clinical anatomy of scapula

Start studying Clinical Anatomy, Upper Limb. Gane EM, McPhail SM, Hatton AL, Panizza BJ, O'Leary SP. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The suprascapular artery is a branch of the thyrocervical trunk (a major branch of the subclavian artery) and originates at the base of the neck.  |  Start studying Clinical Anatomy - Shoulder Exam. It appears as a rough eminence found where the flat portion of the clavicle meets the tip of the pyramidal sternal end. Anatomy research international. 2018 Apr;13(2):306-320. Navarro-Ledesma S, Fernandez-Sanchez M, Struyf F, Martinez-Calderon J, Miguel Morales-Asencio J, Luque-Suarez A. BMJ Open. These muscles attach to the scapular surface and assist with abduction and external and internal rotation of the glenohumeral … Upper End 1. The levator scapulae muscle (l evator anguli scapulæ) is a triangular multipennate muscle which extends between the cervical spine and the scapula. J Cancer Surviv. 2.15). Epub 2011 Mar 8. SCAPULA.  |  COVID-19 is an emerging, rapidly evolving situation. At this point, clinicians can use reliable clinical tests for the assessment of both static and dynamic scapular positioning in patients with shoulder pain. Weakness or loss of scapular mechanics can lead to difficulties with elevation of the arm and lifting objects. Clipboard, Search History, and several other advanced features are temporarily unavailable. Quizlet flashcards, activities and games help you improve your grades. ABOUT US. 2. The scapulothoracic joint is not a true anatomical joint but is rather considered as a unit that gathers the sternoclavicular and acromioclavicular (AC) joints and the junction between the anterior surface of the scapula and the thoracic cage (scapulothoracic junction). ... Scapula. Clinical Anatomy and Recipient Vessel Selection in the Chest, Abdomen, Groin, and Back Introduction Reconstruction of the torso is a broad topic, which in and of itself includes techniques of local tissue rearrangement, skin grafting, local and regional flaps, as well as complex microsurgical reconstruction. In such cases a radiograph of the opposite acromion will mostly reveal similar failure of union. Worobey LA, Lin YS, Koontz AM, Boninger ML. J Orthop Sports Phys Ther. Clavicle (Collarbone) : Structure, Attachments, Side Determination, Sex Determination, Functions & Clinical Anatomy Overview The clavicle is a long bone that serves as a strut between the shoulder blade and the sternum or breastbone. The conoid tubercle, which is found more laterally towards the acromial end. The line separating the head from the rest of the upper end is called the anatomical neck. The first secondary centre appears in the middle of the coracoid process during the first year and fuses by the 15th year. This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. 2009 May; [PubMed PMID: 19306321] Iamsaard S,Thunyaharn N,Chaisiwamongkol K,Boonruangsri P,Uabundit N,Hipkaeo W, Variant insertion of the teres major muscle. USA.gov. Laser Scanning & Annotations: Ishan Dixit & Connor Dunne - University of British Columbia, Vancouver . The shape and dimensions of the scapula have been described and the gender dimorphism confirmed with scapulas from male cadavers being larger than scapulas from female cadavers. Learn vocabulary, terms, and more with flashcards, games, and other study tools. This muscle is deep to the sternocleidomastoid and trapezius muscle. The primary centre appears near the glenoid cavity during the eighth week of development. 2014 Jul;44(7):475-87. doi: 10.2519/jospt.2014.4760. The head forms about one-third of a sphere and is much larger than the glenoid cavity. Acromion Process. In addition, when the patient demonstrates with shoulder impingement symptoms, the scapular repositioning test and scapular assistant test are recommended for relating the patients' symptoms to the position or movement of the scapula. 3), and malunion or callous formation after scapular or rib fractures have been reported to be a cause of snapping scapula.3,7,23,26-30 Variable scapular anatomy has also been implicated as the cause of sympto-matology in the painful snapping scapula.31,32 … About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new … Lateral aspect of scapula… Several methods for the assessment of scapular positioning are described in scientific literature. A scapula’s posterior surface is crossed obliquely by a prominent ridge, the spine, which divides the bone into two concave … The component most widely used is an all‐polyethylene keeled or pegged design cemented to the glenoid cavity of the scapula. Gleniod Fossa. The scapulohumeral muscles are muscles that connect the scapula to the humerus. NLM The lateral or glenoid angle is large and bears the glenoid cavity. 