Subscapularis Recess

recessus subscapularis

The subscapularis recess (subcoracoid recess) is a synovial extension of the glenohumeral joint passing anterior to the subscapularis tendon through openings in the anterior capsule — the foramen of Weitbrecht (between the superior and middle glenohumeral ligaments) and the foramen of Rouvière (below the middle glenohumeral ligament). Joint fluid and loose bodies accumulate in this recess.

Region: Shoulder

Clinical Relevance

Clinical Notes

The subscapularis recess is evaluated during shoulder arthroscopy via the anterior portal and is the site of anterior capsular tears, subscapularis tendon involvement, and hidden loose bodies. Subcoracoid bursitis may communicate with this recess. In adhesive capsulitis, the subscapularis recess is obliterated along with the axillary recess, confirming the diagnosis arthroscopically. Distension of the recess during MR arthrography confirms capsular permeability.

Pathology

Common Injuries & Conditions

Subscapularis Recess Loose Bodies

Intra-articular loose bodies migrating into the subscapularis recess producing anterior shoulder pain and locking, requiring arthroscopic anterior compartment exploration and removal.