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Home › Body Atlas › Bones › Scapula
Bone Shoulder

Scapula

scapula

The scapula is a triangular flat bone forming the posterior shoulder girdle, featuring the glenoid cavity for the shoulder joint, the acromion and coracoid processes, and extensive surfaces for 17 muscles of the shoulder and arm.

Anatomical Data

Structure & Landmarks

Articulations
  • Humerus at the glenohumeral joint
  • Clavicle at the acromioclavicular joint
  • Thorax via scapulothoracic gliding interface
Landmarks
OssificationMultiple endochondral and membranous centres. Coracoid, acromion, and glenoid have separate apophyseal centres fusing in adolescence.
Clinical Relevance

Clinical Notes

Scapular fractures require high-energy trauma and imply significant associated injuries (pneumothorax, rib fractures, vascular injury) in 40 to 90 percent of cases. Winging from serratus anterior or trapezius paralysis impairs glenohumeral mechanics. The suprascapular notch contains the suprascapular nerve, which is compressed producing supraspinatus and infraspinatus weakness. Glenoid defects from recurrent shoulder dislocations require bone grafting (Latarjet procedure).

Pathology

Common Injuries & Conditions

Scapular Fracture

Uncommon fractures caused by high-energy trauma, usually involving the body or neck; they are frequently associated with rib fractures, pneumothorax, and other chest injuries.

Scapular Winging

Paralysis of serratus anterior (long thoracic nerve) or trapezius (accessory nerve) lets the medial border of the scapula lift off the chest wall.

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