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To understand joint pain and shoulder damage, let’s look at how the shoulder works.
The shoulder joint area connects three bones:
The collarbone (clavicle) is a strong, unbending support bone that connects the upper arm to the "trunk" of the body. Muscles and ligaments connect to the collarbone.
The ample surface of the shoulder blade (scapula) is broad and smooth. Powerful muscles in the shoulders and the back attach to the shoulder blade. At the outer edge of the shoulder blade is a cup-shaped "socket." This is where the upper arm bone connects to the shoulder blade.
The upper arm bone (humerus) is long and thin, like the thigh bone (femur) in the leg. The upper arm bone acts like a lever: rigid and strong, it moves the lower arm, hand, and wrist. The top of the upper arm bone is a round ball, which fits into the socket of the shoulder blade.
These three bones are connected by the rotator cuff, a group of ligaments, muscles, and tendons that allow movement and provide stability. Four muscles control movement of the shoulder.
The shoulder joint is classified as a ball-and-socket joint. The hip joint is another example of this type of joint.
The upper arm bone (the humerus) has a rounded end, which fits into the bowl-shaped socket of the shoulder blade (the scapula). The collar bone (the clavicle) also connects to the humerus bone.
The shoulder joint (rotator cuff) is one of the most complicated joints in the body. It has a greater range of motion than any other joint. This also makes the shoulder the most unstable joint. The shoulder is the most-often injured joint in the body, with knee injuries taking second.
Any type of shoulder pain, injury, or damage will severely limit the movement and strength of the arms and hands. This interferes with most daily functions, so shoulder conditions can be particularly devastating. Arthroscopic surgery may be necessary to restore full functioning.