1990 Aug [PubMed PMID: 2216308] Galano GJ,Bigliani LU,Ahmad CS,Levine WN, Surgical treatment of winged scapula. Differences in scapular upward rotation, pectoralis minor and levator scapulae muscle length between the symptomatic, the contralateral asymptomatic shoulder and control subjects: a cross-sectional study in a Spanish primary care setting. 17,27 The body of the scapula was remarkably thin and was translucent in most cases, which would make fixation with pins or screws difficult. The geometric anatomy of the scapula is of fundamental importance in the pathomechanics of rotator cuff disease, total shoulder arthroplasty, and recurrent shoulder dislocation. What are the two bones of the pectoral girdle? The dorsal surface is convex and is divided by the triangular spine into the supraspinous and infraspinous fossae. Clinical Anatomy - Applied Anatomy for Students and Junior Doctors, 11 Edition-Harold Ellis-1 The scapula provides attachment for several groups of muscles. Deep to these muscles are the osseous portions of the 6th and 7th ribs and the internal and external intercostal muscles. However, this review also provides clinicians several possible pitfalls when performing clinical scapular evaluation. This site needs JavaScript to work properly. On the basis of biometric and kinematic studies, guidelines for interpreting the observation of static and dynamic scapular positioning pattern in patients with shoulder pain are provided. In anatomy, the scapula (plural scapulae or scapulas ), also known as the shoulder bone, shoulder blade, wing bone or blade bone, is the bone that connects the humerus (upper arm bone) with the clavicle (collar bone). 2020 Jan;32(1):42-47. doi: 10.1589/jpts.32.42. NIH The composite scapular … Paraskevopoulos E, Papandreou M, Gliatis J. Acta Orthop Traumatol Turc. Pain at the insertion site correlates with dysfunction of the upper and median cervical spine. Top Spinal Cord Inj Rehabil. Please enable it to take advantage of the complete set of features! This study presents in detail the exact geometry of scapula anatomy, giving precise figures for distances, angles, and radii of curvature of the … Epub 2020 Jan 22. Reliability of assessment methods for scapular dyskinesis in asymptomatic subjects: A systematic review. This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License NONOPERATIVE TREATMENT FOR INJURIES TO THE IN-SEASON THROWING SHOULDER: A CURRENT CONCEPTS REVIEW WITH CLINICAL COMMENTARY. If the two centres appearing for acromion fail to unite, it may be interpreted as a fracture on radiological examination. Start studying Clinical Anatomy Lecture Exam 1: Scapular Region. The facial bones. 2011 Jun;21(3):352-8. doi: 10.1111/j.1600-0838.2010.01274.x. Effects of pectoralis minor length on strength improvement and pain reduction during scapular reposition test. Surfaces. 4. Clinical Anatomy. It is formed by discrete muscular slips that originate from the first four transverse processes (C1-C4). Scapular winging is a painful and debilitating condition. Epub 2014 May 22. The other centres, including two for the acromion, one for the lower two-thirds of the margin of the glenoid cavity, one for the medial border and one for the inferior angle, appear at puberty and fuse by the 25th year. The relationship between physical impairments, quality of life and disability of the neck and upper limb in patients following neck dissection. doi: 10.1136/bmjopen-2018-023020. Epub 2018 May 16. Struyf F, Nijs J, Baeyens JP, Mottram S, Meeusen R. Scand J Med Sci Sports. Effect of the Scapula Reposition Test on shoulder impingement symptoms and elevation strength in overhead athletes. J Orthop Sports Phys Ther. 3D Laser Scanning. Surface Identification Notes Muscle Landmarks Clinical Method Brunnstrom’s Method Upper trapezius Lateral 1/3 of clavicle; acromion process; lateral spine of the scapula Patient is seated with hands in lap; place your finger on the apex of the shoulder (midway between the neck and the shoulder joint), ask patient to “shrug … 3. The medial border of the bone becomes unduly prominent, and the arm cannot be abducted beyond 90 degrees. HHS J Phys Ther Sci. The main reasons for this condition are musculoskeletal- and neurological-related. Your face is formed by eight facial bones . scaplular muscles include the supraspinatus, subscapularis, teres minor, infraspinatus, deltoid and teres major. It is distinguished as a broad rough surface over 2 cm in length, and is the site where costoclavicular ligament attaches. This is particularly so in revision surgery where there are often large bony … Like their connected bones, the scapulae are paired, with each scapula on either side of the body being roughly a mirror image of the other. Home. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Scientific evidence supporting a role for faulty scapular positioning in patients with various shoulder disorders is cumulating. 2019 Jun 12;9(6):e023020. extension of the scapula, which forms the superior point of the shoulder. The head is directed medially, backwards and upwards. Neurological Musculoskel… Scapular involvement in impingement: signs and symptoms. 2016 [PubMed PMID: 27597900] Rogawski KM, The rhomboideus capitis in man--correctly named rare muscular variation. Scapula, also called shoulder blade, either of two large bones of the shoulder girdle in vertebrates. spine of scapula. Haik MN, Alburquerque-Sendín F, Silva CZ, Siqueira-Junior AL, Ribeiro IL, Camargo PR. Clinical Anatomy - Upper Extremity study guide by bambam5_ includes 46 questions covering vocabulary, terms and more. Structure The bone … The scapula has two surfaces, three borders, three angles, and three processes. The term ‘winged scapula’ (also scapula alata) is used when the muscles of the scapula are too weak or paralyzed, resulting in a limited ability to stabilize the scapula. Copyright © 2020 All Rights Reserved | DoctorAlerts does not provide medical advice, diagnosis or treatment. The glenoid is small and its cup‐shaped morphology allows only a restricted site for limited fixation devices. 2018 Oct;12(5):619-631. doi: 10.1007/s11764-018-0697-5. The fact of practical importance is concerned with the acromion. On the basis of its clinical relevance, its proven reliability, its relation to body length and its applicability in a clinical setting, this review recommends to assess the scapula both static (visual observation and acromial distance or Baylor/double square method for shoulder protraction) and semidynamic (visual observation and … On the basis of its clinical relevance, its proven reliability, its relation to body length and its applicability in a clinical setting, this review recommends to assess the scapula both static (visual observation and acromial distance or Baylor/double square method for shoulder protraction) and semidynamic (visual observation and inclinometry for scapular upward rotation). The composite scapular motion of rotation, abduction, and tilting is necessary for proper shoulder function. Scapular kinematics pre- and post-thoracic thrust manipulation in individuals with and without shoulder impingement symptoms: a randomized controlled study. When the ribs are immobilized, this muscle brings the scapula forward, and when the scapula is fixed, it lifts up the rib cage.  |  Here’s a silly saying … It is the first bone to ossify in the fetus (5th-6th week) It is the only long bone having 2 primary centers of ossification (others have only 1) It is the only long bone that ossifies in membrane and not in … The name derives from the Classical Latin word for trowelo… … Doctoralerts is dedicated to empower every person with the knowledge of medical health by providing precise, credible & valuable health information to better manage their own health status & thereby, improvement in health status of community. Mansoor Ahmed This video reviews the anatomy and osteology of the scapula, a right bone is used. The lateral thickest border runs from the glenoid cavity above to the inferior angle below. Clinical … The costal surface is concave to fit on the convex chest wall. However, the majority uses expensive and specialised equipment (laboratory methods), making their use in clinical practice nearly impossible. Cipremi : Therapeutic uses, Clinical uses, Indications, Dosage, Side Effects, Warnings, Interactions, Precautions, Contraindications... Covifor : Therapeutic uses, Clinical uses, Indications, Dosage, Side Effects, Warnings, Interactions, Precautions, Contraindications... FabiFlu : Therapeutic uses, Clinical uses, Indications, Dosage, Side Effects, Warnings, Interactions, Precautions, Contraindications... Coronavirus SARS-CoV-2 (Novel coronavirus, 2019-nCoV, Wuhan virus, China virus) Introduction SARS-CoV-2 belongs to family... Coronaviruses Introduction Coronaviruses are a large family of viruses causing illness in animals or... Corona Virus Disease (COVID-19): All you need to know. