Advertisement

International Orthopaedics

, Volume 35, Issue 10, pp 1503–1509 | Cite as

In vivo three-dimensional motion analysis of the shoulder joint during internal and external rotation

  • Hayato Koishi
  • Akira Goto
  • Makoto Tanaka
  • Yasushi Omori
  • Kazuma Futai
  • Hideki Yoshikawa
  • Kazuomi Sugamoto
Original Paper

Abstract

Purpose

The purpose of this study was to assess accurately the three-dimensional movements of the scapula and humerus relative to the thorax during internal/external rotation motion with abduction of the shoulder joint.

Methods

Ten right shoulders of ten healthy volunteers were examined using a wide-gantry open magnetic resonance imaging (MRI) system. MRI was performed every 30° from 90° external rotation to 90° internal rotation of the shoulder joint.

Results

The contribution ratio of the scapulothoracic joint was 12.5% about the long axis of the humerus during internal/external rotation motion. With arm position changes from 90° external rotation to 60° internal rotation, most movement was performed by the glenohumeral joint. Conversely, at internal rotation of ≥60°, the scapula began to markedly tilt in the anterior direction. At 90° internal rotation, the scapula was significantly tilted anteriorly (p < 0.05) when compared with the other positions.

Conclusions

We clarified the existence of a specific scapulohumeral motion pattern, whereby the glenohumeral joint moves with internal rotation and the scapulothoracic joint moves with anterior tilt together with internal rotation motion of the shoulder joint.

Keywords

Internal Rotation External Rotation Neutral Position Shoulder Joint Contribution Ratio 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

We wish to thank Mr. Y. Sakaguchi, a radiological technologist, for performing MRI at Matsumoto medical clinic and Mr. R. Nakao, a programmer, for developing the software.

Supplementary material

ESM 1

(MPEG 2373 kb)

