Shoulder and Elbow

Mechanics of Glenohumeral Instability

Last Updated: Monday, February 4, 2013

The most remarkable feature of the glenohumeral joint is its ability to precisely stabilize the humeral head in the center of the glenoid on one hand and to allow a vast range of motion on the other. This balance of stability and mobility is achieved by a combination of mechanisms particular to this articulation.

About the glenohumeral joint

Mechanics of Glenohumeral Arthroplasty

 
 

Glenohumeral arthroplasty provides the opportunity to employ all of our understanding of glenohumeral mechanics: many of the important variables are under the surgeon's control with this procedure. It provides an opportunity to synthesize some of the key elements of motion" stability strength and smoothness and to point out how these considerations relate to the conduct of the surgical procedure.

Injuries Associated with Posterior Dislocations

Last Updated: February 01 2005

Fractures of the posterior glenoid rim and of the proximal humerus (upper shaft tuberosities and head) are quite common in traumatic posterior dislocations of the shoulder. (O'Conner 1956; O'Conner and Jacknow 1955; Thomas 1937; Wilson and McKeever 1949) The commonly associated compression fracture of the anteromedial portion of the humeral head is produced by the posterior cortical rim of the glenoid. It is best seen on an axillary view or a CT scan.

Quite common

Injuries Associated with Anterior Dislocations

 
Injuries Associated with Anterior Dislocations
Last Updated: Monday, February 4, 2013
 

A common feature of traumatic anterior dislocations is avulsion of the anterior-inferior glenohumeral ligaments and capsule from the glenoid lip especially in younger individuals.

Non-healing avulsion

Humeroscapular Positions and Motion

Last Updated: Monday, February 4, 2013

Smooth motion

In addition to the motion at the glenohumeral joint the upper end of the humerus biceps tendon and rotator cuff must glide smoothly inside a sleeve consisting of the acromion deltoid coracoid coracoacromial ligament and the muscles originating from the coracoid. This motion is described as motion at the humeroscapular motion interface.

Excursions of up to 4 cm take place at this nonarticular interface.

Loss of smooth motion

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