03-05: The Shoulder Joint Flashcards
Description of Shoulder Joint (3)
- Ball-and-socket joint
- One of the most movable joints
- One of the least stable joints
Labrum
Cartilagenous disk between head of humerus and glenoid fossa; helps with joint congruency
Plane of Scapula
Lateral, Anterior, Superior (somewhat upward elevation); ROM at 45˚
Joint Motion - Flexion/Abduction
0-180˚
Joint Motion - Medial Rotation (Internal)
0-70˚ (Any further is scapular tilt)
Joint Motion - Lateral Rotation (External)
0-90˚
Joint Motion - Horizontal Adduction
0-30˚
Joint Motion - Horizontal Abduction
0-120˚
Glenohumeral Ligament - Superior
Resists external rotation in neutral ABD
Glenohumeral Ligament - Middle
Resists external rotation in 45˚ ABD
Glenohumeral Ligament - Inferior
Resists external rotation in 90˚ ABD
Elements of Glenohumeral Joint
- Glenohumeral Ligaments (3)
- Coracohumeral Ligament
- Axillary Recess
- Tranverse Ligament
Coracohumeral Ligament
Resists excessive external rotation, excessive extension, excessive depression of head of humerus; Limits flexion
Axillary Recess
An excess tissue of joint capsule (inferior to glenohumeral capsule)
- “Pleats” allow humeral head to descend; slides into pleats and allow for motion
- Must free up before muscle control
Transverse Ligament
Synovial sheath that prevents friction of bicipital tendon - crosses over bicipital groove and holds tendon in groove
GH Kinematics
Flexion/Extension (120˚/45˚) - Sagittal Plane/Frontal Axis
Abduction/Adduction (120˚) - Frontal Plane/Sagittal Axis
Internal/External Rotation (80˚/70˚) - Tranverse Plane/Vertical Axis
Glenohumeral Scapulothoracic Rhythm (GHST)
2:1 Ratio - For every 2 degrees of shoulder abduction at GH joint, 1 degree occurs at ST joint (SC, AC)
Scapulothoracic Rhythm (ST)
First 30˚ of shoulder joint = pure shoulder motion
After first 30˚, 2:1 ratio = 2˚ of shoulder flexion/abduction accompanied by 1˚ of upward rotation of scapula