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Biomechanics

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Shoulder Concepts 2013: Consensus and Concerns

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Abstract

The shoulder represents a closed chain system where the humeral head is positioned for function by a closed chain formed by the thorax (kinetic chain), scapula, and clavicle. The purpose of a closed chain kinetic system is to provide stability (ball and socket kinematics) with maximal motion (mobility). Changes in elements of the aforementioned system will influence the kinematic and dynamic behaviour of the other elements within the system. Any rotator cuff activation will require some response (stabilization, change) within the system and may affect rotator cuff activation, compression, tension or motion. Kinetic chain activity affects the capability of the rotator cuff to develop strength and act as a compressor cuff to produce effective force couples and to be active throughout the entire range of shoulder motion.

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Authors and Affiliations

  1. Shoulder Center of Kentucky, 240 Market St, Lexington, KY, 40507, USA

    Ben Kibler

  2. Concordia Hospital for Special Surgery, Via delle Sette Chiese, 90, 145, Rom, Italy

    Giovanni Di Giacomo

Authors
  1. Ben Kibler
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  2. Giovanni Di Giacomo
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Corresponding author

Correspondence to Ben Kibler .

Editor information

Editors and Affiliations

  1. de Diagnóstico y Tratamiento, Department of Orthopaedic Surgery, Instituto Argentino, Marcelo T. de Alvear 2400, Buenos Aires, 1122, Argentina

    Guillermo Arce

  2. Parkens Private Hospital, Oestre Alle 42, 3rd, Copenhagen, 2100, Denmark

    Klaus Bak

  3. Health Center, University of Connecticut, Farmington Avenue 263, Farmington, 06034-4037, Connecticut, USA

    Kevin P Shea

  4. School of Medicine, Tulane University, Tulane Avenue, SL32 1430, New Orleans, 70112, Louisiana, USA

    Felix Savoie III

  5. Shoulder Center of Kentucky, Market St. 240, Lexington, 40507, Kentucky, USA

    William Benjamin Kibler

  6. , Department of Orthopaedic Surgery, Tohoku University School of Medicine, Seiryo-Machi, Aoba-Ku 1-1, Sendai, 980-8574, Miyagi, Japan

    Eiji Itoi

  7. Health Center, Department of Orthopaedic Surgery, University of Connecticut, Farmington Avenue 263, Farmington, 06034, Connecticut, USA

    Augustus D. Mazzocca

  8. Health Center, Department of Orthopaedic Surgery, University of Connecticut, Farmington Avenue 263, Farmington, 06034, Connecticut, USA

    Knut Beitzel

  9. Reconstruction Surgery Unit, Dept. of Orthopedic Surgery, Shoulder and Elbow, Valle de la Fuenfria 10, Madrid, 28034, Spain

    Emilio Calvo

  10. CETE-UNIFESP-EPM, Rua Vanderley 466AP 232, São Paulo, 5011001, São Paulo, Brazil

    Benno Ejnisman

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© 2013 ISAKOS

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Kibler, B., Di Giacomo, G. (2013). Biomechanics. In: Arce, G., et al. Shoulder Concepts 2013: Consensus and Concerns. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38097-6_9

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  • DOI: https://doi.org/10.1007/978-3-642-38097-6_9

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-38096-9

  • Online ISBN: 978-3-642-38097-6

  • eBook Packages: MedicineMedicine (R0)

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