Specificity of clinical examinations for testing glenohumeral ligament integrity: a computational study
File(s)GHL clinical exams.accepted.pdf (1.3 MB)
Accepted version
Author(s)
Amadi, Hippolite O
Emery, Roger J
Wallace, Andrew
Bull, Anthony
Type
Journal Article
Abstract
An accurate diagnosis of glenohumeral joint (GHJ) instability is essential for an effective surgical intervention. There is presently no known comprehensive algorithm of clinical tests for the confirmation of the functional integrity of glenohumeral ligaments (GHLs). A validated computational GHL strain analyser was applied to a set of GHJ kinematics data from the literature to simulate 57 different physiological clinical examination manoeuvres. An algorithm that integrates the GHL pre-straining activities at the toe region of the stress–strain curve was developed for the quantification of ligament loading from prevailing strains. This was used to upgrade the strain analyser and applied to produce a matrix of the various GHL loadings and sensitivities during the manoeuvres. The investigation magnified the likely impact of anatomical variations of GHL attachments as possible causes of misdiagnoses during clinical examinations of GHJ dysfunction. This can serve as an assistive guide to ascertain the functional condition of a specific GHL during symptomatic clinical examinations.
Date Issued
2014-07-04
Date Acceptance
2012-09-02
Citation
Computer Methods in Biomechanics and Biomedical Engineering, 2014, 17 (9), pp.933-943
ISSN
1025-5842
Publisher
Taylor & Francis
Start Page
933
End Page
943
Journal / Book Title
Computer Methods in Biomechanics and Biomedical Engineering
Volume
17
Issue
9
Copyright Statement
© 2012 Taylor & Francis. This is an Accepted Manuscript of an article published by Taylor & Francis in Computer Methods in Biomechanics and Biomedical Engineering on 12 October 2012, available online: https://doi.org/10.1080/10255842.2012.727185
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000333954600001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Technology
Computer Science, Interdisciplinary Applications
Engineering, Biomedical
Computer Science
Engineering
instability
clinical test
glenohumeral
capsule
shoulder
ligament
SHOULDER INSTABILITY
EXTERNAL ROTATION
IN-VIVO
KINEMATICS
JOINT
ANTERIOR
RECONSTRUCTION
RELIABILITY
VALIDATION
RESTRAINTS
Publication Status
Published
Date Publish Online
2012-10-12