Khyber Medical College,

Peshawar, Pakistan.
www.kmc.edu.pk
Outcomes :

At the end of the presentation, All the students must know about:

• What is anastomosis?

• Anastomosis around the shoulder joint.

• Artries involved in the anastomosis of shoulder joints.

• Importance of Anstomosis around shoulder joint

What is anastomosis?

• Communication between the neighboring

vessels

• Circulation through anastomosis is called Collatera

Circulation.
Anastomosis around Shoulder joint:

 There are three (3) Anastomosis Around shoulder joint;

1. The Scapular Anastomosis

2. The Acromial Anastomosis

3. Anastomosis around Surgical Neck of humerous

The Scapular Anastomosis:

• Occurs in the three fossa; Subscapular, supraspinous and

Infraspinous
• Between the subclavian artery and the third part of the axillary
artery.
Subclavian artry branches;
(a) The suprascapular artery, a branch of the thyro-cervical
trunk
(b) The deep branch of the transverse cervical artery, another
branch of the thyrocervical trunk
Axiilary artry branches;
(a) The circumflex scapular artery, a branch of the subscapular artery
ACROMIAL ANASTOMOSIS
 Occur above the acromial process
 Also between the Subcalavian and axillary Artery

Subclavian Branches;
Acromial Branches of;
(a) Thoraco-acromial Artery
(b) Supra-scapular artery

Axillary Branches;
(a) Acromial branch of Posterior Circumflex Humeral Artery
Anastomosis Around Surgical Neck of
Humerous:

• Occurs just below the surgical neck of Humerous

• Between the Branches 3rd part of axillary artery

• Two branches involved:

(a)Anterior circumflex humeral artery
(b)Posterior circumflex Humeral Artery
Importance of anastomosis around
shoulder joint
The shoulder joint has a wide range of movements
If, due to any reason, the axillary supply to the
shoulder region is interrupted
The subclavian supply to the region will compensate
the interuption or blockage
It’s the important clinical co-relation of anastomosis
`