Individually, each of these joints allows a specific range of motion, but when functioning as an entire unit the shoulder becomes one of the most mobile parts of the human body. Pdf functional anatomy download full pdf book download. Jan, 20 shoulder anatomy animated tutorial duration. Shoulder complex anatomy osseous elements the shoulder complex includes the articulations of the humerus, the clavicle, the scapula, and the posterior surface of the ribs. Functional anatomy of the shoulder complex journal of. Clinical anatomy the application of anatomy to clinical practice.
Functional anatomy of shoulder musculoskeletal key. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. This bone is located posteriorly on the back half of the body. We searched medline for the years 1980 to 1999, using the key words shoulder, anatomy, glenohumeral joint, acromioclavicular joint, sternoclavicular. Fully updated and revised, the second edition features more illustrations to enhance student learning and an expanded hot topics section to highlight key. Scerpella, md professor, orthopedic surgery university of wisconsin. Understand the biomechanics of the shoulder complex. Get a printable copy pdf file of the complete article 1. The anatomy of the shoulder is based on complex joint biomechanics. His research has been published in internationally recognized journals and he is the author of several books, including the springer publications shoulder instability alternative surgical techniques 2011 and atlas of functional shoulder anatomy 2008. Functional stenosis of subacromial space due to abnormal. O n one hand, this m obility is because of little bony congruity of its artic ulating surfaces. Pdf functional anatomy of the shoulder researchgate. These muscles form the outer shape of the shoulder and underarm.
The shoulder has about eight muscles that attach to the scapula, humerus, and clavicle. Manual therapy and functional exercise for the shoulder complex. The article gives a resume of the functional anatomy of the shoulder. Functional anatomy an overview sciencedirect topics. In recent years, diagnostic techniques such as magnetic resonance and arthroscopy have made it possible to study and better interpret.
The relative magnitudes of vertical, propulsive, braking, and transverse forces engendered by the forelimb were measured by means of a. Anatomy of the shoulder joint three bones, the collarbone clavicle, the shoulder blade scapula, and the upper arm bone humerus come together to form the shoulder joint. The shoulder complex, together with other joint and muscle mechanisms of the upper limb, primarily is concerned with the ability to place and control the position of the hand in the visual work space in front of the body. Functional anatomy of the shoulder complex malcolm peat the shoulder complex, together with other joint and muscle mechanisms of the upper limb, primarily is concerned with the ability to place and control the position of the hand in the visual work space in front of the body.
Functional anatomy of the shoulder complex physical. The paradox of the shoulder complex is that it needs to have the stability required to prevent unwanted motion. Learn how the separate joints are designed to function as an integrated unit and the. The rounded head of the humerus and the shallow, pearshaped glenoid cavity of the scapula. Functional anatomy of the shoulder article pdf available in journal of athletic training 353. Stretching the muscles that you strengthen is important for restoring range of motion and preventing injury. Functional anatomy of the shoulder acomprehensive knowledge of the functional anatomy of the shoulder girdle and all of its component parts is mandatory in understanding armshoulder function. The shoulder complex the shoulder complex has many articulations, each contributing to the movement of the arm through coordinated joint actions. Request pdf atlas of functional shoulder anatomy the purpose of this atlas is to focus the readers attention on a series of bone, ligament, muscle and tendon structures and ultrastructures. By con tinuing to improve our knowledge of relevant functional anatomy and. Shoulder girdle n attached via sternoclavicular and scapulothoracic joints.
The functional interrelationships between the glenohumeral, scapulothoracic, and clavicular joint mechanisms are critical in providing a full, functional rom. At about 120 of abduction of the arm, the greater tuberosity of the humerus comes into contact with the acromion. The glenohumeral, or shoulder, joint is a synovial joint that attaches the upper limb to the axial skeleton. The shoulder joint is formed where the humerus upper arm bone fits into the scapula shoulder blade, like a ball and socket. In this fourth installment of our functional anatomy series, we examine the four joints that make up the shoulder complex. Functional anatomy john christiansen, pt, ocs, atc advanced. It allows the upper limb to have a wide array of movements. But as with all anatomy, an area of misalignment can affect multiple areas. This bursa, which functions as a pillow between the deltoid and the proximal end of humerus, by usually combining with the subacromial bursa, extends as far as the level of the. A functional understanding of the dynamic interplay of biomechanical forces around the shoulder girdle is necessary and allows for a more structured approach to the treatment of an athlete with a shoulder injury. It is the newest and freshest addition to shoulder anatomy books, and it will serve to show the clinician the importance of a deep knowledge of functional anatomy as a.
