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The acromion forms the summit of the shoulder and is a large, somewhat triangular or oblong process, flattened from behind forward. It projects laterally at first, then curves forward and upward to overhang the glenoid fossa. [2] It starts from the base of acromion which marks its projecting point emerging from the spine of scapula. [3]
The acromioclavicular joint, is the joint at the top of the shoulder. It is the junction between the acromion (part of the scapula that forms the highest point of the shoulder) and the clavicle. [1] It is a plane synovial joint. The acromioclavicular joint allows the arm to be raised above the head.
Clavicular facet of scapula is small oval facet on the medial border of the acromion for articulation with the acromial facet on the lateral end of the clavicle. [1] Also called Clavicular articular facet of acromion. The coracoacromial ligament is attached near the clavicular facet. [2]
The shoulder joint has a very loose joint capsule, which can sometimes predispose the shoulder to dislocate. [ citation needed ] The "U shaped" dependent portion of the axillary part of the capsule ,located between the anterior and posterior bands of inferior glenohumeral ligament, is called "axillary pouch".
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 (shoulder joint).
Acromioclavicular joint dislocations are graded from I to VI. Grading is based upon the degree of separation of the acromion from the clavicle with weight applied to the arm. Grade I is slight displacement of the joint, and a badly stretched or partially torn AC ligament. It has the normal separation of <4 mm.
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.
The left shoulder including the acromioclavicular joint and the proper ligaments of the scapula. Details; From: Acromion: To: ... joint. It is divided into two parts ...