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The muscles of internal rotation include: of arm/humerus at shoulder. Anterior part of the deltoid muscle [1] Subscapularis [1] Teres major [1] Latissimus dorsi [1] Pectoralis major [1] of thigh/femur at hip [2] Tensor fasciae latae; Gluteus generalis; Anterior fibers of Gluteus meralis; Adductor longus and Adductor brevis; of leg at knee [3 ...
Arthrography of shoulder joint (with or without computed tomography) is performed by injecting contrast below and lateral to the coracoid process to outline the shoulder joint. Axillary pouch of the shoulder can be seen on external rotation, while subscapular (subcoracoid) bursa can be seen on internal rotation of arm. The contrast should not ...
Shoulder impingement syndrome is a syndrome involving tendonitis (inflammation of tendons) of the rotator cuff muscles as they pass through the subacromial space, the passage beneath the acromion. It is particularly associated with tendonitis of the supraspinatus muscle. [1] This can result in pain, weakness, and loss of movement at the ...
Shoulder motions to pull the ligament taut Humeral head motion to pull the ligament taut Superior glenohumeral lig. Full adduction Inferior or anterior glide Middle glenohumeral lig. External rotation Anterior glide Inferior glenohumeral lig. Anterior band Posterior band Abduction and external rotation Abduction and internal rotation Non specific
The rotator interval is a triangular space in the shoulder that is functionally reinforced externally by the coracohumeral ligament and internally by the superior glenohumeral ligament, and traversed by the intra-articular biceps tendon. On imaging, it is defined by the coracoid process at its base, the supraspinatus tendon superiorly and the ...
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 .
The bear hug test (internal rotation while palm is held on opposite shoulder and elbow is held in a position of maximal anterior translation) for subscapularis muscle tears has high sensitivity. Positive bear-hug and belly press tests indicate significant tearing of subscapularis. [4]
The anterior fibers assist the pectoralis major to flex the shoulder. The anterior deltoid also works in tandem with the subscapularis, pecs and lats to internally (medially) rotate the humerus. The intermediate fibers perform basic shoulder abduction when the shoulder is internally rotated, and perform shoulder transverse abduction when the ...