Man y shoulder pr oblems ar e caused b y injuries to the rotat or cuff. Functional anatomy of the shoulder acomprehensive knowledge of the functional anatomy of the shoulder girdle and all of its component parts is mandatory in understanding arm shoulder function. Outline n skeleton n labrum n ligaments n muscles n throwing mechanics. Without the active and significant contribution of the human shoulder, many daily living activities like hair combing and reaching the back cannot be performed successfully. Shoulder pain is extremely prevalent in the general population, being ranked as the third most common musculoskeletal complaint. The illustrated guide to functional anatomy of the. The activity of 14 shoulder muscles and the excursions of the shoulder girdle and forelimbs were studied by simultaneous electromyography and cineradiography in nine opossums didelphis virginiana walking on a treadmill at speeds of 0. Anatomy of the shoulder joint three bones, the collarbone clavicle, the shoulder blade scapula, and the upper arm bone humerus come together to form the shoulder. The scapula, better known as the shoulder blade, is a triangular bone that serves as a joining force between the clavicle and the humerus. A functional shoulder is a prerequisite for good upper arm functioning, as it places, operates and controls the forearm. It is a ballandsocket joint, formed between the glenoid fossa of scapula gleno and the head of humerus humeral acting in conjunction with the pectoral girdle, the shoulder joint allows for a wide range of motion at the upper limb. The shoulder joint is one of the most movable joints in the human body.
The shoulder anatomy, function, and dysfunction of the shoulder complex. The functional anatomy of the shoulder in the virginia. Shoulder injuries represent a significant proportion of athletic injuries seen by the medical provider. Kine 3300 functional anatomy shoulder and upper arm worksheet 1 name. The basic function of the shoulder is to place the arm and especially the hand into a functional position that permits manipulative activities figure 4. Identify sources of pain not all anatomical illustrations are completely accurate. Pdf movements of the human shoulder represent the result of a complex dynamic interplay of structural bony anatomy and biomechanics. This latter function of the supraspinatus allows the deltoid muscle to contract and abduct the humerus at the shoulder joint. It maintains the shoulder in a functional position with the axial skeleton and allows varied arm positions in shoulder anatomy.
T he joints of the shoulder com plex have to rely on adjacent ligam ents and m uscles to provide stability. Following a wellstructured conditioning program will also help you return to sports and other. The sections include com parative anatomy, structure and function of the sternoclavicular, acromioclavicular, scapulothor acic, and glenohumeral joints. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Many common resistancetraining exercises designed to isolate specific muscles dont account for the separate skeletal structures and how they are designed to move as a single unit. Instead, joint security is provided entirely by the soft tissue structures. Atlas of functional shoulder anatomy pdf,, download ebookee alternative reliable tips for a much healthier ebook reading. The trapezius inserts on the shoulder girdle, and the parts of the. Gently stretching after strengthening exercises can help reduce muscle soreness and keep your muscles long and flexible. Further elevation of the arm above the head accomplished by. The shoulder mechanism provides the upper limb with a range of motion exceeding that of any other joint mechanism. Principally, these are three cylindrical structurestwo corpora cavernosa surrounded by a tough tunica albuginea, and the solitary corpus spongiosum which contains the urethra.
Functional anatomy and biomechanics of the cervical spine. The functional anatomy of the human penis is composed of several key components. The main function of the joints of the shoulder girdle fig. A very important structure encountered at this level is the subdeltoid bursa. He is the inventor of the wedged profile plate for the latarjet procedure develop.
