Scapula and clavicle relationship advice

Q & A: What to Expect after Breaking a Collarbone | The Physical Therapy Advisor

Its acromion process articulates with clavicle at lateral end of clavicle to form acromioclavicular Following diagram would explain the relation of the scapula to the thorax. . I would advice you to see a physician so that your problem can be. Most collarbone fractures do not require surgery (particularly, if the fractured area My doctor says that I don't need surgery and that I will be fine in a couple of months. The collarbone attaches the sternum to the scapula (shoulder blade). . In most states, you can seek physical therapy advice without a. This two part series will describe the function of the rotator cuff and its synergistic relationship to the scapula and clavicle, while also providing.

It will also indicate to others that you have an injury, so that they may avoid knocking into you. Allow the arm and shoulder time to rest and recover. Do not utilize the arm for activities that cause pain. Avoid excessive motions and use. As the pain subsides, you can slowly taper up the use of the arm by starting with simple daily activities. Apply ice to the painful area—typically the sooner, the better.

The rule for icing is to apply ice no more than twenty minutes per hour. Do not place the ice directly against the skin, especially if you are using a gel pack style. A bag of frozen peas can be ideal. Individuals with poor circulation or impaired sensation should take particular care when icing. In some cases, a simple ACE wrap can be used around the shoulder and collarbone area to help reduce the pain. The wrap is typically applied to help hold the shoulder in a backward and slightly downward direction.

Elevation is typically not necessary unless you are experiencing excessive swelling in the affected arm and hand. You can position the arm in a slightly elevated position by using pillows while lying on your back or on the non-affected side. This would be an excellent time to apply ice, too. Sleeping When sleeping, try not to lie on the affected side. Hug a small pillow for comfort. This also promotes optimal blood flow to the shoulder area. Pain medication, such as acetaminophen, is always an option if recommended by your physician.

You may also want to consider utilizing topical agents, which can help to decrease pain and muscle spasms.


The method of action varies greatly according to the product used. You may find that one product works better than another. Some of my favorite products in my medicine cabinet include: Another option is oral magnesium. You can take Mag Glycinate in pill form or by eating foods higher in magnesium such as spinach, artichokes, and dates. Taking additional magnesium particularly at night can help to reduce muscle cramps and spasming.

Most people are deficient in the amount of magnesium they consume on a regular basis. I recommend beginning with a dose of mg before bedtime and increasing the dose as needed. I would caution you that taking too much magnesium can lead to diarrhea. Mag Glycinate in its oral form is the most highly absorbable. Although not as absorbable, Thorne Research Magnesium Citrate and magnesium oxide can also be beneficial.

Capra, an organic goat farm in eastern Washington State, offers superior quality products primarily utilizing goat based products. Capra is the best bone and joint supplement I have found.

It is a blend of natural herbs and spices along with glucosamine and chondroitin. The herbal and spice formulation is designed to naturally decrease inflammation and support healing. I recommend it to anyone recovering from an injury or attempting to prevent injury when performing at a very high level.

I personally use it, and in my practice, it has helped clients recover faster and prevent injury. It can interfere with some blood thinning medication, so if you are on this type of medication, please check with your physician. Vitamin D3, such as Viva Labs Vitamin D3is critical to the absorption of calcium through the intestinal wall which is important for bone health. For example, if hip movement is relatively stiff compared to that of the low back, then the movement is more likely to happen in the back 3.

Therefore, inhibited or tight trapezius and serratus muscles will alter proper scapula motion. This results in improper clavicle movement due to these muscular imbalances ultimately affecting the rotator cuff. In order to have properly working rotator cuff muscles, proper scapula thoracic motion must be established in order to maintain the correct length-tension ratio of the rotator cuff muscles.

The motion of the scapula and upper arm is defined as a 2: Muscles involved in creating this movement are the upper and lower trapezius and the serratus anterior. A change in scapula position or motion may cause an internal rotation of the humerus resulting in a shortened internal rotator muscle subscapularis and a stretched or weakened external rotator muscle teres minor. Any dysfunction of these muscles will require opposing muscles acting on the shoulder complex to be affected due to their relationship with one another.

Proper shoulder motion and rotator cuff function are also dependent on clavicle movements that include protraction, retraction, elevation, depression and posterior rotation. As the scapula rotates upward the clavicle elevates up to 30 degrees at the acromioclavicular AC joint 4. Then as the arm elevates further the clavicle begins to rotate posteriorly along its axis allowing the scapula to further elevate upward.

This posterior clavicle rotation has been described in numerous studies including one by Ludewig and colleagues who performed a three dimensional analysis 5. Their findings indicate that as the arm elevates, 8 degrees of posterior rotation occurs when the arm is elevated to degrees.

Any loss of normal scapula motion will alter the clavicle motion and ultimately restrict the range of motion of the upper extremity.

  • Scapula Anatomy and Significance

Therefore, prior to initiating any specific rotator cuff exercises it is imperative to restore the muscular function of the scapulothoracic, AC, and sternoclavicular SC joint regions. SMR using a foam roll has been shown to be effective for increasing flexibility when combined with static stretching. Mohr and colleagues demonstrated this when they compared foam rolling and static stretching of the hamstring muscles 6.

Q & A: What to Expect after Breaking a Collarbone

Their study findings indicate using the foam roll for SMR in addition to static stretching is superior to either SMR or static stretching alone. Therefore, in order to maximize range of motion it is recommended to foam roll prior to static stretching.

Clavicle and Scapula - Shoulder Girdle - Anatomy Tutorial

The following protocol is based on the above-described findings and can be performed daily or at least 3 times per week. The SMR exercises are performed on the floor applying as much body weight pressure as can be comfortably tolerated for up to 1 minute at time.

Lie back placing foam roll across upper back. Rhomboideus Minor It is inserted into the medial border dorsal aspect opposite the root of the spine of the scapula. Rhomboideus Major Rhomboideus major is inserted into the medial border dorsal aspect between the root of the spine and the inferior angle.

Omohyoid The inferior belly of the omohyoid arises from the upper border near the suprascapular notch. Ligaments of Scapula Capsule The margin of the glenoid cavity gives attachment to the capsule of the shoulder joint and to the glenoid labrum. The margin of the facet on the medial aspect of the acromion gives attachment to the capsule of the acromioclavicular joint.

Coracoacromial Ligament The coracoacromial ligament extends between the coracoid process and the acromion. This ligament protects the head of the humerus from dislocating during motion. Coracohumeral ligament It is attached to the root of the coracoid process. Coracoclavicular ligament It is attached to the coracoid process.

The trapezoid part attaches to the superior aspect and the conoid part near the root. The suprascapular nerve passes through the foramen and the suprascapular artery is above the ligament. Suprscapular nerve course, Image Credit: