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MOVEMENTS OF SHOULDER JOINT

MOVEMENTS OF SHOULDER JOINT


MOVEMENTS OF SHOULDER JOINT
  • Movement in every direction (Flexion, extension, abduction, adduction, rotation, circumduction)
  • Spinal Cord regulating Shoulder movements (C5, C6, C7 & C8)
  • Flexion, Abduction, & lateral rotation (C5, C6,).
  • Extension, Adduction, & Medial rotation is (C6, C7, C8)
  • Movements that take place during abduction of shoulder are axial rotation of humerus at acroclavicular joint ,elevation of humerus & movement at clavicular end of sternoclavicular joint.
TYPE OF MOVEMENT PLANE OF MOTION AXIS OF MOTION MUSCLES INVOLVED HUMERAL HEAD GLIDING RANGE OF MOTION FACTOR LIMITING 
Flexion Saggital plane Transverse axis Pectoralis Major,Ant. fiber of deltoid,

Coraco-brachialis, Biceps 

Posteriolaterally in glenoid cavity 0-90º
– Inferior Glenohumeral ligament,

– Tightness of posterior joint capsule
Extension Saggital plane Transverse axis Latissimus dorsi,Teres major,Post. fibers

of deltoid, Triceps

Anteriomedially in glenoid cavity 0-45º or 60º – Superior & medial

– gleno-humeral

– ligament

Abduction Frontal plane Saggital axis Deltoid, Supraspinatus Inferiorly in glenoid cavity Total-0-165º or 175º

Full internal rotation of

humerus0-60º

Full external rotation of

humerus0-90º

 
-Inferior glenohumeral
  ligament

-Tightness of the inferior
– joint capsule of the
   gleno-humeral joint
Adduction Frontal plane Saggital axis – Subscapularis,Pectoralis Major,

– Latissimus dorsi, Teres major

Superiorly in glenoid cavity                 –  Trunk
Internal Rotation Transverse plane vertical axis  
– Subscapularis,Pectoralis Major,

– Latissimus dorsi, Teres major

Posteriolaterally in glenoid cavity  
– 0-70º as the arm at 90º of
shoulder abduction and 90º
elbow flexion

-If the elbow is extended, shoulder
rotation occurs simultaneously with forearm rotation.
 
 Posterior capsule
External Rotation  Transverse plane vertical axis Infraspinatus, Teres minor Anteriomedially in glenoid cavity  
– 0-90º as the arm at 90º of
shoulder abduction and 90º
elbow flexion

– If the elbow is extended, shoulder
rotation occurs simultaneously with
forearm rotation.
 
– Coracohumeral ligament

– 3 glenohumeral ligaments
 
 NOTE: Circumduction:it is a combination of flexion, abduction, extension, and adduction or in the reversed sequence
  • Glenohumeral flexion -> abduction ->extension ->adductiong
  • Glenohumeral extension ->abduction -> flexion -> adduction

Exam Important

  • Movements that take place during abduction of shoulder are axial rotation of humerus at acroclavicular joint ,elevation of humerus & movement at clavicular end of sternoclavicular joint.
  • Movement in every direction (Flexion, extension, abduction, adduction, rotation, circumduction)
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