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Shoulder Operation Shoulder Operation Peter Hallam MS FRCS (Orth), Consultant Orthopaedic Surgeon

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The shoulder is made up of three main bones: the upper arm bone (humerus), the shoulder blade (scapula), and the collarbone (clavicle). The shoulder is a ball-and-socket joint with the ball being the head of the humerus and the socket being the glenoid. The acromioclavicular joint (ACJ) is formed by the tip of the scapula (the acromion) and the clavicle.

The arm is kept in the shoulder socket by the muscles of the rotator cuff. These muscles combine to form a covering around the head of the humerus to help lift and rotate the arm.

Between the rotator cuff and the the acromion is a lubricating sac called a bursa. The bursa allows the rotator cuff muscles to glide freely when the arm is moved.

A soft fibrous tissue rim called the labrum surrounds the glenoid to help stabilise the shoulder due to the head of the humerus being much larger than the glenoid socket. This rim deepens the socket by up to 50% and serves as an attachment site for several ligaments.

The Shoulder

The shoulder is a complicated joint. There are two major causes of most shoulder problems.

The first cause of problems is degeneration (arthritis - general wear and tear). This is why many shoulder problems present later in life.

The second cause of problems is trauma, commonly caused by lifting heavy objects or by an excessive force being applied to the shoulder while the arm is in an unusual or awkward position.

Click here to see the most common shoulder problems.

The Shoulder Joint

Cross section of the right shoulder from the front with the arm down

Face on view of the shoulder socket showing the labrum around the outside

Socket

Labral tear/detachment

Labrum - rubbery ligament deepening socket