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Upper limb · Shoulder girdle

Scapula

The scapula is the flat, triangular shoulder blade on the posterolateral chest wall. It carries the glenoid cavity for the head of the humerus and is held to the trunk almost entirely by muscles.

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Latin (TA)
Scapula
Type
Flat bone: a thin triangular plate that gives broad surfaces for muscle attachment, with thickened processes
Side
Paired — right and left
Model size
16.4 cm longest
Loading 3D model

Showing a right bone. Rotate it to inspect every surface; switch sides to practise siding.

3D model: Z-Anatomy (CC BY-SA 4.0), derived from BodyParts3D © DBCLS (CC BY-SA 2.1 JP). Adapted by PharmaWallah. Credits & licence

Landmarks

23 of 23 marked on the model

Tap a landmark to find it on the bone and read what it is.

Classification & region

Flat bone: a thin triangular plate that gives broad surfaces for muscle attachment, with thickened processes (spine, acromion, coracoid) and a lateral articular angle.

Body
Triangular plate with costal (anterior) and posterior surfaces, three borders and three angles.
Spine and acromion
Ridge projecting from the posterior surface, ending laterally as the flat acromion.
Coracoid process
Hook-like process projecting forwards from the upper border, lateral to the suprascapular notch.
Lateral angle (head), neck and glenoid cavity
Thick lateral angle carrying the shallow glenoid cavity, joined to the body by the neck.

Hold it in the anatomical position

  1. Hold the bone with the glenoid cavity facing laterally and the inferior angle pointing downwards.
  2. The spine and acromion are on the posterior surface; the concave costal surface faces forwards against the ribs.
  3. The coracoid process points forwards, and the acromion projects laterally above the glenoid cavity.

Right or left? Side determination

  1. Lateral: the glenoid cavity faces laterally.
  2. Posterior: the spine of the scapula projects from the posterior surface; the smooth concave costal (subscapular) surface is anterior.
  3. Superior: the acromion and coracoid process are at the upper end; the inferior angle points down.
  4. With the glenoid lateral and the spine posterior, the side of the body on which the glenoid lies is the side of the bone.

Check yourself: switch the 3D model to “Left bone” and apply the same steps.

Articulations

Muscle and ligament attachments

StructureTypeWhere on the bone
SubscapularisoriginSubscapular fossa.
SupraspinatusoriginSupraspinous fossa.
InfraspinatusoriginInfraspinous fossa.
Teres minororiginDorsal surface along the upper part of the lateral border.
Teres majororiginDorsal surface near the inferior angle.
DeltoidoriginLateral border of the acromion and lower lip of the crest of the spine.
Biceps brachii, long headoriginSupraglenoid tubercle.
Biceps brachii, short head, and coracobrachialisoriginTip of the coracoid process.
Triceps brachii, long headoriginInfraglenoid tubercle.
Omohyoid, inferior bellyoriginSuperior border near the suprascapular notch.
TrapeziusinsertionMedial border of the acromion and upper lip of the crest of the spine.
Pectoralis minorinsertionCoracoid process.
Levator scapulaeinsertionMedial border, from the superior angle to the root of the spine.
Rhomboid minorinsertionMedial border at the root of the spine.
Rhomboid majorinsertionMedial border below the root of the spine to the inferior angle.
Serratus anteriorinsertionCostal surface of the medial border, from the superior to the inferior angle.
Coracoclavicular, coracoacromial and coracohumeral ligamentsligamentCoracoid process.
Superior transverse scapular ligamentligamentBridges the suprascapular notch.
Glenoid labrum and glenohumeral capsuleligamentMargin of the glenoid cavity.

Functions

  • Provides the socket (glenoid cavity) for the shoulder joint.
  • Gives broad attachment to the rotator cuff and to the muscles that move and stabilise the shoulder girdle.
  • Moves on the chest wall (elevation, depression, protraction, retraction and rotation), which greatly increases the range of arm movement.
  • Links the upper limb to the clavicle and, through it, to the axial skeleton.

