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The Journal of Bone and Joint Surgery (Andary) Final 18Author(s): Paragraph text formatting will be adjusted prior to publication.

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The Journal of Bone and Joint Surgery (Andary) Final 18

Author(s): Paragraph text formatting will be adjusted prior to publication.

Fig. E-1

Coronal section of a Spalteholz-cleared shoulder, demonstrating the centripetal nature of the capsular vessels as branches (arrows) of the anterior circumflex penetrate the capsule and travel to deeper layers.

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The Journal of Bone and Joint Surgery (Andary) Final 19

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Fig. E-2

A branch (arrow) of the anterior circumflex humeral artery providing direct supply to the anterior part of the lateral aspect of the capsule. The cen- tripetal nature of the vessels can also be noted as the branches disappear into the deeper layers of the capsule.

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The Journal of Bone and Joint Surgery (Andary) Final 20

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Fig.E-3

Gross dissection demonstrating direct branches to the medial part of the inferior aspect of the capsule from the circumflex scapular artery (CS) and to the lateral part of the inferior aspect of the capsule from the posterior circumflex artery (PC). Note the contributing vessels that enter from the periphery before arborizing toward the middle.

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The Journal of Bone and Joint Surgery (Andary) Final 21

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Fig. E-4

Axial section of a Spalteholz-cleared shoulder, demonstrating lateral perforating vessels (arrowhead) from the subscapularis tendon and more me- dial perforating vessels (arrow) from the subscapularis muscle, both supplying the anterior aspect of the capsule.

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The Journal of Bone and Joint Surgery (Andary) Final 22

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Fig. E-5

Gross specimen of a shoulder, sectioned in the coronal plane with the humeral head removed and the capsular insertions maintained, showing the inside of the anterior aspect of the capsule. Note the proximity of the hypovascular zone (arrow) to the rolled intra-articular subscapularis tendon (S) and the humeral insertion (arrowheads).

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The Journal of Bone and Joint Surgery (Andary) Final 23

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Fig. E-6

Coronal view of the anterior aspect of the capsule of a Spalteholz-cleared shoulder, demonstrating the full thickness of the hypovascular zone (arrow).

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