Coracohumeral ligament

Coracohumeral ligament
Coracohumeral ligament
	The left shoulder and acromioclavicular joints, and the proper ligaments of the scapula. (Coracohumeral visible at center right.)
Details
From	Coracoid process (scapula)
To	Greater tubercle of humerus
Identifiers
Latin	ligamentum coracohumerale
TA98	A03.5.08.004
TA2	1770
FMA	34951
	Anatomical terminology [edit on Wikidata]

The coracohumeral ligament is a broad ligament of the shoulder. It attaches to the coracoid process at one end, and to the greater and lesser tubercles of the humerus at the other (as two discrete bands). It strengthens the upper part of the joint capsule of the shoulder joint.

Anatomy

The coracohumeral ligament arises from the lateral border or the base of the coracoid process.^[1]^[2] It passes obliquely downwards and laterally to the front of the greater tubercle of the humerus.^[1]^[2]

It forms two bands^[3]^: 908 - an anterior one and a posterior one - that insert into the lesser and greater tubercles of the humerus, respectively.^[4]

The two bands of the CCL blend with the joint capsule;^[3]^: 908 the ligament is intimately united with the capsule by its posterior and inferior border, but its anterior and superior border presents a free edge which overlaps the capsule.^{[citation needed]} The CCL also blends with the tendon of the supraspinatus muscle, and the subscapularis muscle.^[1]

Anatomical relations

The CCL is situated superior to the head of the humerus.^[2]

Function

The coracohumeral ligament strengthens the upper part of the shoulder joint capsule.^[5] It becomes taut with external rotation of the glenohumeral joint.^[3]^: 908

Clinical significance

The coracohumeral ligament may be viewed using ultrasound of the shoulder.^[6]^[7]

References

This article incorporates text in the public domain from page 318 of the 20th edition of Gray's Anatomy (1918)

^ ^a ^b ^c Arai, Ryuzo; Nimura, Akimoto; Yamaguchi, Kumiko; Yoshimura, Hideya; Sugaya, Hiroyuki; Saji, Takahiko; Matsuda, Shuichi; Akita, Keiichi (October 2014). "The anatomy of the coracohumeral ligament and its relation to the subscapularis muscle". Journal of Shoulder and Elbow Surgery. 23 (10): 1575–1581. doi:10.1016/j.jse.2014.02.009. ISSN 1058-2746. PMID 24766789.
^ ^a ^b ^c Drake, Richard L. (2005). Gray's anatomy for students. Wayne Vogl, Adam W. M. Mitchell, Henry Gray. Philadelphia: Elsevier / Churchill Livingstone. p. 629. ISBN 0-443-06612-4. OCLC 55139039.{{cite book}}: CS1 maint: date and year (link)
^ ^a ^b ^c Gray's anatomy : the anatomical basis of clinical practice. Susan Standring (Forty-second ed.). [New York]. 2021. ISBN 978-0-7020-7707-4. OCLC 1201341621.{{cite book}}: CS1 maint: location missing publisher (link) CS1 maint: others (link)
^ Ellis, H (December 1989). "Gray's anatomy. 37th ed. P. L. Williams, R. Warwick, M. Dyson, L. H. Bannister. 305 × 235mm. Pp. 1598. Illustrated. 1989. Edinburgh: Churchill Livingstone. £70.00". British Journal of Surgery. 76 (12): 1359–1359. doi:10.1002/bjs.1800761258. ISSN 0007-1323.
^ Cooper, Daniel E.; O'Brien, Stephen J.; Arnoczky, Steven P.; Warren, Russell F. (March 1993). "The structure and function of the coracohumeral ligament: An anatomic and microscopic study". Journal of Shoulder and Elbow Surgery. 2 (2): 70–77. doi:10.1016/1058-2746(93)90003-y. ISSN 1058-2746. PMID 22971672.
^ Homsi, Carlos; Bordalo-Rodrigues, Marcelo; da Silva, Jader J.; Stump, Xavier M. G. R. G. (1 September 2006). "Ultrasound in adhesive capsulitis of the shoulder: is assessment of the coracohumeral ligament a valuable diagnostic tool?". Skeletal Radiology. 35 (9): 673–678. doi:10.1007/s00256-006-0136-y. ISSN 1432-2161. PMID 16724200. S2CID 37251712.
^ Yukata, K.; Goto, T.; Sakai, T.; Fujii, H.; Hamawaki, J.; Yasui, N. (2018-10-01). "Ultrasound-guided coracohumeral ligament release". Orthopaedics & Traumatology: Surgery & Research. 104 (6): 823–827. doi:10.1016/j.otsr.2018.01.016. ISSN 1877-0568. PMID 29567320. S2CID 4279629.

External links

Anatomy photo:10:st-1305 at the SUNY Downstate Medical Center

[:0-1] Arai, Ryuzo; Nimura, Akimoto; Yamaguchi, Kumiko; Yoshimura, Hideya; Sugaya, Hiroyuki; Saji, Takahiko; Matsuda, Shuichi; Akita, Keiichi (October 2014). "The anatomy of the coracohumeral ligament and its relation to the subscapularis muscle". Journal of Shoulder and Elbow Surgery. 23 (10): 1575–1581. doi:10.1016/j.jse.2014.02.009. ISSN 1058-2746. PMID 24766789.

[:1-2] Drake, Richard L. (2005). Gray's anatomy for students. Wayne Vogl, Adam W. M. Mitchell, Henry Gray. Philadelphia: Elsevier / Churchill Livingstone. p. 629. ISBN 0-443-06612-4. OCLC 55139039.{{cite book}}: CS1 maint: date and year (link)

[:2-3] Gray's anatomy : the anatomical basis of clinical practice. Susan Standring (Forty-second ed.). [New York]. 2021. ISBN 978-0-7020-7707-4. OCLC 1201341621.{{cite book}}: CS1 maint: location missing publisher (link) CS1 maint: others (link)

[4] Ellis, H (December 1989). "Gray's anatomy. 37th ed. P. L. Williams, R. Warwick, M. Dyson, L. H. Bannister. 305 × 235mm. Pp. 1598. Illustrated. 1989. Edinburgh: Churchill Livingstone. £70.00". British Journal of Surgery. 76 (12): 1359–1359. doi:10.1002/bjs.1800761258. ISSN 0007-1323.

[5] Cooper, Daniel E.; O'Brien, Stephen J.; Arnoczky, Steven P.; Warren, Russell F. (March 1993). "The structure and function of the coracohumeral ligament: An anatomic and microscopic study". Journal of Shoulder and Elbow Surgery. 2 (2): 70–77. doi:10.1016/1058-2746(93)90003-y. ISSN 1058-2746. PMID 22971672.

[6] Homsi, Carlos; Bordalo-Rodrigues, Marcelo; da Silva, Jader J.; Stump, Xavier M. G. R. G. (1 September 2006). "Ultrasound in adhesive capsulitis of the shoulder: is assessment of the coracohumeral ligament a valuable diagnostic tool?". Skeletal Radiology. 35 (9): 673–678. doi:10.1007/s00256-006-0136-y. ISSN 1432-2161. PMID 16724200. S2CID 37251712.

[7] Yukata, K.; Goto, T.; Sakai, T.; Fujii, H.; Hamawaki, J.; Yasui, N. (2018-10-01). "Ultrasound-guided coracohumeral ligament release". Orthopaedics & Traumatology: Surgery & Research. 104 (6): 823–827. doi:10.1016/j.otsr.2018.01.016. ISSN 1877-0568. PMID 29567320. S2CID 4279629.

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