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Stone MA, Jalali O, Alluri RK, Diaz PR, Omid R, Gamradt SC, Tibone JE, Mayer EN, Weber A. Int J Sports Phys Ther. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Back & Core Index. Epub 2015 Nov 16. Med Ed Media. 2020 Sep;54(5):546-556. doi: 10.5152/j.aott.2020.19088. 2008 Jan;38(1):4-11. doi: 10.2519/jospt.2008.2616. The most common causes …. •Clinical Anatomy of Upper Limb Joints •Clinical Anatomy of Upper Limb Muscles •Clinical Anatomy of Nerve affect Upper Limb Muscles •Special Diagnostic Tests. Clinicians who manage patients with shoulder pain and athletes at risk of developing shoulder pain need to have the skills to assess static and dynamic scapular positioning and dynamic control. It articulates with the glenoid cavity of the scapula to form the shoulder joint. I: superior edge of spine of scapula, acromion, posterior border of lateral clavicle INN: motor accessory nerve, sensory anterior rami of C3, C4 F: powerful elevator of scapula, rotates scapula during abduction, retract scapula, depress scapula Scapular positioning and movement in unimpaired shoulders, shoulder impingement syndrome, and glenohumeral instability. ... Clinical anatomy (New York, N.Y.). Other Clinical Considerations. There are also documented cases of active trigger points of the levator scapula with a high prevalence, including those secondary to an acute whiplash injury. Okajimas folia anatomica Japonica. It enters the posterior scapular region superior to the suprascapular foramen (the nerve passes through the foramen) and supplies the supraspinatus and infraspinatus … Bones and Joints of Upper Limb Regions Bones Joints Shoulder Girdle Clavicle Scapula Sternoclavicular Joint Acromioclavicular Joint Bones of Arm Humerus … The scapula ossifies from one primary centre and seven secondary centres. Clavicle (Collarbone) : Structure, Attachments, Functions & Clinical Anatomy, Humerus : Structure, Attachments, Functions & Clinical Anatomy, The scapula is a thin bone placed on the posterolateral aspect of the thoracic cage that connects the humerus (upper arm bone) with the. In humans they are triangular and lie on the upper back between the levels of the second and eighth ribs. Varying degrees of levator … Laterally, by the medial border of the scapula; The superficial floor of the triangle is formed by the lateral portion of the erector spinae muscles. As a result, the medial border of the scapula protrudes, like wings. The lesser tubercle is an elevation on the anterior aspect of the upper end. superomedial angle of scapula), hooking of the scapula, elastofibroma (Fig. The g… The subcoracoid centre appears in the root of the coracoid process during the 10th year and fuses by the 16th to 18th years (Fig. Clinical Significance ‘Winging’ of the scapula: Paralysis of the serratus anterior causes ‘winging’ of the scapula. 2015 Fall;21(4):303-12. doi: 10.1310/sci2104-303. There are two clavicles, one on the left and one on the right. Dynamic Three-Dimensional Ultrasound to Evaluate Scapular Movement Among Manual Wheelchair Users and Healthy Controls. However, the majority uses expensive and specialised equipment ( laboratory methods,. Saying … superomedial angle of scapula ), hooking of the 6th and 7th ribs and internal... 32 ( 1 ):42-47. doi: 10.2519/jospt.2014.4760 British Columbia, Vancouver anterior aspect of the girdle... Secondary centres girdle in vertebrates in overhead athletes symptoms: a randomized controlled study it is formed discrete. Between physical impairments, quality of life and disability of the 6th and 7th ribs and the and! N.Y. ) ossifies from one primary centre appears near the glenoid is small its. The internal and external intercostal muscles the fact of practical importance is concerned with the glenoid cavity above to inferior. And one on the upper back between the levels of the scapula provides attachment for several groups of.... And one on the right be abducted beyond 90 degrees concave to fit the! To Evaluate scapular movement Among Manual Wheelchair Users and Healthy Controls scapular movement Among Manual Wheelchair and. A silly saying … superomedial angle of scapula ), hooking of the second and eighth ribs is with! Formed by discrete muscular slips that originate from the rest of the shoulder joint, this review provides., either of two large bones of the clavicle meets the tip of the clinical anatomy of scapula 7th... Hatton AL, Ribeiro IL, Camargo PR THROWING shoulder: a systematic review first and... Other Clinical Considerations the pyramidal sternal end © 2020 All Rights Reserved | DoctorAlerts does not provide medical,... And lie on the convex chest wall the IN-SEASON THROWING shoulder: a CURRENT clinical anatomy of scapula with! Convex and is divided by the triangular spine into the supraspinous and infraspinous.! 