The Journal of Bone and Joint Surgery, Vol 72, Issue 9 1334-1343, Copyright © 1990 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Translation of the humeral head on the glenoid with passive glenohumeral motion

DT Harryman, JA Sidles, JM Clark, KJ McQuade, TD Gibb and FA Matsen
Department of Orthopaedics, University of Washington, Seattle 98195.

We have demonstrated that certain passive motions of the glenohumeral joint are reproducibly accompanied by translation of the head of the humerus on the glenoid. We investigated the relationship of these translations to the position of the glenohumeral joint and to applied torques and forces in seven isolated glenohumeral joints from fresh cadavera, using a six-degrees-of-freedom position sensor and a six-axis force and torque transducer. Reproducible and significant translation occurred in an anterior direction with glenohumeral flexion and in a posterior direction with extension. We also observed translation with cross-body movement. The translation occurring with flexion was obligate in that it could not be prevented by the application of an oppositely directed force of thirty to forty newtons. Operative tightening of the posterior portion of the capsule increased the anterior translation on flexion and cross-body movement and caused it to occur earlier in the arc of motion compared with the intact glenohumeral joint. Operative tightening of the posterior part of the capsule also resulted in significant superior translation with flexion of the glenohumeral joint.
CiteULike    Connotea    Del.icio.us    Technorati    What's this?

This article has been cited by other articles:

				I. Hultenheim Klintberg, A.-C. Gunnarsson, J. Styf, and J. Karlsson Early activation or a more protective regime after arthroscopic subacromial decompression -- a description of clinical changes with two different physiotherapy treatment protocols -- a prospective, randomized pilot study with a two-year follow-up Clinical Rehabilitation, October 1, 2008; 22(10-11): 951 - 965. [Abstract] [PDF]

				T. Izumi, M. Aoki, T. Muraki, E. Hidaka, and S. Miyamoto Stretching Positions for the Posterior Capsule of the Glenohumeral Joint: Strain Measurement Using Cadaver Specimens Am. J. Sports Med., October 1, 2008; 36(10): 2014 - 2022. [Abstract] [Full Text] [PDF]

				D. P. Magit, J. E. Tibone, and T. Q. Lee In Vivo Comparison of Changes in Glenohumeral Translation After Arthroscopic Capsulolabral Reconstructions Am. J. Sports Med., July 1, 2008; 36(7): 1389 - 1396. [Abstract] [Full Text] [PDF]

				T. S. Mologne, K. Zhao, M. Hongo, A. A. Romeo, K.-N. An, and M. T. Provencher The Addition of Rotator Interval Closure After Arthroscopic Repair of Either Anterior or Posterior Shoulder Instability: Effect on Glenohumeral Translation and Range of Motion Am. J. Sports Med., June 1, 2008; 36(6): 1123 - 1131. [Abstract] [Full Text] [PDF]

				F. A. Matsen III, J. Clinton, J. Lynch, A. Bertelsen, and M. L. Richardson Glenoid Component Failure in Total Shoulder Arthroplasty J. Bone Joint Surg. Am., April 1, 2008; 90(4): 885 - 896. [Abstract] [Full Text] [PDF]

				C. H. Stapleton, L. Herrington, and K. George Anterior Translation at the Glenohumeral Joint: A Cause of Axillary Artery Compression? Am. J. Sports Med., March 1, 2008; 36(3): 539 - 544. [Abstract] [Full Text] [PDF]

				J. B. Myers, S. Oyama, C. A. Wassinger, R. D. Ricci, J. P. Abt, K. M. Conley, and S. M. Lephart Reliability, Precision, Accuracy, and Validity of Posterior Shoulder Tightness Assessment in Overhead Athletes Am. J. Sports Med., November 1, 2007; 35(11): 1922 - 1930. [Abstract] [Full Text] [PDF]

				D. Lintner, M. Mayol, O. Uzodinma, R. Jones, and D. Labossiere Glenohumeral Internal Rotation Deficits in Professional Pitchers Enrolled in an Internal Rotation Stretching Program Am. J. Sports Med., April 1, 2007; 35(4): 617 - 621. [Abstract] [Full Text] [PDF]

				M. Bahk, E. Keyurapan, A. Tasaki, E. L. Sauers, and E. G. McFarland Laxity Testing of the Shoulder: A Review Am. J. Sports Med., January 1, 2007; 35(1): 131 - 144. [Abstract] [Full Text] [PDF]

				D. A Nawoczenski, J. M Ritter-Soronen, C. M Wilson, B. A Howe, and P. M Ludewig Clinical Trial of Exercise for Shoulder Pain in Chronic Spinal Injury Physical Therapy, December 1, 2006; 86(12): 1604 - 1618. [Abstract] [Full Text] [PDF]

