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Published in: International Orthopaedics 10/2011

01-10-2011 | Original Paper

In vivo three-dimensional motion analysis of the shoulder joint during internal and external rotation

Authors: Hayato Koishi, Akira Goto, Makoto Tanaka, Yasushi Omori, Kazuma Futai, Hideki Yoshikawa, Kazuomi Sugamoto

Published in: International Orthopaedics | Issue 10/2011

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Abstract

Purpose

The purpose of this study was to assess accurately the three-dimensional movements of the scapula and humerus relative to the thorax during internal/external rotation motion with abduction of the shoulder joint.

Methods

Ten right shoulders of ten healthy volunteers were examined using a wide-gantry open magnetic resonance imaging (MRI) system. MRI was performed every 30° from 90° external rotation to 90° internal rotation of the shoulder joint.

Results

The contribution ratio of the scapulothoracic joint was 12.5% about the long axis of the humerus during internal/external rotation motion. With arm position changes from 90° external rotation to 60° internal rotation, most movement was performed by the glenohumeral joint. Conversely, at internal rotation of ≥60°, the scapula began to markedly tilt in the anterior direction. At 90° internal rotation, the scapula was significantly tilted anteriorly (p < 0.05) when compared with the other positions.

Conclusions

We clarified the existence of a specific scapulohumeral motion pattern, whereby the glenohumeral joint moves with internal rotation and the scapulothoracic joint moves with anterior tilt together with internal rotation motion of the shoulder joint.
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Metadata
Title
In vivo three-dimensional motion analysis of the shoulder joint during internal and external rotation
Authors
Hayato Koishi
Akira Goto
Makoto Tanaka
Yasushi Omori
Kazuma Futai
Hideki Yoshikawa
Kazuomi Sugamoto
Publication date
01-10-2011
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 10/2011
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-011-1219-5

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