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The scapulothoracic joint is not a true joint in the sense in that it has no capsule or ligamentous attachments. It is more precisely identified as the scapulothoracic articulation. It is formed between the anterior scapula and the posterior thoracic rib cage(ribs 2-7). The scapula's attachment to the axial skeleton in a healthy shoulder is purely musculotendinous in nature, formed by the trapezius and serratus muscles. Its gliding movement patterns consist of elevation/depression, retraction/protraction, and superior/inferior rotation. However, fibrous adhesions can sometimes occur following a shoulder injury, particularly if the joint has been immobilized for a long period of time. This severely impairs the movement of the shoulder, particularly with abduction past 90 degrees.

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