biomechanics of the shoulder complex

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    BIOMECHANICS OF

    THE SHOULDERCOMPLEX

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    SternumClavicula

    Scapula

    Humerus

    Glenohumeralis

    Acromioclavicularis Sternoclavicularis

    Scapulothoracalis

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    GLENOHUMERAL JOINT

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    Angle ofinclination

    Angle of torsion 30

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    Greater tuberosity

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    FRONTAL PLANE

    SAGITTAL PLANESCAPULLAR PLANE

    30 - 45 degrees

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    : The labrum broadens and makes deeper the glenoid socket (top image).The labrum also acts as an anchoring point for the ligaments of theshoulder (lower image).

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    The normal main ligament of the shoulder (inferior glenohumeral ligament) supports thehumeral head like a hammock supports a person (top image). With arm rotation, the

    ligament (hammock) moves forward and backward to keep the ball in the socket duringthis rotation (lower image).

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    Horizontal plane

    30-45120-135

    15-3090

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    135

    45

    Flexion and extension in horizontal plane

    extension

    flexion

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    Flexion-extension

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    Sagittal plane

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    100-120 degrees30 degrees

    Sagittal plane

    Extension Flexion

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    Abduction - adduction

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    90-110

    Tvolts

    Grdls

    60

    Befel fordts Neutrlis slapocka sk

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    Grdls

    Tvolts

    Passzv

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    Tvolts

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    75o

    40o

    sternoclavicularis

    20o acromioclavicularis

    Frontal plane

    120o glenohumeral

    Abduction

    90 - 120o135o

    90o active

    120o passive

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    TVOLTSABDUCTION

    ROLLING SLIDING

    active passive

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    Rotci

    50 120

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    70 50

    30 20

    Kifel Befel

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    Throwing arm Contralateral

    Herrington 1988

    External and internal rotation

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    SCAPULOTHORACIC JOINT

    Tipping of the scapula

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    Depression

    Elevationpp g o e sc pu

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    Kzelts -tvolts

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    Winging of the scapula

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    g g p

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    Downward rotation Upward rotation

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    MOVEMENT IN STERNOCLAVICULAR

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    MOVEMENT IN STERNOCLAVICULARAND ACROMIOCLAVICULAR JOINTS

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    CENTRE OF ROTATION

    30

    30

    MOVEMENT IN SCAPOLOTHRACIC

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    MOVEMENT IN SCAPOLOTHRACICAND GLENOHUMERALIS JOINTS

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    60

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    60

    30

    30

    Scapula forgs elre - htra

    Scapula forgs a transverzlistengely krl

    Scapula forgs oldal skban:emelkeds - sllyeds

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    STERNOCLAVICULARIS IZLET

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    STERNOCLAVICULARIS IZLET

    Movement in sternoclavicularis joint

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    15

    45 / 15

    30 - 45

    Rotation about thelongitudinal axis

    Movement in sternoclavicularis joint

    Elevation and

    depression

    Anteriorpsoteriormovement

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    Az egyes izmok bekapcsoldsa a

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    Az egyes izmok bekapcsoldsa amunkavgzsbe

    2005. 04. 13.

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    Az egyes izmok bekapcsoldsa a

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    Az egyes izmok bekapcsoldsa amunkavgzsbe

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    0 03

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    0.05 Bw

    0.3 m

    0.03 m

    0.6 m

    0.075 BwFc = Fp sin

    Winging of the scapula

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    Winging of the scapula

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    Tipping of the scapula

    1999.11.16.

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