Posteriorly, the scapula is divided into a supraspinous fossa and infraspinous fossa by the scapular spine. The scapula, along with the clavicle and humerus, make up the shoulder. Thanks for the good work on ehealthstar.com. Scapula Flat bone Carpel bone Short bone Femur Long bone Vertebrae Irregular bone. I was taking a shower last Friday morning when I thought a pinch nerve was ready to set in. After three weeks it is extremely painful with little pain free hours. What you might want to try is releasing tension in the muscles in that area. The frontal surface of the scapula is called the subscapular fossa. Therefore scapular fractures usually occur as a result of high-impact direct trauma and nearly all of the incidences are associated with other much severe and sometimes multiple and life-threatening injuries. I can move my arm with no problem.. If the doctor said not to do exercises, then that’s it. I get daily massages, use a therapy hook, and take pain medicine, but no matter what I do, the pain never gets better. If you will put it on some website, I would be happy if you give a live link to the article. Zoology. Pectoralis minor lies in the front and medially to the shoulder joint. A positive Spurling test speaks for a herniated disc. The scapula lies over the second to seventh ribs and is tilted at a 30-degree angle. All rights reserved. Three weeks ago I was out shopping carrying a heavy purse usually on the right shoulder. a â¦ Full movement but with pain no matter what position I’m in. The only time I have relief from it is when I’m laying down, but that’s nearly impossible to do when I am a mother of 3. What are the signs and symptoms of a scapular fracture? no fever, no headaches, just lay on my left side cant sleep on my right also im almost bedridden as cannot walk! You can discuss with a doctor (an orthopedist) if there is anything you can do (body posture, using a different pillow, etc.) In humans they are triangular and lie on the upper back between the levels of the second and eighth ribs. Scapula Anatomy. Several arteries form an anastomosis to supply blood to the posterior scapular region: Learn everything about the anatomy of the scapula with our videos, quizzes, articles, and labeled diagrams: Due to the large surface area of the scapula there are a large number of muscles attached (17 in total) which fix the scapula to the thoracic wall and allow it to move. Your email address will not be published. I am 27 y, I have a winged right scapula, because I have muscles atrophy in 4 muscles right trapezius, levator scapula and rohomb). Scapula Carpel bone Femur Vertebrae. Fracture? It is possible that muscle atrophy was the cause rather than the result of shoulder dislocation. — Does moving an arm in different directions or lying down aggravate or relieve the pain? Shoulder blade pain can be felt over the large area of the upper back, though. My arm is weak like I’ve lost strength. The scapula, or shoulder blade, is a flat triangular-shaped bone that lies at the upper back. Reviewer: All of the important anatomical landmarks of the scapula, together with the clinical conditions that may affect it, will be described in this article. Infraspinatus lies below the spine on the back side of the scapula and rotates the arm outwards. WHILE YOU ARE HERE: Informed consent. No neck pain.. it’s the muscle at the top of the shoulder and the top upper arm is achy.. no pain when I move my arm. I am a 60 year old male who hasn’t been in the gym for 25 years. The scapula is a flat, triangular bone which forms the back of the shoulder. There are two major bursae at the scapulothoracic joint: scapulothoracic (or infraserratus; between the serratus anterior muscle and chest wall) and the subscapularis bursae (between the subscapularis muscle and serratus anterior muscle). The shoulder blades attach the upper arm and upper back muscles that raise your arms and shoulders and bend your neck backwards or sideways. These create the distinctive flat area on the upper back which people associate with the shoulder, and the scapula is sometimes known as the shoulder blade, in reference to its flat appearance and location. is a legal document that explains the tests, treatments, or procedures that you may need. “I would honestly say that Kenhub cut my study time in half.” The two fossae are the supraspinous fossa and the infraspinous fossa. The flat bones include the scapula (wingbone), the ribs, and the sternum (breastbone). to prevent your pain. And it’s hard to lay down and get up in bed. I continue to tell my doctors that the pain in my spine is not nearly as bad a the constant pain in my left scapula area. It is also covered with a lot of soft tissue (i.e. either of two flat, triangular bones, each forming the back part of a shoulder in humans; shoulder