Upper limb
Shoulder blade
Scapula
- Origin
- Flat triangular bone on posterolateral thorax; articulates with clavicle (AC joint) and humerus (glenohumeral joint)
- Insertion
- Attachment site for 17 muscles including rotator cuff group, trapezius, serratus anterior, and rhomboids
- Function
- Forms mobile base for upper limb movement; glides on thoracic wall via scapulothoracic articulation
- Innervation
- Suprascapular, accessory, dorsal scapular, and subscapular nerves
- Movement & chain
- Elevation, depression, protraction, retraction, and upward/downward rotation (scapulohumeral rhythm)
- Palpation
- Spine of scapula, acromion, medial border, inferior angle, and coracoid process are prominent landmarks
- Clinical
- Winged scapula (scapula alata due to long thoracic nerve injury); subacromial impingement; scapular dyskinesis
- Segmental innervation
- C3–C8
- In clinical practice
- Essential landmark for shoulder rehabilitation, trigger point therapy, and biomechanical assessment
- Region in the model
- Upper limb