An examination of the functional anatomy of the shoulder can provide insight as to how we can prepare it for athletic movement, and several rehabprehab drills can help you find the right balance of mobility and stability. Further elevation of the arm above the head accomplished by rotating. Shoulder girdle permits largest rom of any complex in the body shoulder girdle increases rom with less compromise of stability scapulohumeral rhythm 4 joints vs. Functional anatomy of the shoulder complex malcolm peat. The pancreatic ducts 16,17 merge with the common bile duct 6 in the ampulla of vater. The authors intention is to present the shoulder anatomy in a new and original way and, using a simple but dedicated descriptive language, to help the reader understand the complexity of scientific research, highlighting the importance of integrating anatomical, biomechanical and neurophysiological knowledge. The shoulder complex anatomical and functional characteristics of the joints of the shoulder combined movement characteristics of the shoulder complex. By inflating with air, the shape has become evident and the relationship with the structures surrounding the bursa is observed fig. The functional anatomy of the exocrine pancreas is related in part to its relationship to the liver, gallbladder, and duodenum as well as to the endocrine pancreas fig. Kine 3300 functional anatomy shoulder and upper arm worksheet 1 lauren billie name. Because of this mobility, it is at risk for injury or degenerative problems.
The purpose of this atlas is to focus the readers attention on a series of bone, ligament, muscle and tendon structures and ultrastructures within the shoulder on which only the most recent international literature has reported in specialized journals. Movements of the human shoulder represent the result of a complex dynamic interplay of structural bony anatomy and biomechanics, static ligamentous and tendinous restraints, and dynamic muscle forces. Review specific functional anatomy of the shoulder complex. A quick atoz reference is the most userfriendly and accessible available reference to human musculoskeletal anatomy in its moving, active context. Sep 24, 2014 therefore, proper function of the shoulder is critical for both optimal performance and injury prevention. Functional anatomy of the shoulder pubmed central pmc. Functional anatomy john christiansen, pt, ocs, atc advanced rehabilitation clinics 1. Functional anatomy of the shoulder complex physical therapy. A thorough understanding of the functional anatomy of the shoulder provides the clinician with a foundation for caring for athletes with shoulder injuries. Download atlas of functional shoulder anatomy pdf ebook. The scapula plays an important role in stabilizing the other bones involved in the rhythm of shoulder motion.
Ca functional anatomy of shoulder flashcards quizlet. A thorough understanding of the functional anatomy of the shoulder provides the. For every 3 of abduction of the arm, a 2 abduction occurs in the shoulder joint and a 1 abduction occurs by rotation of the scapula. The humerus is a long bone that forms the articulations of the glenohumeral joint proximally with the scapula, and the humeral ulnar joint and humeral radial joint. Manual therapy and functional exercise for the shoulder. Anatomy and function of the shoulder the shoulder is a ballandsocket joint and has the greatest range of motion of any joint in the body. Atlas of functional shoulder anatomy giovanni di giacomo. One of the examiners hands stabilizes the shoulder girdle scapula and clavicle while the other grasps the proximal.
T he shoulder com plex has the greatest m o bility of all joints. Therefore, proper function of the shoulder is critical for both optimal performance and injury prevention. This twoday hands on seminar will present a comprehensive overview of the structural and biomechanical basis of shoulder function and its relationship to the entire upper extremity. May 12, 2020 this incongruent bony anatomy allows for the wide range of movement available at the shoulder joint but is also the reason for the lack of joint stability. Drawer test the patient is seated with the forearm resting on the lap and the shoulder relaxed. Functional anatomy john christiansen, pt, ocs, atc. Principles of shoulder anatomy and biomechanicsfunctional anatomy of the shoulder complex mobility vs stabilityobservation. The sections include comparative anatomy, structure and function of the sternoclavicular, acromioclavicular, scapulothoracic, and glenohumeral joints. The anatomy of the shoulder is based on complex joint biomechanics, which guarantee the coexistence of both maximum mobility and stability within the same joint. Identify relevant functional anatomy and biomechanics that directly relates to addressing the most common shoulder complex disorders. Review functional anatomy of the shoulder identify physical imbalances that may lead to shoulder injury andor decreased performance learn exercises that will improve shoulder stabilitystrength and decrease the chance for injury.
35 1146 1542 50 485 1533 748 1002 389 618 810 1192 1476 915 791 477 303 149 1532 531 1245 828 436 576 1389 1388 925 939 656