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Anatomy and Function of the Bursa subacromialis

 

作者: K. Birnbaum,   W. Lierse,  

 

期刊: Cells Tissues Organs  (Karger Available online 1992)
卷期: Volume 145, issue 4  

页码: 354-363

 

ISSN:1422-6405

 

年代: 1992

 

DOI:10.1159/000147389

 

出版商: S. Karger AG

 

关键词: Human;Shoulder;Bursa subacromialis;Sliding mechanism

 

数据来源: Karger

 

摘要:

The ligamentum coracohumerale, as the anterior limit of the bursa subacrot sialis, runs into the shoulder joint capsule, connecting – broadly based – above the sulcus intertubercularis. It does not, however, originate – as described previously – from the base of the processus coracoideus (viewed frontally), but rather medially from the base, i.e. on the side of the fossa supraspinatus. The sliding mechanism starting at 50° affects the parietal sheet of the bursa subacromialis, whereby the laterally situated section slides under the medially situ; îed section. With an abduction of up to 50°, the lateral section congests in froti of the corner of the acromion, sliding from there under the acromion, so that the – hitherto – medial section is located above the section now sliding away beneath it. This sliding mechanism continues on up to 100°. At this point the parietal sheet of the bursa subacromialis lies as follows: The section that had been situated laterally at the beginning of the sliding mechanism now lies caudally to the section that had lain medially at the outset. The bursa subacromialis does not slide fully into the fossa supraspinatus, as in all of the cases observed, it is firmly connected, together with the fascia subdeltoidea, to the corner of the acrom > n. The visceral sheet does not change in the course of the sliding mechanism as described, as it is connected to the fascia of the supraspinatus muscle – with the exception of a medial stretch of 16 mm. A further finding deals with the course of the muscles of the caput breve of the biceps brachii. Individual muscle fibre components do not connect to the processus coracoideus, but rather run before the tip of the processus coracoideus into the ligamentum coracoacromiale, radiating not only into the ligamentum coracoacromiale, but also – certain components – into the shoulder joint capsule. Through this, the ‘aponeurosis tendinis brachii’ forms a tendon roof in front of the processus coracoideus that extends to the structures running along the head of the humerus. The muscle fibre components of the caput breve of the m. biceps brachii radiating into he shoulder joint capsule, together with the muscles of the rotator cuff and the ligamentum coracohumerale, keep the shoulder joint capsule tense, thus prevent

 

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