References

  1. 1.
    McClure PW, Michener LA, Sennett BJ et al (2001) Direct 3-dimensional measurement of scapular kinematics during dynamic movements in vivo. J Shoulder Elbow Surg 10(3):269–277PubMedCrossRefGoogle Scholar
  2. 2.
    Ludewig PM, Cook TM, Nawoczenski DA (1996) Three-dimensional scapular orientation and muscle activity at selected positions of humeral elevation. J Orthop Sports Phys Ther 24(2):57–65PubMedGoogle Scholar
  3. 3.
    van der Helm FC, Pronk GM (1995) Three-dimensional recording and description of motions of the shoulder mechanism. J Biomech Eng 117(1):27–40PubMedCrossRefGoogle Scholar
  4. 4.
    McQuade KJ, Hwa Wei S, Smidt GL (1995) Effects of local muscle fatigue on three-dimensional scapulohumeral rhythm. Clin Biomech (Bristol, Avon) 10(3):144–148CrossRefGoogle Scholar
  5. 5.
    Rettig O, Fradet L, Kasten P et al (2009) A new kinematic model of the upper extremity based on functional joint parameter determination for shoulder and elbow. Gait Posture 30(4):469–476PubMedCrossRefGoogle Scholar
  6. 6.
    Lovern B, Stroud LA, Evans RO et al (2009) Dynamic tracking of the scapula using skin-mounted markers. Proc Inst Mech Eng H 223(7):823–831PubMedCrossRefGoogle Scholar
  7. 7.
    Bourne DA, Choo AM, Regan WD et al (2007) Three-dimensional rotation of the scapula during functional movements: an in vivo study in healthy volunteers. J Shoulder Elbow Surg 16(2):150–162PubMedCrossRefGoogle Scholar
  8. 8.
    Ludewig PM, Phadke V, Braman JP et al (2009) Motion of the shoulder complex during multiplanar humeral elevation. J Bone Joint Surg Am 91(2):378–389PubMedCrossRefGoogle Scholar
  9. 9.
    Lorensen WE, Cline HE (1987) Marching cubes: a high resolution 3D surface construction algorithm. Comput Graph 21(4):163–170CrossRefGoogle Scholar
  10. 10.
    Hill DL, Batchelor PG, Holden M et al (2001) Medical image registration. Phys Med Biol 46:R1–R45PubMedCrossRefGoogle Scholar
  11. 11.
    Ishii T, Mukai Y, Hosono N et al (2004) Kinematics of the upper cervical spine in rotation: in vivo three-dimensional analysis. Spine 29(7):E139–E144PubMedCrossRefGoogle Scholar
  12. 12.
    Wu G, van der Helm FC, Veeger HE et al (2005) ISB recommendation on definitions of joint coordinate systems of various joints for the reporting of human joint motion—Part II: shoulder, elbow, wrist and hand. J Biomech 38(5):981–992PubMedCrossRefGoogle Scholar
  13. 13.
    Karduna AR, Williams GR, Williams JL et al (1996) Kinematics of the glenohumeral joint: influences of muscle forces, ligamentous constraints, and articular geometry. J Orthop Res 14(6):986–993PubMedCrossRefGoogle Scholar
  14. 14.
    Huffman GR, Tibone JE, McGarry MH et al (2006) Path of glenohumeral articulation throughout the rotational range of motion in a thrower’s shoulder model. Am J Sports Med 34(10):1662–1669PubMedCrossRefGoogle Scholar
  15. 15.
    Inman VT, Saunders JB, Abbott LC (1944) Observations of the function of the shoulder joint. J Bone Joint Surg Am 26(1):1–30Google Scholar
  16. 16.
    Freedman L, Munro RR (1966) Abduction of the arm in the scapular plane: scapular and glenohumeral movements. A roentgenographic study. J Bone Joint Surg Am 48(8):1503–1510PubMedGoogle Scholar
  17. 17.
    Poppen NK, Walker PS (1976) Normal and abnormal motion of the shoulder. J Bone Joint Surg Am 58(2):195–201PubMedGoogle Scholar
  18. 18.
    Paletta GA Jr, Warner JJ, Warren RF et al (1997) Shoulder kinematics with two-plane X-ray evaluation in patients with anterior instability or rotator cuff tearing. J Shoulder Elbow Surg 6(6):516–527PubMedCrossRefGoogle Scholar
  19. 19.
    Bey MJ, Kline SK, Zauel R et al (2008) Measuring dynamic in-vivo glenohumeral joint kinematics: technique and preliminary results. J Biomech 41(3):711–714PubMedCrossRefGoogle Scholar
  20. 20.
    Nishinaka N, Tsutsui H, Mihara K et al (2008) Determination of in vivo glenohumeral translation using fluoroscopy and shape-matching techniques. J Shoulder Elbow Surg 17(2):319–322PubMedCrossRefGoogle Scholar
  21. 21.
    Boyer PJ, Massimini DF, Gill TJ et al (2008) In vivo articular cartilage contact at the glenohumeral joint: preliminary report. J Orthop Sci 13(4):359–365PubMedCrossRefGoogle Scholar
  22. 22.
    Goto A, Moritomo H, Murase T et al (2004) In vivo elbow biomechanical analysis during flexion: three-dimensional motion analysis using magnetic resonance imaging. J Shoulder Elbow Surg 13(4):441–447PubMedCrossRefGoogle Scholar
  23. 23.
    Moritomo H, Murase T, Goto A et al (2006) In vivo three-dimensional kinematics of the midcarpal joint of the wrist. J Bone Joint Surg Am 88(3):611–621PubMedCrossRefGoogle Scholar
  24. 24.
    Sahara W, Sugamoto K, Murai M et al (2006) 3D kinematic analysis of the acromioclavicular joint during arm abduction using vertically open MRI. J Orthop Res 24(9):1823–1831PubMedCrossRefGoogle Scholar
  25. 25.
    Sahara W, Sugamoto K, Murai M et al (2007) Three-dimensional clavicular and acromioclavicular rotations during arm abduction using vertically open MRI. J Orthop Res 25(9):1243–1249PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Hayato Koishi
    • 1
  • Akira Goto
    • 2
  • Makoto Tanaka
    • 3
  • Yasushi Omori
    • 1
  • Kazuma Futai
    • 2
  • Hideki Yoshikawa
    • 2
  • Kazuomi Sugamoto
    • 1
  1. 1.Department of Orthopaedic Biomaterial ScienceOsaka University Graduate School of MedicineSuita CityJapan
  2. 2.Department of Orthopaedic SurgeryOsaka University Graduate School of MedicineSuita CityJapan
  3. 3.Department of Orthopaedic SurgeryOsaka Police HospitalOsaka CityJapan

Personalised recommendations