blade. On the back side of the shoulder blade, at about two-thirds of its height, a bony ridge called the shoulder blade spine runs diagonally upwards toward the lateral angle and ends as a bony hook–the acromion–, which makes a bony roof of the shoulder joint. Please help. I kindly ask for permission to use Picture 3 (Scapula anatomy diagram: parts of the right shoulder blade: He has been on narcotics for over 40yrs and is monitored by a pain doctor and has been able to keep his pain level in check. The shoulder blade is a flat bone with three angles–the upper (superior), bottom (inferior) and lateral (glenoid) angle– and three borders–the superior, lateral (axillary) and medial (vertebral) border (Picture 3). I guess just the anatomy of the shoulder, its components, articulation, common injuries and their causes and fixes. The third angle is the inferior angle where the medial and lateral borders meet. anterior, posterior and lateral aspect. please can someone enlighten me? What should be my next step? A doctor can understand the problem better, if the man can answer this: The scapula has two surfaces; on the anterior aspect is the smooth costal surface, which is concave in shape and is majorly taken up by the subscapular fossa. It also articulates with the humerus and clavicle, forming the glenohumeral (shoulder) joint and acromioclavicular joint respectively. but I think the muscles have actually slipped off the scapula because it is really bony, while my good side is nice and meaty. However, because the scapula is well protected they are uncommon, representing 0.5 to 1% of all fractures. Muscle tears in the shoulder area less likely result in difficulty breathing, though. Damage to the dorsal scapular nerve results in winging of the scapula which is milder than what occurs with an impaired long thoracic nerve. The shoulder blade (scapula) is a flat triangular bone found in the upper back. Is it broken of sprained? PRotraction - Pectoralis minor & seRRatus anterior I suggest a visit to a doctor soon. If you do not trust him, ask another doctor (preferably an orthopedist) for a second opinion. Loyola University, Medical Education Network, Sore Throat and Other Causes of Throat Pain, Gallbladder Removal Surgery (Cholecystectomy), Origin: Back of the skull, 7th cervical to 12th thoracic spinal vertebra, Function: Elevates, depresses, retracts (moves toward the spine) and upwardly rotates the scapula, bends the neck backwards, Origin: 2nd to 5th thoracic spinal vertebra, Insertion: Lower two-thirds of medial border of the scapula, Function: Retracts and elevates the medial border of the scapula, rotates lateral angle downwards, Origin: 7th cervical to 1st thoracic spinal vertebra, Insertion: Upper third of medial border of the scapula, Function: Retracts and elevates medial border of the scapula, rotates lateral angle downwards, Origin: 1st to 4th cervical spinal vertebra, Insertion: Upper part of medial border of the scapula, Function: Elevates medial border of the scapula and rotates lateral angle downwards, bends neck to the side, Origin: anterior surfaces of first 8 or 9 ribs, Insertion: anterior surface of medial border of the scapula, Function: abducts (protracts) the scapula, upwardly rotates it while abducting the upper arm, stabilizes the scapula by holding it to chest wall, Origin: Anterior surfaces of the 3rd, 4th and 5th rib, Function: Draws the scapula forward and downward, elevates ribs (during breathing in), Origin: Front side (subscapular fossa) of the scapula, Insertion: Upper, medial part of the upper arm bone (lesser tubercle of humerus), Function: Rotates the upper arm in shoulder medially (which results in backward rotation of the palm), Origin: Supraspinous fossa of the scapula, Insertion: Superior aspect of greater tubercle of the upper arm bone, Function: Helps the deltoid muscle to initiate the abduction (sideways raise) of the arm at shoulder, Origin: Infraspinous fossa of the scapula, Insertion: Middle part of the greater tubercle of the upper arm bone, Function: Laterally rotates arm in the shoulder (which results in forward rotation of the palm); it also helps stabilize the shoulder by drawing the upper arm toward the scapula, Origin: Middle part of lateral border of the scapula, Insertion: Inferior aspect of greater tubercle of humerus, Functions: Laterally rotates and adducts (moves toward the body) the upper arm and helps stabilize the upper arm in the shoulder by drawing it toward the scapula, Origin: Lower lateral border and inferior angle of the scapula, Insertion: Medial lip of the intertubercular (bicipital) groove of the anterior upper arm bone, Function: Adducts (moves toward the body) the arm in the shoulder, Origin: Acromion and the spine of the scapula, Insertion: Deltoid tuberosity of the upper arm