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HomeIntroductionThe skinThe first muscle layerThe coracoacromial arch and the clavipectoral fascThe coracoid processThe humeroscapular motion interfaceThe rotator cuffThe scapulohumeral ligamentsThe glenoid labrum

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Relevant Anatomy of Glenohumeral Instability.

Last updated Friday, February 04, 2005

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The coracoacromial arch and the clavipectoral fasc

The coracoid process is the "lighthouse" of the anterior shoulder, providing a palpable guide to the deltopectoral groove, a locator for the coracoacromial arch, and an anchor for the coracoid muscles (the coracobrachialis and short head of the biceps) that separate the lateral "safe side" from the medial "suicide" where the brachial plexus and major vessels lie.

The coracoid process

The surgeon comes to full appreciation of the value of such a lighthouse when it is lacking--for example, when re-exploring a shoulder for complications of a coracoid transfer procedure. The clavipectoral fascia covers the floor of the deltopectoral groove. Rotating the humerus enables the surgeon to identify the subscapularis moving beneath this fascial layer. Incising the fascia up to but not through the coracoacromial ligament preserves the stabilizing function of the coracoacromial arch.


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