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.
| Location | Front of the shoulder, between the subscapularis tendon and the neck of the scapula, below the coracoid |
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Lets subscapularis glide over the scapular neck and acts as a reservoir where joint fluid and loose bodies collect.
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.
Intra-articular loose bodies migrating into the subscapularis recess producing anterior shoulder pain and locking, requiring arthroscopic anterior compartment exploration and removal.
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