Palpation of Upper Extremity/Shoulder & Arm

Suprasternal notch

soft spot in the midline of the body, just superior to the sternum

Sternum

breastbone" located along the midline of the chest

Sternoclavicular joint

slide fingers medially along shaft of clavicle, just lateral to body's centerline, the shaft will broaden to become the bulbous sternal end, the joint is medial off the sternal end;

Clavicle

or collar bone is superficial and runs horizontally along the top of the chest at the base of the neck

Sternal extremity of the clavicle

the bump found at the junction between the sternum and the clavicle

Acromial extremity of the clavicle

the bump found when moving fingers laterally over the convex and concave curves of the clavicle; just lateral to the bump is a small cleft that is palpatable

Acromioclavicular joint

the small articulation between the acromion of the scapula and the acromial end of the clavicle; the anterior and superior surfaces of this thin crevice can be palpated directly

Coracoid process

the beak-like projection found inferior to the shaft of the clavicle; often found in the deltopectoral groove between the deltoid and pectorals major fibers; may be tender during palpation

Acromion process

from acromioclavicular joint, slide hands laterally over a bony ledge of the scapula (to right of right scapula/vice versa) process is near end

Spine of the scapula

a superficial ridge located just off the top of the shoulder; runs at an oblique angle to the body, spanning from the acromion to the medial border; is an attachment site for the posterior deltoid and middle and lower fibers of the trapezius

Medial or Vertebral border

long edge of the scapula that runs parallel to the vertebral column; about 5 to 7 inches in length (depending on body); attachemnt site for the rhomboids and serattus anterior and is deep to the trapezius

Superior angle

palpate superiorly up the medial border of the scapula to the superior angle of the scapula; may be difficult to palpate since it curves anteriorly and is overlain by the levator scapula muscle

Lateral or Axillary border

extends superiorly and laterally from the inferior angle toward the axilla or "armpit"; attachement site for the teres major and teres minor muscles; definition may be less than medial border

greater tuberosity of the humerus

move hands on acromion laterally until you fall off of acromion and feel another large bumpd directly in the midline of the lateral aspect of the should to find greater tuberosity of humerus

Bicipital groove

externally, or laterally, rotate the arm and palpate anterior to the greater tuberosity until you find the groove

Lesser tuberosity of the humerus

from the bicipital groove palpate anteriorly and you will feel the small bump that is the lesser tuberosity of the humerus

Deltoid tuberosity

located on the lateral side of the mid-humearl shaft; a small, low bump that serves as an attachment site for the converging fibers of the deltoid muscle

Glenohumeral joint

articulation between the humerus and the scapula, is not palpable

Inferior angle

palpate inferiorly down the medial border of the scapula to its inferior angle