				G. R. Huffman, J. E. Tibone, M. H. McGarry, B. M. Phipps, Y. S. Lee, and T. Q. Lee Path of Glenohumeral Articulation Throughout the Rotational Range of Motion in a Thrower's Shoulder Model Am. J. Sports Med., October 1, 2006; 34(10): 1662 - 1669. [Abstract] [Full Text] [PDF]

				P. J. Millett, P. Clavert, G. F. R. Hatch III, and J. J. P. Warner Recurrent Posterior Shoulder Instability J. Am. Acad. Ortho. Surg., August 1, 2006; 14(8): 464 - 476. [Abstract] [Full Text] [PDF]

				P. W McClure, L. A Michener, and A. R Karduna Shoulder Function and 3-Dimensional Scapular Kinematics in People With and Without Shoulder Impingement Syndrome Physical Therapy, August 1, 2006; 86(8): 1075 - 1090. [Abstract] [Full Text] [PDF]

				N. Yamamoto, E. Itoi, Y. Tuoheti, N. Seki, H. Abe, H. Minagawa, Y. Shimada, and K. Okada The Effect of the Inferior Capsular Shift on Shoulder Intra-articular Pressure: A Cadaveric Study Am. J. Sports Med., June 1, 2006; 34(6): 939 - 944. [Abstract] [Full Text] [PDF]

				H. G. Bach and B. A. Goldberg Posterior Capsular Contracture of the Shoulder J. Am. Acad. Ortho. Surg., May 1, 2006; 14(5): 265 - 277. [Abstract] [Full Text] [PDF]

				J Maquirriain, J P Ghisi, and S Amato Is tennis a predisposing factor for degenerative shoulder disease? A controlled study in former elite players. Br. J. Sports Med., May 1, 2006; 40(5): 447 - 450. [Abstract] [Full Text] [PDF]

				F. A. Matsen III, C. Chebli, and S. Lippitt Principles for the Evaluation and Management of Shoulder Instability J. Bone Joint Surg. Am., March 1, 2006; 88(3): 647 - 659. [Full Text] [PDF]

				J. B. Myers, K. G. Laudner, M. R. Pasquale, J. P. Bradley, and S. M. Lephart Glenohumeral Range of Motion Deficits and Posterior Shoulder Tightness in Throwers With Pathologic Internal Impingement Am. J. Sports Med., March 1, 2006; 34(3): 385 - 391. [Abstract] [Full Text] [PDF]

				T. E Davenport, K. Kulig, Y. Matharu, and C. E Blanco The EdUReP Model for Nonsurgical Management of Tendinopathy Physical Therapy, October 1, 2005; 85(10): 1093 - 1103. [Abstract] [Full Text] [PDF]

				P. A. Borsa, K. E. Wilk, J. A. Jacobson, J. S. Scibek, G. C. Dover, M. M. Reinold, and J. R. Andrews Correlation of Range of Motion and Glenohumeral Translation in Professional Baseball Pitchers Am. J. Sports Med., September 1, 2005; 33(9): 1392 - 1399. [Abstract] [Full Text] [PDF]

				K. Meister, T. Day, M. Horodyski, T. W. Kaminski, M. P. Wasik, and S. Tillman Rotational Motion Changes in the Glenohumeral Joint of the Adolescent/Little League Baseball Player Am. J. Sports Med., May 1, 2005; 33(5): 693 - 698. [Abstract] [Full Text] [PDF]

				M. G. Grossman, J. E. Tibone, M. H. McGarry, D. J. Schneider, S. Veneziani, and T. Q. Lee A Cadaveric Model of the Throwing Shoulder: A Possible Etiology of Superior Labrum Anterior-to-Posterior Lesions J. Bone Joint Surg. Am., April 1, 2005; 87(4): 824 - 831. [Abstract] [Full Text] [PDF]

				P. J. Millett, P. Clavert, and J. J.P. Warner Open Operative Treatment for Anterior Shoulder Instability: When and Why? J. Bone Joint Surg. Am., February 1, 2005; 87(2): 419 - 432. [Abstract] [Full Text] [PDF]

				J. B. Myers, K. G. Laudner, M. R. Pasquale, J. P. Bradley, and S. M. Lephart Scapular Position and Orientation in Throwing Athletes Am. J. Sports Med., February 1, 2005; 33(2): 263 - 271. [Abstract] [Full Text] [PDF]

				S.-H. Kim, K.-C. Noh, J.-S. Park, B.-D. Ryu, and I. Oh Loss of Chondrolabral Containment of the Glenohumeral Joint in Atraumatic Posteroinferior Multidirectional Instability J. Bone Joint Surg. Am., January 1, 2005; 87(1): 92 - 98. [Abstract] [Full Text] [PDF]

