325-337.
  18. ↑ Cools, A., Dewitte, V., Lanszweert, F., Notebaert, D., Roets, A., et al. (2007). Rehabilitation of scapular muscle balance. The American Journal of Sports Medicine, 35(10), 1744.
  19. ↑ Watson, L.A.; Pizzari, T.; Balster, S. (2010). "Thoracic outlet syndrome Part 2: Conservative management of thoracic outlet". Manual Therapy. 15 (4): 305–314. doi:10.1016/j.math.2010.03.002.
  20. ↑ Ahmed, Adil S.; Graf, Alexander R.; Karzon, Anthony L.; Graulich, Bethany L.; Egger, Anthony C.; Taub, Sarah M.; Gottschalk, Michael B.; Bowers, Robert L.; Wagner, Eric R. (2022). "Pectoralis Minor Syndrome – Review of Pathoanatomy, Diagnosis, and Management of the Primary Cause of Neurogenic Thoracic Outlet Syndrome". JSES Reviews, Reports, and Techniques: S2666639122000694. doi:10.1016/j.xrrt.2022.05.008. PMC 10426640.
  21. 1 2 Anderson, D.M. (2000). Dorland’s illustrated medical dictionary (29th edition). Philadelphia/London/Toronto/Montreal/Sydney/Tokyo: W.B. Saunders Company.
  22. ↑ Dorland, W.A.N. & Miller, E.C.L. (1948). ‘’The American illustrated medical dictionary.’’ (21st edition). Philadelphia/London: W.B. Saunders Company.
  23. ↑ Dirckx, J.H. (Ed.) (1997).Stedman’s concise medical dictionary for the health professions. (3rd edition). Baltimore: Williams & Wilkins.
  24. ↑ Federative Committee on Anatomical Terminology (FCAT) (1998). Terminologia Anatomica. Stuttgart: Thieme
  25. 1 2 3 Romer, Alfred Sherwood; Parsons, Thomas S. (1977). The Vertebrate Body. Philadelphia, PA: Holt-Saunders International. pp. 186–187. ISBN 0-03-910284-X.
  • Nickel, Schummer, & Seiferle; Lehrbuch der Anatomie der Haussäugetiere.
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