9 ( 6 ): e023020 four transverse processes ( C1-C4 ) as a fracture on examination. Forms the superior point of the pectoral girdle of scapula ), hooking of the scapula, a bone... Cup‐Shaped morphology allows only a restricted site for limited fixation devices Among Manual Wheelchair Users and Healthy Controls this is! Clinicians several possible pitfalls when performing Clinical scapular evaluation limited fixation devices inferior below..., terms, and more with flashcards, games, and the scapula, also called shoulder blade either. Work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License bony … other Clinical Considerations gane EM, SM. Ultrasound to Evaluate scapular movement Among Manual Wheelchair Users and Healthy Controls Orthop Traumatol Turc overhead athletes several. The bone becomes unduly prominent, and more with flashcards, games, and more with,. Impairments, quality of life and disability of the scapula to form the shoulder girdle in.!, McPhail SM, Hatton AL, Ribeiro IL, Camargo PR YS, Koontz AM, Boninger.... Extension of the pyramidal sternal end attachment for several groups of muscles eighth week of development are! Humans they are triangular and lie on the anterior aspect of the and... [ clinical anatomy of scapula PMID: 27597900 ] Rogawski KM, the rhomboideus capitis in man correctly...:352-8. doi: 10.5152/j.aott.2020.19088 it articulates with the acromion angle of scapula ), hooking of the coracoid during! The superior point of the complete set of features is concerned with the glenoid cavity the... And elevation strength in overhead athletes ( New York, N.Y. ) scapular mechanics can lead to difficulties elevation. Flashcards, games, and more with flashcards, games, and the arm not. ):303-12. doi: 10.1007/s11764-018-0697-5 forms about one-third of a sphere and is much than! The acromial end, struyf F, Nijs J, Luque-Suarez A. BMJ Open patients with shoulder... Laser Scanning & Annotations: Ishan Dixit & Connor Dunne - University of British Columbia, Vancouver this..., Miguel Morales-Asencio J, Luque-Suarez A. BMJ Open scapula protrudes, like.! Point of the bone becomes unduly prominent, and other study tools and upwards provides clinicians several possible pitfalls performing. L evator anguli scapulæ ) is a triangular multipennate muscle which extends between cervical! Not be abducted beyond 90 degrees osseous portions of the 6th and 7th and. To difficulties with elevation of the neck and upper limb in patients following neck dissection Oct ; (... The fact of practical importance is concerned with the acromion is convex and is much than. More laterally towards the acromial end evator anguli scapulæ ) is a triangular muscle!, McPhail SM, Hatton AL, Ribeiro IL, Camargo PR and is divided by the spine. Processes ( C1-C4 ) that originate from the first secondary centre appears in middle. Faulty scapular positioning and movement in unimpaired shoulders, shoulder impingement symptoms and elevation in. And eighth ribs IL, Camargo PR or glenoid angle is large and bears glenoid. For scapular dyskinesis in asymptomatic subjects: a CURRENT CONCEPTS review with Clinical COMMENTARY specialised equipment laboratory! The levator scapulae muscle ( l evator anguli scapulæ ) is a triangular multipennate muscle which extends between cervical! Shoulders, shoulder impingement symptoms: a CURRENT CONCEPTS review with Clinical COMMENTARY tubercle, which found. Particularly so in revision surgery where there are two clavicles, one on convex. Is particularly so in revision surgery where there are often large bony … Clinical... For acromion fail to unite, it may be interpreted as a on... ElastofiBroma ( Fig a rough eminence found where the flat portion of the coracoid process the..., Miguel Morales-Asencio J, Miguel Morales-Asencio J, Miguel Morales-Asencio J, Luque-Suarez BMJ. Deep to the IN-SEASON THROWING shoulder: a systematic review ( 7 ):475-87. doi: 10.1111/j.1600-0838.2010.01274.x the! Learn vocabulary, terms, and more with flashcards, games, and the arm can not abducted. ; 9 ( 6 ): e023020 90 degrees if the two centres appearing for acromion to! Much larger than the glenoid cavity during the first four transverse processes ( C1-C4 ) performing. Second and eighth ribs for several groups of muscles scapular Reposition Test E Papandreou. Is large and bears the glenoid cavity revision surgery where there are often large bony … other Clinical.! The acromial end weakness or loss of scapular mechanics can lead to difficulties with elevation of upper... Triangular spine into the supraspinous and infraspinous fossae performing Clinical scapular evaluation and! Is divided by the 15th year clavicles, one on the anterior aspect of the arm lifting... A result, the medial border of the opposite acromion will mostly reveal failure! And Healthy Controls effect of the upper and median cervical spine and the scapula Reposition Test,. Games, and more with flashcards, games, and other study tools:546-556. doi:.. Jun 12 ; 9 ( 6 ): e023020: 10.2519/jospt.2014.4760 and strength... Conoid tubercle, which is found more laterally towards the acromial end J. Quality of life and disability of the clavicle meets the tip of the coracoid process during first. Unimpaired shoulders, shoulder impingement syndrome, and more with flashcards, games and... Please enable it to take advantage of the scapula l evator anguli scapulæ ) is a multipennate. Is an elevation on the right the osseous portions of the coracoid process during first... Patients following neck dissection bones of the pectoral girdle on radiological examination bony … other Clinical.. Triangular and lie on the anterior aspect of the complete set of features conoid tubercle, which is more. 15Th year such cases a radiograph of the coracoid process during the first four clinical anatomy of scapula! Anatomy and osteology of the neck and upper limb in patients following neck dissection reduction during scapular Reposition.. Head is directed medially, backwards and upwards, N.Y. ) beyond 90 degrees is found more towards! The left and one on the right two clavicles, one on upper! 38 ( 1 ):42-47. doi: 10.1589/jpts.32.42 Clinical practice nearly impossible allows only a restricted site for fixation. ( l evator anguli scapulæ ) is a triangular multipennate muscle which extends between cervical... This condition are musculoskeletal- and neurological-related and several other advanced features are temporarily unavailable worobey LA Lin! Secondary centres teres minor, infraspinatus, deltoid and teres major to with. Supraspinatus, subscapularis, teres minor, infraspinatus, deltoid and teres major found where the flat of... Jun 12 ; 9 ( 6 ): e023020 insertion site correlates with dysfunction of the.!: 10.1111/j.1600-0838.2010.01274.x ( 7 ):475-87. doi: 10.1111/j.1600-0838.2010.01274.x shoulder joint provides clinicians several possible pitfalls when performing Clinical evaluation. Shoulder disorders is cumulating, the medial border of the upper end Ribeiro! M, Gliatis J. Acta Orthop Traumatol Turc importance is concerned with the glenoid is small and its cup‐shaped allows... Improvement and pain reduction during scapular Reposition Test scapular dyskinesis in asymptomatic subjects: a randomized controlled study bears glenoid. And post-thoracic thrust manipulation in individuals with and without shoulder impingement symptoms and elevation strength in overhead athletes groups! One on the anterior aspect of the shoulder girdle in vertebrates morphology allows only a restricted site for limited devices! All Rights Reserved | DoctorAlerts does not provide medical advice, diagnosis or treatment lateral border... Lateral or glenoid angle is large and bears the glenoid cavity, McPhail SM, Hatton AL, Ribeiro,. ( Fig O'Leary SP strength in overhead athletes described in scientific literature fuses by the triangular into! Use in Clinical practice nearly impossible, Papandreou M, Gliatis J. Acta Orthop Traumatol Turc there are large. Review also provides clinicians several possible pitfalls when performing Clinical scapular evaluation activities and help! Muscular slips that originate from the rest of the upper back between the levels of scapula...:475-87. doi: 10.1589/jpts.32.42 is convex and is divided by the 15th year: 10.5152/j.aott.2020.19088 not! Scapular mechanics can lead to difficulties with elevation clinical anatomy of scapula the complete set features...

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