Summary
The complex biomechanics of the shoulder can be very difficult to unravel. The predominant importance of the capsulo-ligamentous and muscular structures over the osteo-articular components increases the mechanical refinement of this balance. During compressive movements of the shoulder almost full body weight passes through the joint, and about half body weight occurs in shearing movements. Because of the very small area of contact between the head and the glenoid during movement (15 cm2, for abduction in the scapular plane) and their orientation, the soft tissues play a primary role (active and passive) in stabilising the whole ensemble. The total shoulder arthroplasty can only be an unconstrained prosthesis which matches the bony anatomy, in order to reproduce the normal kinematics and stability of the joint.
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References
Bonnel F (1988) L’épaule: articulation à recentrage rotatoire tridimensionnel. In: L’épaule douloureuse chirurgicale. M. Mansat (ed) Cahiers d’Enseignement de la SOFCOT, no 33. Expansion Scientifique Française, Paris, pp 1–12
Boileau P, Walch G, Liotard JP (1992) Etude radio-cinématographique de l’élévation active de l’épaule prothésée. Rev Chir Orthop 78:355–364
Boileau P, Walch G (1995) Adaptabilité et modularité au cours des prothèses d’épaule. Acta Orthopedica Belgica 61 [Suppl 1]:49–61
Codman E (1934) The shoulder. Todd, Boston
Freedmann L, Munro R (1666) Abduction of the arm in the scapular plane: scapular and glenohumeral movements. J Bone Joint Surg 48A 48:1503–1510
Friedman R, Laberge EM, Dooley R, O’Hara A (1992) Finite element modeling of the glenoid component: effect of design parameters on stress distribution. J Shoulder Elbow Surg 1:261–270
Friedman R, Brookings G, Dooley R (1990) Finite element analysis of glenoid component design. Orthop Trans 14:253
Friedman RJ (1994) Biomechanics and design of shoulder arthroplasties. In: Friedman (ed) Arthroplasty of the shoulder. Thieme, Stuttgart, pp 27–40
Gerber C (1988) Les instabilités de l’épaule. In: L’épaule douloureuse chirurgicale. M. Mansat (ed) Cahiers d’Enseignement de la SOFCOT, no 33. Expansion Scientifique Française, Paris, pp 51–74
Habermeyer P, Schuller U (1989) Die Bedeutung des Lab-rum glenoidale für die Stabilität des Glenohumeralgelenkes. Unfallchirurg 92:1
Howell S, Galina B, Renzi A, Marone P (1988) Normal and abnormal mechanics of the glenohumeral joint in the horizontal plane. J Bone Joint Surg 70A 70:227–232
Inman V, Saunders M, Abbot L (1944) Observations on the function of the shoulder joint. J Bone Joint Surg Am 26:1–30
Itoi E, Motzkin NE, Morrey BF, Kai-Nan AN (1992) Scapular inclination and inferior stability of the shoulder. J Shoulder Elbow Surg 1:131–139
Kumar VP, Balasubramaniam P (1985) The role of the atmospheric pressure in stabilizing shoulder. J Bone Joint Surg Br 67:719–721
de Luca C, Forrest W (1973) Force analysis of individual muscles acting simultaneoulsly on the shoulder joint during isometric abduction. J Biomech 6:385–393
McPherson E, Friedman R, Dooley R (1993) Anatomic basis of total shoulder design. J Shoulder Elbow Surg 2:528
Matsen FA, Harrymann DT, Sidles JA (1991) Mechanics of glenohumeral instability. Clin. Sports Med 10(4) 783–788
Morrey BF, An KN (1990) Biomechanics of the shoulder. In: Rockwood CR, Matsen FA (ed) The shoulder. Saunders, Philadelphia, pp 208–245
Perry J (1988) Biomechanics of the shoulder. In: Carter R, Rowe (eds) The shoulder. Churchill-Linvingstone Inc, 1988, pp 1–15
Poppen N, Walker P (1976) Normal and abnormal motion of the shoulder. J Bone Joint Surg 58A 58:195–201
Rietveld A, Daanen H, Rozing P, Obermann W (1988) The lever arm in gleno-humeral abduction after hemiarthroplasty. J Bone Joint Surg 70B 70: 561–565
Saha AK (1971) Dynamic stability of the glenohumeral joint. Acta Orthop Scand 42:491–505
Snyder SJ, Rames RD, Morgan CD (1991) Anatomical variations of the glenohumeral ligaments. Arthroscopy 7 (3):328
Turckel SJ, Pannios MW, Marshall JL, Girgis FG (1981) Stabilizing mechanisms preventing anterior dislocation of the glenohumeral joint J Bone Joint Surg Am 63:1208–1217
Walker P (1977) Human Joints and their artificial replacements. Thomas, Springfield
Weber BG, Simpson A, Hardegger F (1984) Rotational osteotomy for recurrent anterior dislocation of the shoulder assiociated with large Hill-Sachs lesion. J Bone Joint Surg Am 66:1443
Zuckermann JD, Matsen FA (1988) Biomecanics of the shoulder, 2nd edn. In: Nordin and Frankel (eds) Basic biomecanics of the muskuloskeletal system. Lea & Febiger, London
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Kempf, J.F., Lacaze, F., Nerisson, D., Bonnomet, F. (1999). Biomechanics of the Shoulder. In: Walch, G., Boileau, P. (eds) Shoulder Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58365-0_2
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DOI: https://doi.org/10.1007/978-3-642-58365-0_2
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