REPUBLICA BOLIVARIANA DE VENEZUELA

FUNCADACION HOSPITAL ORTOPEDICO INFANTIL

CLINICA DE PATOLOGIAS DEL HOMBRO

Generalidades Anatomía
del Hombro
Dra. Carolina Pisanti
Directora Clínica de Hombro Dr. Carlos Goschenko
Dr. Juan Valles
Fellow
Coordinador académico.

Marzo 2022
 Objetivos

• Identificar los componentes anatómicos relevantes del Hombro.

• Entender la composición de la capsula articular.

• Determinar las características de los músculos del manguito rotador y

su inserción.

• Describir estructuras anatómicas especializadas del hombro.

• Describir elementos vasculares y nervioso relevantes.

G.I. Bain et al. (eds.), Normal and Pathological Anatomy of the Shoulder,Chapter 3 p.29-33. ISAKOS 2015
TIPO I TIPO II TIPO III TIPO
TIPOIVIV

G.I. Bain et al. (eds.), Normal and Pathological Anatomy of the Shoulder,Chapter 3 p.29-33. ISAKOS 2015
G.I. Bain et al. (eds.), Normal and Pathological Anatomy of the Shoulder,Chapter 3 p.29-33. ISAKOS 2015
130° - 150°

Osbahr, D. et all, Retroversion of the Humerus in the Throwing Shoulder of College Baseball Pitchers, Am J Sports Med, 30:347-353, 2002.c
Osbahr, D. et all, Retroversion of the Humerus in the Throwing Shoulder of College Baseball Pitchers, Am J Sports Med, 30:347-353, 2002.
Anatomy and function of the acromioclavicular joint, DOI: 10.1016/j.reaca.2015.06.005
Kennedy MS, Nicholson HD, Woodley SJ. Clinical anatomy of the subacromial and related shoulder bursae: A review of the literature. Clinical Anatomy. 2017 Mar;30(2):213-26
Kennedy MS, Nicholson HD, Woodley SJ. Clinical anatomy of the subacromial and related shoulder bursae: A review of the literature. Clinical Anatomy. 2017 Mar;30(2):213-26
Kennedy MS, Nicholson HD, Woodley SJ. Clinical anatomy of the subacromial and related shoulder bursae: A review of the literature. Clinical Anatomy. 2017 Mar;30(2):213-26
Adams C. et al. The Rotator Cuff and the Superior Capsule: Why We Need Both. Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 32, No 12 (December), 2016: pp 2628-2637
Momma D, Nimura A, Muro S, Fujishiro H, Miyamoto T, Funakoshi T, Mochizuki T, Iwasaki N, Akita K. Anatomic analysis of the whole articular capsule of the shoulder joint, with reference to the capsular attachment
and thickness. Journal of Experimental Orthopaedics. 2018 Dec;5(1):1-0.
Momma D, Nimura A, Muro S, Fujishiro H, Miyamoto T, Funakoshi T, Mochizuki T, Iwasaki N, Akita K. Anatomic analysis of the whole articular capsule of the shoulder joint, with reference to the capsular attachment
and thickness. Journal of Experimental Orthopaedics. 2018 Dec;5(1):1-0.
Dekker TJ, Aman ZS, Peebles LA, Storaci HW, Chahla J, Millett PJ, Provencher MT. Quantitative and qualitative analyses of the glenohumeral ligaments: an anatomic study. The American Journal of Sports
Medicine. 2020 Jul;48(8):1837-45.
Moatshe G. et al. Qualitative and Quantitative Anatomy of the Proximal Humerus Muscle Attachments and the Axillary Nerve: A Cadaveric Study. Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol -,
No - (Month), 2017: pp 1-9
Moatshe G. et al. Qualitative and Quantitative Anatomy of the Proximal Humerus Muscle Attachments and the Axillary Nerve: A Cadaveric Study. Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol -,
No - (Month), 2017: pp 1-9
Moatshe G. et al. Qualitative and Quantitative Anatomy of the Proximal Humerus Muscle Attachments and the Axillary Nerve: A Cadaveric Study. Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol -,
No - (Month), 2017: pp 1-9
Momma D, Nimura A, Muro S, Fujishiro H, Miyamoto T, Funakoshi T, Mochizuki T, Iwasaki N, Akita K. Anatomic analysis of the whole articular capsule of the shoulder joint, with reference to the capsular attachment
and thickness. Journal of Experimental Orthopaedics. 2018 Dec;5(1):1-0.
CAPA ESTRUCTURAS
Fibras superficiales del ligamento
1ra coracohumeral

