Skip to main content

Biomechanics of the Shoulder

  • Conference paper
Shoulder Arthroplasty

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 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

    Google Scholar 

  2. Boileau P, Walch G, Liotard JP (1992) Etude radio-cinématographique de l’élévation active de l’épaule prothésée. Rev Chir Orthop 78:355–364

    PubMed  CAS  Google Scholar 

  3. Boileau P, Walch G (1995) Adaptabilité et modularité au cours des prothèses d’épaule. Acta Orthopedica Belgica 61 [Suppl 1]:49–61

    Google Scholar 

  4. Codman E (1934) The shoulder. Todd, Boston

    Google Scholar 

  5. 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

    Google Scholar 

  6. 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

    Article  PubMed  CAS  Google Scholar 

  7. Friedman R, Brookings G, Dooley R (1990) Finite element analysis of glenoid component design. Orthop Trans 14:253

    Google Scholar 

  8. Friedman RJ (1994) Biomechanics and design of shoulder arthroplasties. In: Friedman (ed) Arthroplasty of the shoulder. Thieme, Stuttgart, pp 27–40

    Google Scholar 

  9. 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

    Google Scholar 

  10. Habermeyer P, Schuller U (1989) Die Bedeutung des Lab-rum glenoidale für die Stabilität des Glenohumeralgelenkes. Unfallchirurg 92:1

    Google Scholar 

  11. 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

    Google Scholar 

  12. Inman V, Saunders M, Abbot L (1944) Observations on the function of the shoulder joint. J Bone Joint Surg Am 26:1–30

    Google Scholar 

  13. 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

    Article  PubMed  CAS  Google Scholar 

  14. Kumar VP, Balasubramaniam P (1985) The role of the atmospheric pressure in stabilizing shoulder. J Bone Joint Surg Br 67:719–721

    PubMed  CAS  Google Scholar 

  15. 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

    Article  Google Scholar 

  16. McPherson E, Friedman R, Dooley R (1993) Anatomic basis of total shoulder design. J Shoulder Elbow Surg 2:528

    Google Scholar 

  17. Matsen FA, Harrymann DT, Sidles JA (1991) Mechanics of glenohumeral instability. Clin. Sports Med 10(4) 783–788

    PubMed  Google Scholar 

  18. Morrey BF, An KN (1990) Biomechanics of the shoulder. In: Rockwood CR, Matsen FA (ed) The shoulder. Saunders, Philadelphia, pp 208–245

    Google Scholar 

  19. Perry J (1988) Biomechanics of the shoulder. In: Carter R, Rowe (eds) The shoulder. Churchill-Linvingstone Inc, 1988, pp 1–15

    Google Scholar 

  20. Poppen N, Walker P (1976) Normal and abnormal motion of the shoulder. J Bone Joint Surg 58A 58:195–201

    Google Scholar 

  21. 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

    Google Scholar 

  22. Saha AK (1971) Dynamic stability of the glenohumeral joint. Acta Orthop Scand 42:491–505

    Article  PubMed  CAS  Google Scholar 

  23. Snyder SJ, Rames RD, Morgan CD (1991) Anatomical variations of the glenohumeral ligaments. Arthroscopy 7 (3):328

    Google Scholar 

  24. 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

    Google Scholar 

  25. Walker P (1977) Human Joints and their artificial replacements. Thomas, Springfield

    Google Scholar 

  26. 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

    PubMed  CAS  Google Scholar 

  27. 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

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1999 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

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

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-58365-0_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63554-0

  • Online ISBN: 978-3-642-58365-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics