Resurfacing the undersurface of the acromion using the bursal acromial reconstruction (BAR) technique leads to significantly improved shoulder kinematics in a dynamic cadaveric shoulder simulator

Author(s):  
Berthold P. Daniel ◽  
Matt Ravenscroft ◽  
Ryan Bell ◽  
Obopilwe Elifho ◽  
Mark P. Cote ◽  
...  
Keyword(s):  
PLoS ONE ◽  
2015 ◽  
Vol 10 (3) ◽  
pp. e0116211 ◽  
Author(s):  
Afshin Samani ◽  
Charles Pontonnier ◽  
Georges Dumont ◽  
Pascal Madeleine

2009 ◽  
Vol 14 (1) ◽  
pp. 81-87 ◽  
Author(s):  
Jing-lan Yang ◽  
Shiau-yee Chen ◽  
Chein-wei Chang ◽  
Jiu-jenq Lin

1999 ◽  
Vol 82 (5) ◽  
pp. 2310-2326 ◽  
Author(s):  
Paul L. Gribble ◽  
David J. Ostry

During multijoint limb movements such as reaching, rotational forces arise at one joint due to the motions of limb segments about other joints. We report the results of three experiments in which we assessed the extent to which control signals to muscles are adjusted to counteract these “interaction torques.” Human subjects performed single- and multijoint pointing movements involving shoulder and elbow motion, and movement parameters related to the magnitude and direction of interaction torques were manipulated systematically. We examined electromyographic (EMG) activity of shoulder and elbow muscles and, specifically, the relationship between EMG activity and joint interaction torque. A first set of experiments examined single-joint movements. During both single-joint elbow ( experiment 1) and shoulder ( experiment 2) movements, phasic EMG activity was observed in muscles spanning the stationary joint (shoulder muscles in experiment 1 and elbow muscles in experiment 2). This muscle activity preceded movement and varied in amplitude with the magnitude of upcoming interaction torque (the load resulting from motion of the nonstationary limb segment). In a third experiment, subjects performed multijoint movements involving simultaneous motion at the shoulder and elbow. Movement amplitude and velocity at one joint were held constant, while the direction of movement about the other joint was varied. When the direction of elbow motion was varied (flexion vs. extension) and shoulder kinematics were held constant, EMG activity in shoulder muscles varied depending on the direction of elbow motion (and hence the sign of the interaction torque arising at the shoulder). Similarly, EMG activity in elbow muscles varied depending on the direction of shoulder motion for movements in which elbow kinematics were held constant. The results from all three experiments support the idea that central control signals to muscles are adjusted, in a predictive manner, to compensate for interaction torques—loads arising at one joint that depend on motion about other joints.


2000 ◽  
Vol 28 (2) ◽  
pp. 265-275 ◽  
Author(s):  
Keith Meister

Over the last decade, significant advances have been made in the study and understanding of shoulder mechanics. Much of this may be attributed to the use of more sophisticated technology to improve our ability to assess the shoulder in real-time athletics. As a consequence of these advances, our understanding of the pathophysiology of injury has also increased. Our manual examination skills have improved and our noninvasive diagnostic techniques have advanced greatly. New insight into forces at play during actions as complex as the throwing motion has allowed us to develop better protocols for the prevention and treatment of the most common injuries. Additionally, paralleling improvements in the understanding of shoulder kinematics and the pathophysiology of injury, advances in surgical techniques, particularly arthroscopy, have aided in the diagnosis of and the development of less invasive surgical treatments for injuries that do not respond to nonoperative measures. Undoubtedly, an up-to-date understanding of the developments in shoulder biomechanics, pathophysiology of injury, diagnostic techniques, and surgical management is necessary for the clinician who wishes to continue to apply proper skills in the sports medicine setting.


Author(s):  
Longo Umile Giuseppe ◽  
Risi Ambrogioni Laura ◽  
Alessandra Berton ◽  
Vincenzo Candela ◽  
Carlo Massaroni ◽  
...  

Background: This study intends to summarize the causes, clinical examination, and treatments of scapular dyskinesis (SD) and to briefly investigate whether alteration can be managed by a precision rehabilitation protocol planned on the basis of features derived from clinical tests. Methods: We performed a comprehensive search of PubMed, Cochrane, CINAHL and EMBASE databases using various combinations of the keywords “Rotator cuff”, “Scapula”, “Scapular Dyskinesis”, “Shoulder”, “Biomechanics” and “Arthroscopy”. Results: SD incidence is growing in patients with shoulder pathologies, even if it is not a specific injury or directly related to a particular injury. SD can be caused by multiple factors or can be the trigger of shoulder-degenerative pathologies. In both cases, SD results in a protracted scapula with the arm at rest or in motion. Conclusions: A clinical evaluation of altered shoulder kinematics is still complicated. Limitations in observing scapular motion are mainly related to the anatomical position and function of the scapula itself and the absence of a tool for quantitative SD clinical assessment. High-quality clinical trials are needed to establish whether there is a possible correlation between SD patterns and the specific findings of shoulder pathologies with altered scapular kinematics.


2020 ◽  
pp. 1-13
Author(s):  
Yumeng Li ◽  
Rachel M. Koldenhoven ◽  
Nigel C. Jiwan ◽  
Jieyun Zhan ◽  
Ting Liu

2019 ◽  
Vol 74 ◽  
pp. 24-25
Author(s):  
M. Longhi ◽  
M. Muraccini ◽  
A. Berardi ◽  
V. Orsini ◽  
S. Casarotti ◽  
...  

2015 ◽  
Vol 33 (1) ◽  
pp. 41-46 ◽  
Author(s):  
Peter J. Rundquist ◽  
Brittany A. Behrens ◽  
Alison S. Happel ◽  
Kelsey Kennedy ◽  
Linda Biggers

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