				P. W McClure, J. Bialker, N. Neff, G. Williams, and A. Karduna Shoulder Function and 3-Dimensional Kinematics in People With Shoulder Impingement Syndrome Before and After a 6-Week Exercise Program Physical Therapy, September 1, 2004; 84(9): 832 - 848. [Abstract] [Full Text] [PDF]

				D. S. Kon, A. B. Darakjian, M. L. Pearl, and A. E. Kosco Glenohumeral Deformity in Children with Internal Rotation Contractures Secondary to Brachial Plexus Birth Palsy: Intraoperative Arthrographic Classification Radiology, June 1, 2004; 231(3): 791 - 795. [Abstract] [Full Text] [PDF]

				T. Kido, E. Itoi, S.-B. Lee, P. G. Neale, and K.-N. An Dynamic Stabilizing Function of the Deltoid Muscle in Shoulders with Anterior Instability Am. J. Sports Med., May 1, 2003; 31(3): 399 - 403. [Abstract] [Full Text] [PDF]

				W. Ben Kibler and J. McMullen Scapular Dyskinesis and Its Relation to Shoulder Pain J. Am. Acad. Ortho. Surg., March 1, 2003; 11(2): 142 - 151. [Abstract] [Full Text] [PDF]

				T. J. Gill and B. Zarins Open Repairs for the Treatment of Anterior Shoulder Instability Am. J. Sports Med., January 1, 2003; 31(1): 142 - 153. [Abstract] [Full Text] [PDF]

				O. Levy and E. Rath Traumatic soft tissue injuries of the shoulder girdle Trauma, October 1, 2002; 4(4): 223 - 235. [Abstract] [PDF]

				J. Walton, A. Paxinos, A. Tzannes, M. Callanan, K. Hayes, and G. A. C. Murrell The Unstable Shoulder in the Adolescent Athlete Am. J. Sports Med., September 1, 2002; 30(5): 758 - 767. [Abstract] [Full Text] [PDF]

				R. M. O. von Eisenhart-Rothe, A. Jager, K.-H. Englmeier, T. J. Vogl, and H. Graichen Relevance of Arm Position and Muscle Activity on Three-Dimensional Glenohumeral Translation in Patients with Traumatic and Atraumatic Shoulder Instability Am. J. Sports Med., July 1, 2002; 30(4): 514 - 522. [Abstract] [Full Text] [PDF]

				A.-T. Hsu, T. Hedman, J. H. Chang, C. Vo, L. Ho, S. Ho, and G.-L. Chang Changes in Abduction and Rotation Range of Motion in Response to Simulated Dorsal and Ventral Translational Mobilization of the Glenohumeral Joint Physical Therapy, June 1, 2002; 82(6): 544 - 556. [Abstract] [Full Text] [PDF]

				S. C. Schiffern, R. Rozencwaig, J. Antoniou, M. L. Richardson, and F. A. Matsen III Anteroposterior Centering of the Humeral Head on the Glenoid In Vivo Am. J. Sports Med., May 1, 2002; 30(3): 382 - 387. [Abstract] [Full Text] [PDF]

				K. E. Wilk, K. Meister, and J. R. Andrews Current Concepts in the Rehabilitation of the Overhead Throwing Athlete Am. J. Sports Med., January 1, 2002; 30(1): 136 - 151. [Abstract] [Full Text] [PDF]

				A. M. Halder, S. G. Kuhl, M. E. Zobitz, D. Larson, and K. N. An Effects of the Glenoid Labrum and Glenohumeral Abduction on Stability of the Shoulder Joint Through Concavity-Compression : An in Vitro Study J. Bone Joint Surg. Am., July 1, 2001; 83(7): 1062 - 1069. [Abstract] [Full Text] [PDF]

				E. L. Sauers, P. A. Borsa, D. E. Herling, and R. D. Stanley Instrumented Measurement of Glenohumeral Joint Laxity and its Relationship to Passive Range of Motion and Generalized Joint Laxity Am. J. Sports Med., March 1, 2001; 29(2): 143 - 150. [Abstract] [Full Text] [PDF]

				C. J Odom, A. B Taylor, C. E Hurd, and C. R Denegar Measurement of Scapular Asymmetry and Assessment of Shoulder Dysfunction Using the Lateral Scapular Slide Test: A Reliability and Validity Study Physical Therapy, February 1, 2001; 81(2): 799 - 809. [Abstract] [Full Text] [PDF]

				T. F. Tyler, S. J. Nicholas, T. Roy, and G. W. Gleim Quantification of Posterior Capsule Tightness and Motion Loss in Patients with Shoulder Impingement Am. J. Sports Med., September 1, 2000; 28(5): 668 - 673. [Abstract] [Full Text] [PDF]

				M. D. Lazarus and D. T. Harryman II Complications of Open Anterior Stabilization of the Shoulder J. Am. Acad. Ortho. Surg., March 1, 2000; 8(2): 122 - 132. [Abstract] [Full Text] [PDF]