Fibras paralelas y separadas del supra e

2da infraespinoso

Fibras entrecruzadas mas delgadas y

3ra oblicuas del supra e infraespinoso

Fibras profundas del ligamento

4ta coracohumeral. Cable de los rotadores

5ta Cápsula articular

Finnan RP, Crosby LA. Partial-thickness rotator cuff tears. Journal of shoulder and elbow surgery. 2010 Jun 1;19(4):609-16.
 1
2

2
3
4 5

1-Fibras del LCH 4-Cable de los rotadores

2-Fibras separadas de SE e IE 5 Cápsula
3-Fibras mas delgadas oblicuas Finnan RP, Crosby LA. Partial-thickness rotator cuff tears. Journal of shoulder and elbow surgery. 2010 Jun 1;19(4):609-16.
Adams C. et al. The Rotator Cuff and the Superior Capsule: Why We Need Both. Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 32, No 12 (December), 2016: pp 2628-2637
 • Abductor
• Estabilizador de la cefálica
Humeral
• Nervio supraescapular

Momma D, Nimura A, Muro S, Fujishiro H, Miyamoto T, Funakoshi T, Mochizuki T, Iwasaki N, Akita K. Anatomic analysis of the whole articular capsule of the shoulder joint, with reference to the capsular attachment
and thickness. Journal of Experimental Orthopaedics. 2018 Dec;5(1):1-0.
 • Rotador externo
• Depresor de la cefálica
Humeral
• Nervio Supraescapular

Momma D, Nimura A, Muro S, Fujishiro H, Miyamoto T, Funakoshi T, Mochizuki T, Iwasaki N, Akita K. Anatomic analysis of the whole articular capsule of the shoulder joint, with reference to the capsular attachment
and thickness. Journal of Experimental Orthopaedics. 2018 Dec;5(1):1-0.
 • Rotador Interno
• Depresor de la cefálica
Humeral
• Nervio Subescapular Superior
e inferior

Momma D, Nimura A, Muro S, Fujishiro H, Miyamoto T, Funakoshi T, Mochizuki T, Iwasaki N, Akita K. Anatomic analysis of the whole articular capsule of the shoulder joint, with reference to the capsular attachment
and thickness. Journal of Experimental Orthopaedics. 2018 Dec;5(1):1-0.
DeFranco MJ, Cole BJ. Current perspectives on rotator cuff anatomy. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2009 Mar 1;25(3):305-20.
 Chahla J, Marchetti DC, Moatshe G, Ferrari MB, Sanchez G, Brady AW, Pogorzelski J, Lebus GF, Millett PJ, LaPrade RF, Provencher MT. Quantitative assessment of the coracoacromial and the coracoclavicular
ligaments with 3-dimensional mapping of the coracoid process anatomy: A cadaveric study of surgically relevant structures. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2018 May 1;34(5):1403-11.
Woertler K. Rotator interval. InSeminars in musculoskeletal radiology 2015 Jul (Vol. 19, No. 03, pp. 243-253). Thieme Medical Publishers.
Moatshe G. et al. Qualitative and Quantitative Anatomy of the Proximal Humerus Muscle Attachments and the Axillary Nerve: A Cadaveric Study. Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol -,
No - (Month), 2017: pp 1-9
G.I. Bain et al. (eds.), Normal and Pathological Anatomy of the Shoulder,Chapter 3 p.29-33. ISAKOS 2015
Hettrich CM, Boraiah S, Dyke JP, Neviaser A, Helfet DL, Lorich DG. Quantitative assessment of the vascularity of the proximal part of the humerus. JBJS. 2010 Apr 1;92(4):943-8.
G.I. Bain et al. (eds.), Normal and Pathological Anatomy of the Shoulder,Chapter 3 p.29-33. ISAKOS 2015
Conclusiones
• Conocer la anatomía de hombro ayuda a evitar la lesión de
estructuras nerviosas y vasculares durante procedimientos
quirúrgicos.
• Las estructuras anatómicas especializadas del hombro sirven como
base para comprender la biomecánica y función de la articulación.
• La anatomía del hombro nos permite tener una base para
comprender la biomecánica y fisiopatología de la articulación.