The range of axial rotation of the glenohumeral joint.
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Accepted version
Author(s)
Type
Journal Article
Abstract
There is a paucity of data in the literature on the restraining effects of the glenohumeral (GH) ligaments; cadaveric testing is one of the best methods for determining the function of these types of tissues. The aim of this work was to commission a custom-made six degrees of freedom (dof) joint loading apparatus and to establish a protocol for laxity testing of cadaveric shoulder specimens. Nine cadaveric shoulder specimens were used in this study and each specimen had all muscle resected leaving the scapula, humerus (transected at mid-shaft) and GH capsule. Specimens were mounted on the testing apparatus with the joint in the neutral position and at 30 degrees, 60 degrees and 90 degrees GH abduction in the coronal, scapula and 30 degrees forward flexion planes. For each orientation, 0-1 N m in 0.1 N m increments was applied in internal/external rotation and the angular displacement recorded. The toe-region of the moment-displacement curves ended at approximately +/-0.5 N m. The highest rotational range of motion for the joint was 140 degrees for +/-1.0 N m at 30 degrees GH abduction in the scapula plane. The range of motion shifted towards external rotation with increasing levels of abduction. The results provide the optimum loading regime to pre-condition shoulder specimens and minimise viscoelastic effects in the ligaments prior to laxity testing (>0.5 N m at 30 degrees GH abduction in any of the three planes). Knowledge of the mechanical properties of the GH capsuloligamentous complex has implications for modelling of the shoulder as well surgical planning and intervention.
Version
Accepted version
Date Issued
2009-06-19
Citation
J Biomech, 2009, 42 (9), pp.1307-1312
ISSN
1873-2380
Publisher
Elsevier
Start Page
1307
End Page
1312
Journal / Book Title
J Biomech
Volume
42
Issue
9
Copyright Statement
© 2009 Elsevier Ltd All rights reserved. NOTICE: this is the author’s version of a work that was accepted for publication in Journal of Biomechanics. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in JOURNAL OF BIOMECHANICS, VOL:42, ISSUE:9, (DATE)] DOI:10.1016/j.jbiomech.2009.03.007
Identifier
http://www.sciencedirect.com/science/article/B6T82-4W329FW-2/2/e8cc3b5a4f96ab4aecee4e13c6579784
PII: S0021-9290(09)00131-6
Source Volume Number
42
Subjects
Humans
Models, Anatomic
Range of Motion, Articular
Rotation
Shoulder Joint
Coverage Spatial
United States