Coracoclavicular ligament

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Coracoclavicular ligament
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The left shoulder and acromioclavicular joints, and the proper ligaments of the scapula.
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Glenoid fossa of right side.
Details
From coracoid process
To clavicle
Identifiers
Latin ligamentum coracoclaviculare
TA98 A03.5.03.004
TA2 1747
FMA 26029
Anatomical terminology

The coracoclavicular ligament is a ligament of the shoulder. It connects the clavicle to the coracoid process of the scapula.

Contents

Structure

The coracoclavicular ligament connects the clavicle to the coracoid process of the scapula. [1] It is not part of the acromioclavicular joint articulation, but is usually described with it, since it keeps the clavicle in contact with the acromion. It consists of two fasciculi, the trapezoid ligament in front, and the conoid ligament behind. [2] These ligaments are in relation, in front, with the subclavius muscle and the deltoid muscle; behind, with the trapezius.

Variation

The insertions of the coracoclavicular ligament can occur in slightly different places in different people. [3] It may contain three fascicles rather than two. [3]

Function

The coracoclavicular ligament is a strong stabilizer of the acromioclavicular joint. [2] It is also important in the transmission of weight of the upper limb to the axial skeleton. There is very little movement at the AC joint.[ citation needed ]

Clinical significance

The coracoclavicular ligament may be damaged during a severe dislocated clavicle. [2] Damage may be repaired with surgery. [4]

Related Research Articles

<span class="mw-page-title-main">Clavicle</span> Long bone that serves as a strut between the scapula and the sternum

The clavicle, or collarbone, is a slender, S-shaped long bone approximately 6 inches (15 cm) long that serves as a strut between the shoulder blade and the sternum (breastbone). There are two clavicles, one on the left and one on the right. The clavicle is the only long bone in the body that lies horizontally. Together with the shoulder blade, it makes up the shoulder girdle. It is a palpable bone and, in people who have less fat in this region, the location of the bone is clearly visible. It receives its name from Latin clavicula 'little key' because the bone rotates along its axis like a key when the shoulder is abducted. The clavicle is the most commonly fractured bone. It can easily be fractured by impacts to the shoulder from the force of falling on outstretched arms or by a direct hit.

<span class="mw-page-title-main">Acromion</span> Bony process on the scapula (shoulder blade)

In human anatomy, the acromion is a bony process on the scapula. Together with the coracoid process it extends laterally over the shoulder joint. The acromion is a continuation of the scapular spine, and hooks over anteriorly. It articulates with the clavicle to form the acromioclavicular joint.

<span class="mw-page-title-main">Scapula</span> Bone that connects the humerus (upper arm bone) with the clavicle (collar bone)

The scapula, also known as the shoulder blade, is the bone that connects the humerus with the clavicle. 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.

<span class="mw-page-title-main">Coracoid process</span> Small hook-like structure on the lateral edge of the superior anterior portion of the scapula

The coracoid process is a small hook-like structure on the lateral edge of the superior anterior portion of the scapula. Pointing laterally forward, it, together with the acromion, serves to stabilize the shoulder joint. It is palpable in the deltopectoral groove between the deltoid and pectoralis major muscles.

<span class="mw-page-title-main">Shoulder problem</span> Medical condition

Shoulder problems including pain, are one of the more common reasons for physician visits for musculoskeletal symptoms. The shoulder is the most movable joint in the body. However, it is an unstable joint because of the range of motion allowed. This instability increases the likelihood of joint injury, often leading to a degenerative process in which tissues break down and no longer function well.

<span class="mw-page-title-main">Shoulder</span> Part of the body

The human shoulder is made up of three bones: the clavicle (collarbone), the scapula, and the humerus as well as associated muscles, ligaments and tendons.

<span class="mw-page-title-main">Clavicle fracture</span> Medical condition

A clavicle fracture, also known as a broken collarbone, is a bone fracture of the clavicle. Symptoms typically include pain at the site of the break and a decreased ability to move the affected arm. Complications can include a collection of air in the pleural space surrounding the lung (pneumothorax), injury to the nerves or blood vessels in the area, and an unpleasant appearance.

<span class="mw-page-title-main">Acromioclavicular joint</span> Shoulder junction between the scapula and the clavicle

The acromioclavicular joint, or AC joint, is a joint at the top of the shoulder. It is the junction between the acromion and the clavicle. It is a plane synovial joint.

<span class="mw-page-title-main">Subclavius muscle</span>

The subclavius is a small triangular muscle, placed between the clavicle and the first rib. Along with the pectoralis major and pectoralis minor muscles, the subclavius muscle makes up the anterior axioappendicular muscles, also known as anterior wall of the axilla.

<span class="mw-page-title-main">Shoulder girdle</span> Set of bones which connects the arm to the axial skeleton on each side

The shoulder girdle or pectoral girdle is the set of bones in the appendicular skeleton which connects to the arm on each side. In humans it consists of the clavicle and scapula; in those species with three bones in the shoulder, it consists of the clavicle, scapula, and coracoid. Some mammalian species have only the scapula.

