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The externally rotated arm is gently abducted (brought away from the body into an overhead position) while external rotation is maintained. Gentle in-line traction is applied to the arm while some pressure is applied to the humeral head via the operator's thumb in the armpit to keep the head from moving inferiorly. [2] [6]
External rotation of the shoulder with the arm at a 90-degree angle is an additional exercise done to increase control and range of motion of the Infraspinatus and Teres minor muscles. Various active exercises are done for an additional 3–6 weeks as progress is based on an individual case-by-case basis. [9]
From 90-180 degrees it is the trapezius and the serratus anterior. Adduction is carried out by the pectoralis major, latissimus dorsi, teres major and the subscapularis. Horizontal abduction and horizontal adduction of the shoulder (transverse plane) Medial and lateral rotation of the shoulder (also known as internal and external rotation).
Medial rotation of the arm [16] Medial rotation of the arm is most easily observed when the elbow is held at a 90-degree angle and the fingers are extended so they are parallel to the ground. Medial rotation occurs when the arm is rotated at the shoulder so that the fingers change from pointing straight forward to pointing across the body.
External rotation (lateral rotation or extorsion) is rotation away from the center of the body, [22] carried out by external rotators. Internal and external rotators make up the rotator cuff , a group of muscles that help to stabilize the shoulder joint .
External rotation (or extorsion or lateral rotation) is an anatomical term of motion referring to rotation away from the center of the body. The external rotator muscles include: Muscles
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"now turn your hands over" making sure that supination is normal (watch for external rotation of the shoulder to compensate for poor supination). Inspect the palms for any signs or swellings. "now make a fist with both hands around my fingers and squeeze tightly" test the grip for normal and symmetrical power.