Clinical & practical relevance

  • Winged scapula: injury to the long thoracic nerve paralyses serratus anterior, so the medial border lifts off the chest wall, most obvious when pushing against a wall.
  • The suprascapular nerve can be compressed in the suprascapular notch or the spinoglenoid notch, weakening supraspinatus and/or infraspinatus.
  • Scapular fractures are relatively uncommon because the bone is protected by thick muscle; they usually result from high-energy trauma.
  • The inferior angle and the spine are palpable surface landmarks used in clinical examination.

Identification tips

  • The glenoid cavity is the most important single feature: it always faces laterally.
  • The spine is on the back. If you are looking at a smooth concave surface with no spine, you are looking at the front.
  • The coracoid process looks like a bent finger pointing forwards; the acromion is a flat shelf over the glenoid.
  • Biceps above, triceps below: the long head of biceps comes from the supraglenoid tubercle, the long head of triceps from the infraglenoid tubercle.

Common student mistakes

  • Holding the bone with the spine facing forwards.
  • Mixing up the coracoid process and the acromion: the acromion is the end of the spine; the coracoid arises from the superior border.
  • Saying the suprascapular artery passes below the transverse scapular ligament: the artery passes above, the nerve below.
  • Placing teres major on the upper lateral border: it arises near the inferior angle; teres minor is above it.

Common exam questions

How do you side a scapula?Show answer

Glenoid cavity lateral, spine posterior, acromion and coracoid superior, inferior angle down.

What passes through the suprascapular notch?Show answer

The suprascapular nerve, under the superior transverse scapular ligament; the artery passes above the ligament.

Which muscles form the rotator cuff, and where do they arise on the scapula?Show answer

Supraspinatus (supraspinous fossa), infraspinatus (infraspinous fossa), teres minor (lateral border, dorsal surface) and subscapularis (subscapular fossa).

What arises from the supraglenoid and infraglenoid tubercles?Show answer

Long head of biceps (supraglenoid) and long head of triceps (infraglenoid).

Which nerve injury causes a winged scapula?Show answer

The long thoracic nerve, which supplies serratus anterior.

Name the muscles attached to the coracoid process.Show answer

Pectoralis minor, coracobrachialis and the short head of biceps brachii.

What type of bone is the scapula?Show answer

A flat bone.

Revision summary

  • Flat, triangular bone: 2 surfaces, 3 borders, 3 angles.
  • Glenoid lateral, spine posterior, inferior angle down.
  • Fossae: subscapular (front), supraspinous and infraspinous (back).
  • Coracoid: pectoralis minor, coracobrachialis, short head of biceps.
  • Supraglenoid: long head biceps; infraglenoid: long head triceps.
  • Suprascapular notch: nerve below the ligament, artery above.
  • Long thoracic nerve injury: winged scapula.

Test yourself on the scapula

Spotting questions on bones, sides and landmarks — untimed, with explanations.

Spotting practice

Joints of the scapula

References

  1. Drake RL, Vogl AW, Mitchell AWM. Gray's Anatomy for Students. 5th ed. Philadelphia: Elsevier; 2023.
  2. Moore KL, Dalley AF, Agur AMR. Moore's Clinically Oriented Anatomy. 9th ed. Philadelphia: Wolters Kluwer; 2023.
  3. Federative International Programme for Anatomical Terminology (FIPAT). Terminologia Anatomica. 2nd ed. FIPAT.library.dal.ca; 2019. fipat.library.dal.ca/TA2
  4. Kervyn G, Zielinski M, Vinent L, et al. Z-Anatomy: the libre 3D atlas of anatomy. Models derived from BodyParts3D, The Database Center for Life Science (CC BY-SA 2.1 JP). CC BY-SA 4.0. www.z-anatomy.com/

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