The shoulder is composed of many connected bones, joints, muscles, and tendons that allow people to carry out a wide range of motions through the arm. The shoulder allows diverse movements such as reaching out, pulling or pushing objects, and throwing things away. Sudden or awkward movements in the shoulder can cause injuries, as can overuse and wear and tear from aging. At Parkview Orthopaedic Group, our fellowship-trained shoulder surgeons are experts in treating a wide variety of these injuries and illnesses.
The upper extremities are connected to the chest from the shoulder, which consists of two main joints. The first is known as the glenohumeral joint, which connects the top of the shoulder blade to the beginning of the arm bone. The second shoulder joint is known as the acromioclavicular joint and it connects the shoulder blade with the collar bone. These joints allow the shoulder to move completely and function normally.
BONES IN THE SHOULDER
There are three main bones that form the shoulder — the humerus (arm bone), the clavicle (collarbone), and the scapula (shoulder blade). The scapula creates a hole for the shoulder joint which is covered by cartilage and is known as the glenoid. The glenohumeral joint is where the shoulder blade connects with the rounded top part of the humerus.
The top of the shoulder has a second joint where another part of the shoulder blade—the acromion—is joined to the collarbone. This is known as the acromioclavicular joint.
THE ROTATOR CUFF
The rotator cuff consists of a group of four tendons and muscles which are on the outside part of the glenohumeral joints. The muscle moves the bones by contracting, and the tendons attach the muscle to the bone. The muscles of the rotator cuff play a vital role in moving the ball-and-socket shoulder joint.
The rotator cuff plays an important role in different activities. It can cause severe pain upon injury. When it is irritated or inflamed, the condition is known as shoulder bursitis or rotator cuff tendonitis. A rotator cuff tear happens when its tendons are torn.
THE SHOULDER CAPSULE
The ball-and-socket of the shoulder joint is surrounded by the shoulder capsule. The capsule contains joint fluid and separates the joint from the body. The shoulder joint is kept properly in position by different ligaments which are connected to the joint capsule. The shoulder capsule ligaments are torn when there is a dislocation of the shoulder.
THE SHOULDER MUSCLES
Several people assume that the rotator cuff consists of all the muscles that surround the shoulder joint, but these include only four of the seventeen muscles that pass the shoulder joint. Most of these muscles are important for normal shoulder function. The periscapular muscles are some of the most commonly damaged when people suffer shoulder injuries.
These muscles are responsible for controlling the shoulder blade and its movement, which is important for shoulders to function normally. The shoulder joint socket is connected to the scapula. If its movement is restricted, the shoulder won’t function normally.
COMMON SHOULDER CONDITIONS
- AC joint injuries (AC joint arthritis & AC joint separation)
- Adhesive capsulitis (Frozen shoulder)
- Arthritis of the shoulder
- Biceps/triceps tendon injuries & tears
- Burners and stingers
- Bursitis of the shoulder
- Calcific tendonitis of the shoulder
- Dislocation/subluxation of shoulder joints
- Glenoid labrum tear
- Fractures of the shoulder
- Impingement syndrome (Rotator cuff tendonitis)
- Osteoarthritis of the shoulder
- Rotator cuff tears
- Shoulder instability
- SLAP tear
- Throwing shoulder injuries
COMMON TREATMENTS FOR SHOULDER CONDITIONS
- AC joint separation repair
- Arthroscopy of the shoulder
- Cortisone (Steroid) Injections
- Distal clavicle excision
- Joint manipulation of the shoulder
- Repair labral tear
- Repair ruptured tendon / Biceps tenodesis
- Reverse total shoulder arthroplasty
- Rotator cuff repair
- Subacromial decompression
- Surgical treatment of shoulder fractures
- Ultrasound-Guided Cortisone (Steroid) Injections
- Shoulder hemiarthroplasty
All information provided on this website is for information purposes only. Please consult a healthcare professional for medical advice.