Supraspinatous fossa

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Supraspinous fossa
Supraspinous fossa of left scapula01.png
Left scapula. Dorsal surface. Supraspinatous fossa shown in red.
Supraspinous fossa of scapula01.png
Left scapula. Dorsal surface. Supraspinatous fossa shown in red.
Details
Identifiers
Latin fossa supraspinata
TA98 A02.4.01.007
TA2 1150
FMA 23269
Anatomical terms of bone

The supraspinous fossa (supraspinatus fossa, supraspinatous fossa) of the posterior aspect of the scapula (the shoulder blade) is smaller than the infraspinous fossa, concave, smooth, and broader at its vertebral than at its humeral end. Its medial two-thirds give origin to the Supraspinatus.

Contents

Structure

The fossa can be exposed by the removal of skin and the superficial fascia of the back and the trapezius muscle.

The supraspinous fossa is bounded by the spine of scapula on the inferior side, acromion process on the lateral side and the superior angle of scapula on the superior side.

Supraspinatus muscle originates from the supraspinous fossa. Distal attachment of the levator scapulae muscle is also on the medial aspect of the fossa.

Function

The suprascapular artery and nerve are found within the fossa. The posterior branch of the suprascapular artery supplies the supraspinatous muscle. Dorsal scapular artery also gives off a collateral branch and anastomoses with the suprascapular artery. [1] Suprascapular nerve from the brachial plexus passes through the suprascapular notch as it approaches the fossa to supply the supraspinatus muscle. Suprascapular artery and nerve descend together but are separated by the superior transverse scapular ligament at the suprascapular notch.

Clinical significance

Rotator cuff tear

Hollowing in the supraspinous and the infraspinous area is frequently seen as chronic rotator cuff tear resulting in wasting. [2] The wasting may be caused by the supraglenoid cyst compressing the suprascapular nerve and causes a loss of innervation to supraspinatus and infraspinatus muscles. Such wasting or hollowing can be differentially diagnosed as nerve compression or tendon rupture.

Additional images

See also

Related Research Articles

Scapula Bone that connects the humerus (upper arm bone) with the clavicle (collar bone)

In anatomy, the scapula, also known as the shoulder bone, shoulder blade, wing bone or blade bone, 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.

Humerus Long bone of the upper arm

The humerus is a long bone in the arm that runs from the shoulder to the elbow. It connects the scapula and the two bones of the lower arm, the radius and ulna, and consists of three sections. The humeral upper extremity consists of a rounded head, a narrow neck, and two short processes. The body is cylindrical in its upper portion, and more prismatic below. The lower extremity consists of 2 epicondyles, 2 processes, and 3 fossae. As well as its true anatomical neck, the constriction below the greater and lesser tubercles of the humerus is referred to as its surgical neck due to its tendency to fracture, thus often becoming the focus of surgeons.

Levator scapulae muscle

The levator scapulae is a skeletal muscle situated at the back and side of the neck. As the Latin name suggests, its main function is to lift the scapula.

Rhomboid minor muscle Skeletal muscle of the upper back

In human anatomy, the rhomboid minor is a small skeletal muscle on the back that connects the scapula with the vertebrae of the spinal column.

Popliteal artery Continuation of the femoral artery that supplies the lower leg

The popliteal artery is a deeply placed continuation of the femoral artery opening in the distal portion of the adductor magnus muscle. It courses through the popliteal fossa and ends at the lower border of the popliteus muscle, where it branches into the anterior and posterior tibial arteries.

Teres minor muscle

The teres minor is a narrow, elongated muscle of the rotator cuff. The muscle originates from the lateral border and adjacent posterior surface of the corresponding right or left scapula and inserts at both the greater tubercle of the humerus and the posterior surface of the joint capsule.

Suprascapular nerve

The suprascapular nerve is a nerve that branches from the upper trunk of the brachial plexus. It is responsible for the innervation of two of the muscles that originate from the scapula, namely the supraspinatus and infraspinatus muscles.

Supraspinatus muscle Muscle of the upper back

The supraspinatus is a relatively small muscle of the upper back that runs from the supraspinous fossa superior portion of the scapula to the greater tubercle of the humerus. It is one of the four rotator cuff muscles and also abducts the arm at the shoulder. The spine of the scapula separates the supraspinatus muscle from the infraspinatus muscle, which originates below the spine.

Axillary artery Large blood vessel bringing oxygenated blood to the thorax

In human anatomy, the axillary artery is a large blood vessel that conveys oxygenated blood to the lateral aspect of the thorax, the axilla (armpit) and the upper limb. Its origin is at the lateral margin of the first rib, before which it is called the subclavian artery.

Infraspinatus muscle

In human anatomy, the infraspinatus muscle is a thick triangular muscle, which occupies the chief part of the infraspinatous fossa. As one of the four muscles of the rotator cuff, the main function of the infraspinatus is to externally rotate the humerus and stabilize the shoulder joint.

Shoulder joint Synovial ball and socket joint in the shoulder

The shoulder joint is structurally classified as a synovial ball and socket joint and functionally as a diarthrosis and multiaxial joint. It involves articulation between the glenoid cavity of the scapula and the head of the humerus.

Transverse cervical artery Artery of the neck

The transverse cervical artery is an artery in the neck and a branch of the thyrocervical trunk, running at a higher level than the suprascapular artery.

Suprascapular artery Artery of the neck

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

Infraspinatous fossa Part of the shoulder blade

The infraspinatous fossa of the scapula is much larger than the supraspinatous fossa; 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.

Suprascapular notch Groove in the superior border of the scapula, for the suprascapular nerve to pass through

The suprascapular notch is a notch in the superior border of the scapula, just medial to the base of the coracoid process.

Great scapular notch A notch which serves to connect the supraspinous fossa and infraspinous fossa

The great scapular notch is a notch which serves to connect the supraspinous fossa and infraspinous fossa. It lies immediately medial to the attachment of the acromion to the lateral angle of the scapular spine.

Scapular anastomosis circulatory system around the shoulder blade

The scapular anastomosis is a system connecting certain subclavian artery and their corresponding axillary artery, forming a circulatory anastomosis around the scapula. It allows blood to flow past the joint in case of occlusion, damage, or pinching of the following scapular arteries:

Spine of scapula Bony plate on the scapula

The spine of the scapula or scapular spine is a prominent plate of bone, which crosses obliquely the medial four-fifths of the scapula at its upper part, and separates the supra- from the infraspinatous fossa.

Outline of human anatomy Overview of and topical guide to human anatomy

The following outline is provided as an overview of and topical guide to human anatomy:

References

  1. Clinically Oriented Anatomy (7th ed.). LWW. February 13, 2013. ISBN   9781451119459.
  2. Loudon, Janice Kaye; Manske, Robert C.; Reiman, Michael P. (January 1, 2013). Clinical Mechanics and Kinesiology. Human Kinetics. ISBN   9780736086431.

This article incorporates text in the public domain from page 203 of the 20th edition of Gray's Anatomy (1918)