<span class="mw-page-title-main">Suprascapular artery</span> Artery of the neck

The suprascapular artery is a branch of the thyrocervical trunk on the neck.

<span class="mw-page-title-main">Sternoclavicular joint</span> Joint between the manubrium of the sternum and the clavicle bone.

The sternoclavicular joint or sternoclavicular articulation is a synovial saddle joint between the manubrium of the sternum, and the clavicle, and the first costal cartilage. The joint possesses a joint capsule, and an articular disc, and is reinforced by multiple ligaments.

<span class="mw-page-title-main">Glenoid fossa</span> Part of the shoulder

The glenoid fossa of the scapula or the glenoid cavity is a bone part of the shoulder. The word glenoid is pronounced or and is from Greek: gléne, "socket", reflecting the shoulder joint's ball-and-socket form. It is a shallow, pyriform articular surface, which is located on the lateral angle of the scapula. It is directed laterally and forward and articulates with the head of the humerus; it is broader below than above and its vertical diameter is the longest.

<span class="mw-page-title-main">Coracoacromial ligament</span> Ligament between the coracoid process and the acromion of the scapula

The coracoacromial ligament is a strong triangular ligament between the coracoid process and the acromion. It protects the head of the humerus. Its acromial attachment may be repositioned to the clavicle during reconstructive surgery of the acromioclavicular joint.

<span class="mw-page-title-main">Coracohumeral ligament</span> Ligament of the shoulder

The coracohumeral ligament is a broad ligament of the shoulder. It attaches to the coracoid process at one end, and to the greater and lesser tubercles of the humerus at the other. It strengthens the upper part of the joint capsule of the shoulder joint.

<span class="mw-page-title-main">Separated shoulder</span> Medical condition

A separated shoulder, also known as acromioclavicular joint injury, is a common injury to the acromioclavicular joint. The AC joint is located at the outer end of the clavicle where it attaches to the acromion of the scapula. Symptoms include non-radiating pain which may make it difficult to move the shoulder. The presence of swelling or bruising and a deformity in the shoulder is also common depending on how severe the dislocation is.

Shoulder surgery is a means of treating injured shoulders. Many surgeries have been developed to repair the muscles, connective tissue, or damaged joints that can arise from traumatic or overuse injuries to the shoulder.

<span class="mw-page-title-main">Weaver–Dunn procedure</span>

The Weaver–Dunn procedure is a generally successful type of surgery involved in the treatment of severe separated shoulders developed by James K. Weaver, M.D., Albuquerque, New Mexico, and Harold K. Dunn, M.D., Salt Lake City, Utah, in the early 1970s.

<span class="mw-page-title-main">Shoulder impingement syndrome</span> Medical condition

Shoulder impingement syndrome is a syndrome involving tendonitis of the rotator cuff muscles as they pass through the subacromial space, the passage beneath the acromion. It is particularly associated with tendonitis of the supraspinatus muscle. This can result in pain, weakness, and loss of movement at the shoulder.

The Superior shoulder suspensory complex (SSSC) is, essentially, a bone and soft-tissue ring secured to the trunk by superior and inferior bony struts from which the upper extremity is suspended. The ring is composed of the glenoid process, coracoid process, coracoclavicular ligament, distal clavicle, acromioclavicular joint, and acromial process.

References

PD-icon.svgThis article incorporates text in the public domain from page 315 of the 20th edition of Gray's Anatomy (1918)

  1. Moya, Daniel; Poitevin, Luciano A.; Postan, Daniel; Azulay, Guillermo A.; Valente, Sergio; Giacomelli, Fernando; Mamone, Luis A. (December 2018). "The medial coracoclavicular ligament: anatomy, biomechanics, and clinical relevance—a research study". JSES Open Access. 2 (4): 183–189. doi:10.1016/j.jses.2018.07.001. ISSN   2468-6026. PMC   6334871 . PMID   30675592.
  2. 1 2 3 Klassen, Jeffrey F.; Morrey, Bernard F.; An, Kai-Nan (1 April 1997). "Surgical anatomy and functionof the acromioclavicular and coracoclavicular ligaments". Operative Techniques in Sports Medicine. Injuries to the Acromioclavicular Joint in the Throwing Athlete. 5 (2): 60–64. doi:10.1016/S1060-1872(97)80015-9. ISSN   1060-1872.
  3. 1 2 Harris, Richard I.; Vu, Dzung H.; Sonnabend, David H.; Goldberg, Jerome A.; Walsh, William R. (1 November 2001). "Anatomic variance of the coracoclavicular ligaments". Journal of Shoulder and Elbow Surgery . 10 (6): 585–588. doi:10.1067/mse.2001.118480. ISSN   1058-2746. PMID   11743540.
  4. Harris, Richard I.; Wallace, Andrew L.; Harper, Gareth D.; Goldberg, Jerome A.; Sonnabend, David H.; Walsh, William R. (1 January 2000). "Structural Properties of the Intact and the Reconstructed Coracoclavicular Ligament Complex". The American Journal of Sports Medicine . 28 (1): 103–108. doi:10.1177/03635465000280010201. ISSN   0363-5465. PMID   10653552. S2CID   20444622.