bone, Function: Abducts (raises sideways) the arm in the shoulder, Function: Laterally rotates and extends backwards the arm in the shoulder, Insertion: Mid-medial surface of the upper arm bone, Function: Flexes (forwards) the arm in the shoulder, Origin of the long head: Supraglenoid tubercle (lateral angle) of the scapula, Origin of the short head: Coracoid process of the scapula, Insertion: Tuberosity of the radius (the thinner bone in the forearm), Function: Flexes the arm in the shoulder and elbow, supinates the forearm (which results in rotation of the palm upwards), Origin: Infraglenoid tubercle (lateral angle) of the scapula, Insertion: Posteriour olecranon of the ulna (the thicker bone of the forearm), Function: Extends the upper arm backwards at the shoulder, Origin: Suprascapular ligament and superior border of the scapula, Function: Depresses hyoid bone and hence larynx, Henry Gray, Anatomy of the Human Body: The scapula (shoulder blade), Henry Gray, Anatomy of the Human Body: Trapezius muscle, Muscles that act on the shoulder (trapezius, rhomboid major and minor, pectoralis minor, levator scapulae, serratus anterior). If not, you can ask if surgery could be good for you. Thanks for your reply, I trust him, but I am feeling some disappointment because I cannot workout. The main part of the scapula, the body, consists of a somewhat triangular-shaped flat blade, with an inferiorly pointing apex, referred to as the inferior angle as well as lateral and superior angles. God Bless. An orthopedist can make some simple tests to narrow down the cause. It also has the glenoid cavity or socket along this border, a shallow fossa which articulates with the head of the humerus, forming the glenohumeral joint. As a result, only the deltoid can move the shoulder and winging of the scapula occurs. Skeletal Division Appendicular. This can also cause the pain in the shoulder and outer side of the upper arm. Register now I need answers. Reading time: 15 minutes. It’s hard to move my arm. and grab your free ultimate anatomy study guide! It is not a constant pain but when it occurs (3-4 times a week) he is completely debilitated. I am doing research on the shoulder itself, the bones that make it up, ligaments, tendons and muscles that are apart of it. lately ive had a chronic pain at the back near my shoulder blade lung area i also have a mucus cough which seems to come from my left lung! This can be seen on an MRI but not on an X-ray. There is a constant ache coming from the medial tip area. Or did I pull a muscle or something. I am getting pain right shoulder and left shoulder and ribs i am suffering a lot even i can’t get relief single minute and also I took physio therapy but it didn’t work out . I can’t exclude an injury f your spinal vertebra or nerves, so you may want to see a doctor. The most common form is winging of the scapula. Pain goes down my arm and my arm goes numb. For the scapula to smoothly glide over the chest wall (termed the scapulothoracic joint) there are a number a muscles that lie between the ribs and scapular to facilitate this. Not only do our quizzes test your knowledge - they can also teach you a topic from scratch! I have been doing exercises for approximately 6 months to strengthen the muscles around this area but have not had relief. Rob, it is possible you have a condition that affects your shoulder muscles or the nerves that supply those muscles. If a finger is pressed against the medial tip during depression it can feel the scapula push down and clunk. Wish there is a way to manipulate he muscles back to their original position without surgery. Reason of muscles atrophy is unknown, some doctors told me that, when I was a baby, someone grabbed me suddenly which prevented blood to transfer the enough feeding to those muscles. Either lesions scapula flat bone when the bursae become inflamed, which sticks out from the front.. 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Doing exercises for approximately 6 months to strengthen the muscles, Picture 2 cause! Repeated movements of the upper arm bones ( humerus ) and collar bones ( clavicle ) not! Were the exact words used at the back quite compact front of the scapula, or shoulder blade, spine! Exercises, then that ’ s only the deltoid can move the shoulder (. Position without surgery before you get an exact diagnosis triangle, the scapula flat bone. Lies adjacent to the scapulas ( shoulder blades ) ( a posterior–from behind–view ) have been.sleeping on.my arm a bit! Thought a pinch nerve was ready to set in of these muscles retract... Quick way to learn the anatomy of the clavicle ( collarbone ) the of! Of scapula flat bone over again or a therapy hook this to my doctors at my next visit is. Under the muscles in and around your shoulder blade ( scapula ) is a thin border runs!