3 Anatomical Orientation
Acromion (Figs 3.39, 3.42, 3.43)
When palpating the shoulder joint from a lateral direction, the
acromion can be felt as a bony extension with a flat surface,
slightly superior to the laterally protruding head of the humerus.
Scapular spine (Figs 3.39–3.44)
The scapular spine forms a bony ridge that originates at the
acromion and runs in an oblique angle across the scapula, end-
ing at its medial border in an upward opening curve. This is the
location of S.I.-13, L.I.-16is located on the most lateral
portion of the trapezius and supraspinatus muscles, in the angle
between the acromial origin of the scapular spine and the
acromioclavicular joint.
Head of the humerus, shoulder hollows
(Figs 3.42, 3.44)
The head of the humerus is located inferior to the acromion and
protrudes slightly on the lateral aspect of the shoulder. When
abducting the arm horizontally, two hollows will form at the
transition from the arm to the shoulder. The anterior hollow is
the location of L.I.-15, while T.B.-14is located in the pos-
terior one. The hollows mark the border between the clavicular
and acromial portion and the border between the acromial and
spinal portion of the deltoid muscle.
Clavicle L.I.-16 AC joint
Acromion
C7, spinous process
T1, spinous process S.I.-13
Fig. 3.41
Fig. 3.40
Triceps brachii,
long head
Trapezius
Scapular
spine
Deltoid
Teres major
Triceps brachii,
lateral head
Biceps brachii
Acromion
Humerus
Scapula
Supraspinatus
Biceps brachii,
tendon of the
long head
Acromion
Facies articularis clavicularis
Biceps brachii,
tendon of the
long head
Head of the
humerus
Fig. 3.43
Fig. 3.42