JOURNAL ARTICLE

Path of glenohumeral articulation throughout the rotational range of motion in a thrower's shoulder model

G Russell Huffman, James E Tibone, Michelle H McGarry, Brinceton M Phipps, Yeon Soo Lee, Thay Q Lee
American Journal of Sports Medicine 2006, 34 (10): 1662-9
16685095

BACKGROUND: Overhead-throwing athletes have increased external and diminished internal glenohumeral rotation that may alter glenohumeral kinematics.

PURPOSE: To quantify the kinematic changes present in a cadaveric model of a thrower's shoulder.

STUDY DESIGN: Controlled laboratory study.

METHODS: In 8 fresh-frozen cadaveric shoulders, the rotator cuff and overlying muscles were removed, and the glenohumeral capsule, coracoacromial ligament, and coracohumeral ligament were left intact. The scapula was fixed, and the humerus was placed in 90 degrees of shoulder abduction in a 6 degrees of freedom testing device. A compressive force of 44 N was applied. A thrower's shoulder model was created, and sequential conditions were examined: intact, after anterior stretching, and after the addition of posterior-inferior capsular plication. Kinematic measurements were obtained through a complete range of glenohumeral rotation.

RESULTS: Glenohumeral external rotation increased 16%, from 149 degrees to 173 degrees (P < .001), after stretching in external rotation and remained increased by 11% to 166 degrees (P < .001) after posterior-inferior capsular plication. With the addition of the posterior-inferior capsular plication, internal rotation averaged 7 degrees , which was not significantly different from the intact state (11 degrees, P = .55) or the stretched state (16 degrees, P = .07). The total glenohumeral rotation after stretching followed by posterior-inferior capsular plication did not differ significantly from intact state (P = .25). At maximum external rotation, the humeral head apex was shifted posteriorly in the stretched (P = .003) and plicated (P < .001) states compared with the intact state. The humeral head apex was posteriorly displaced at 135 degrees and 150 degrees of external rotation compared with the intact condition (P = .039 and .049, respectively). In maximum internal rotation, anterior stretching had no significant effect on the humeral head apex position. However, after posterior-inferior capsular plication, the humeral head apex was significantly shifted inferiorly (P = .005) and anteriorly (P = .03) in maximum internal rotation compared with the intact state.

CONCLUSION: Significant changes in glenohumeral motion occur in this model during the simulated late-cocking and follow-through phases of throwing. In this model, posterior capsular tightness alters the humeral head position most profoundly during the deceleration and follow-through phases of throwing.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
16685095
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"