				J. E. Kuhn, M. J. Bey, L. J. Huston, R. B. Blasier, and L. J. Soslowsky Ligamentous Restraints to External Rotation of the Humerus in the Late-Cocking Phase of Throwing: A Cadaveric Biomechanical Investigation Am. J. Sports Med., March 1, 2000; 28(2): 200 - 205. [Abstract] [Full Text] [PDF]

				K. Meister Injuries to the Shoulder in the Throwing Athlete: Part One: Biomechanics/Pathophysiology/Classification of Injury Am. J. Sports Med., March 1, 2000; 28(2): 265 - 275. [Abstract] [Full Text] [PDF]

				P. M Ludewig and T. M Cook Alterations in Shoulder Kinematics and Associated Muscle Activity in People With Symptoms of Shoulder Impingement Physical Therapy, March 1, 2000; 80(3): 276 - 291. [Abstract] [Full Text] [PDF]

				W. M. Weiser, T. Q Lee, W. C. McMaster, and P. J. McMahon Effects of Simulated Scapular Protraction on Anterior Glenohumeral Stability Am. J. Sports Med., November 1, 1999; 27(6): 801 - 805. [Abstract] [Full Text] [PDF]

				C. F. Beaulieu, D. K. Hodge, A. G. Bergman, K. Butts, B. L. Daniel, C. L. Napper, R. D. Darrow, C. L. Dumoulin, and R. J. Herfkens Glenohumeral Relationships during Physiologic Shoulder Motion and Stress Testing: Initial Experience with Open MR Imaging and Active Imaging-Plane Registration Radiology, September 1, 1999; 212(3): 699 - 705. [Abstract] [Full Text]

				A. Oliashirazi, P. Mansat, R. H. Cofield, and C. M. Rowland Examination Under Anesthesia for Evaluation of Anterior Shoulder Instability Am. J. Sports Med., July 1, 1999; 27(4): 464 - 468. [Abstract] [Full Text] [PDF]

				K. P. Black, D. J. Schneider, J. R. Yu, and C. R. Jacobs Biomechanics of the Bankart Repair: The Relationship Between Glenohumeral Translation and Labral Fixation Site Am. J. Sports Med., May 1, 1999; 27(3): 339 - 344. [Abstract] [Full Text] [PDF]

				K. Meister, J. R. Andrews, J. Batts, K. Wilk, and T. Baumgartner Symptomatic Thrower's Exostosis: Arthroscopic Evaluation and Treatment Am. J. Sports Med., March 1, 1999; 27(2): 133 - 136. [Abstract] [Full Text] [PDF]

				M. A. WIRTH, C. M. AGRAWAL, J. D. MABREY, D. D. DEAN, C. R. BLANCHARD, M. A. MILLER, and C. A. ROCKWOOD Isolation and Characterization of Polyethylene Wear Debris Associated with Osteolysis Following Total Shoulder Arthroplasty J. Bone Joint Surg. Am., January 1, 1999; 81(1): 29 - 37. [Abstract] [Full Text]

				M. L. PEARL and B. W. EDGERTON Glenoid Deformity Secondary to Brachial Plexus Birth Palsy J. Bone Joint Surg. Am., May 1, 1998; 80(5): 659 - 67. [Abstract] [Full Text]

				M. APRELEVA, C. T. HASSELMAN, R. E. DEBSKI, F. H. FU, S. L-Y. WOO, and J. J. P. WARNER A Dynamic Analysis of Glenohumeral Motion after Simulated Capsulolabral Injury. A Cadaver Model J. Bone Joint Surg. Am., April 1, 1998; 80(4): 474 - 80. [Abstract] [Full Text]

				W. B. Kibler The Role of the Scapula in Athletic Shoulder Function Am. J. Sports Med., March 1, 1998; 26(2): 325 - 337. [Abstract] [Full Text] [PDF]

				L. Z. Payne, X.-H. Deng, E. V. Craig, P. A. Torzilli, and R. F. Warren The Combined Dynamic and Static Contributions to Subacromial Impingement: A Biomechanical Analysis Am. J. Sports Med., December 1, 1997; 25(6): 801 - 808. [Abstract] [PDF]

				A. R. KARDUNA, G. R. WILLIAMS, J. L. WILLIAMS, and J. P. IANNOTTI Glenohumeral Joint Translations before and after Total Shoulder Arthroplasty. A Study in Cadavera J. Bone Joint Surg. Am., August 1, 1997; 79(8): 1166 - 74. [Abstract] [Full Text]

				J. J. P. WARNER and P. E. GREIS Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - The Treatment of Stiffness of the Shoulder after Repair of the Rotator Cuff*{{dagger}} J. Bone Joint Surg. Am., August 1, 1997; 79(8): 1260 - 9. [Full Text]

K. P. Black, T.-H. Lim,