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The rotator cuff muscles of the shoulder produce a high tensile force, and help to pull the head of the humerus into the glenoid cavity. The glenoid cavity is shallow and contains the glenoid labrum which deepens it and aids stability. With 120 degrees of unassisted flexion, the shoulder joint is the most mobile joint in the body.
Shoulder anatomy, front view Shoulder anatomy, back view The rotator cuff is an anatomical term given to the group of four muscles and their tendons that act to stabilize the shoulder. [ 3 ] These muscles are the supraspinatus , infraspinatus , teres minor and subscapularis and that hold the head of the humerus in the glenoid cavity during ...
The first stage requires immobilization of the shoulder joint. The shoulder that is injured is placed in a sling and shoulder flexion or abduction of the arm is avoided for 4 to 6 weeks after surgery (Brewster, 1993). Avoiding movement of the shoulder joint allows the torn tendon to fully heal. [24]
By being so shallow the glenoid cavity allows the shoulder joint to have the greatest mobility of all joints in the body, allowing 120 degrees of unassisted flexion. Additional range of motion in shoulder flexion (typically up to 180 degrees in humans) is also accomplished by the great mobility of the scapula (shoulder blade) through a process ...
Evaluation of passive and active range of motion: Neck range of motion should be assessed that may reveal a neck source of shoulder pain. The Apley scratch test specifically tests range of motion and in a normal exam, an individual should be able to reach C7 on external rotation, and T7 on internal rotation.
Inspect for: a straight spine (note any scoliosis), normal paraspinal muscle bulk, symmetrical shoulder and gluteal muscle bulk, symmetry of iliac crests, absence of popliteal swellings, absence of foot or hindfoot swellings. Palpate: over mid supraspinatus and roll the skin over the trapezius to test for signs of hyperalgesia or fibromyalgia.
Rotator cuff tendinopathy is associated with pain over the front and side (anterolateral) of the shoulder pain that radiates towards the elbow. The pain may occur with shoulder movement above the horizontal position, shoulder flexion and abduction. [12] [13] Pain is often described as weakness. Actual muscle weakness does not correlate with ...
Analog and traditional devices to measure range of motion in the joints of the body include the goniometer and inclinometer which use a stationary arm, protractor, fulcrum, and movement arm to measure angle from axis of the joint. As measurement results will vary by the degree of resistance, two levels of range of motion results are recorded in ...