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Its function is to reduce friction between the coracobrachialis, subscapularis and short head of the biceps tendons, thus facilitating internal and external rotation of the shoulder. The subcoracoid bursa does not communicate with the glenohumeral joint under normal circumstances, but may communicate with the subacromial bursa . [ 1 ]
Diagram of normal bursae surrounding the shoulder joint: (1) subacromial-subdeltoid bursa, (2) subscapular recess, (3) subcoracoid bursa, (4) coracoclavicular bursa, (5) supra-acromial bursa and (6) medial extension of subacromial-subdeltoid bursa.
The subscapularis is covered by a dense fascia which attaches to the scapula at the margins of the subscapularis' attachment (origin) on the scapula. [1] The muscle's fibers pass laterally from its origin before coalescing into a tendon of insertion. [citation needed] The tendon intermingles with the glenohumeral (shoulder) joint capsule. [1]
The coracobrachial bursa is between the subscapularis muscle and the tendon of the coracobrachialis muscle. Between the capsule and the tendon of the subscapularis muscle is the subscapular bursa, this is also known as the subtendinous bursa of the scapularis. The supra-acromial bursa does not normally communicate with the shoulder joint.
The costal or ventral surface of the scapula presents a broad concavity, the subscapular fossa. The medial two-thirds of the fossa are marked by several oblique ridges, which run lateralward and upward. The ridges give attachment to the tendinous insertions, and the surfaces between them to the fleshy fibers, of the subscapularis muscle. [2]
The lower subscapular nerve contains axons from the ventral rami of the C5 and C6 cervical spinal nerves. [2] [3] It is the third branch of the posterior cord of the brachial plexus. [4] [5] It gives branches to 2 muscles: subscapularis muscle. [2] It usually gives 4 branches to innervate the subscapularis, and can give up to 8 branches. [1 ...
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The coracoid process acts as an attachment and origin for a large number of muscles (attached muscles not labeled here). The coracoid process is a thick curved process attached by a broad base to the upper part of the neck of the scapula; [2] it runs at first upward and medially; then, becoming smaller, it changes its direction, and projects forward and laterally.