Restricted scapular mobility during arm abduction: implications for impingement syndrome.

作者: Hakan Atalar , Ismail Uras , Hakan Selek , Onur Polat , Burcu Yanik

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摘要: Scapular mobility plays a central role in normal shoulder function, and alterations scapular have been suggested as factor impingement syndrome. We therefore measured the effect of restricted during arm abduction on acromiohumeral coracohumeral distances. For control measurements, healthy volunteers (n = 10, all male, age range 25-35 years) underwent multislice computed tomography supine position, with humerus actively maintained plane at 45° internal rotation 60, 90 or 120° abduction. To restrict custom-made brace was then placed each volunteer fastened firmly bandages, measurements were repeated. From three-dimensional images acromio humeral distances meas ured. With 90° abduction, distance significantly reduced (Student’s t test). This result suggests that impinge ment syndrome may functional component.

参考文章(22)
CHARLES S. NEER, Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. Journal of Bone and Joint Surgery, American Volume. ,vol. 54, pp. 41- 50 ,(1972) , 10.2106/00004623-197254010-00003
Ann M. Cools, Erik E. Witvrouw, Geert A. Declercq, Lieven A. Danneels, Dirk C. Cambier, Scapular Muscle Recruitment Patterns: Trapezius Muscle Latency with and without Impingement Symptoms American Journal of Sports Medicine. ,vol. 31, pp. 542- 549 ,(2003) , 10.1177/03635465030310041101
JON J. P. WARNER, LYLE J. MICHELI, LINDA E. ARSLANIAN, JOHN KENNEDY, RICHARD KENNEDY, Scapulothoracic motion in normal shoulders and shoulders with glenohumeral instability and impingement syndrome. A study using Moiré topographic analysis. Clinical Orthopaedics and Related Research. pp. 191- 199 ,(1992) , 10.1097/00003086-199212000-00024
F Eckstein, H Graichen, H Bonel, T Stammberger, M Haubner, H Rohrer, K H Englmeier, M Reiser, Three-dimensional analysis of the width of the subacromial space in healthy subjects and patients with impingement syndrome. American Journal of Roentgenology. ,vol. 172, pp. 1081- 1086 ,(1999) , 10.2214/AJR.172.4.10587151
Carsten B Radas, Hans-Gerd Pieper, The coracoid impingement of the subscapularis tendon: a cadaver study. Journal of Shoulder and Elbow Surgery. ,vol. 13, pp. 154- 159 ,(2004) , 10.1016/J.JSE.2003.12.007
Daniel A. Moses, Eric Y. Chang, Mark E. Schweitzer, The scapuloacromial angle: A 3D analysis of acromial slope and its relationship with shoulder impingement Journal of Magnetic Resonance Imaging. ,vol. 24, pp. 1371- 1377 ,(2006) , 10.1002/JMRI.20763
H. Graichen, T. Stammberger, H. Bonél, E. Wiedemann, K-H. Englmeier, M. Reiser, F. Eckstein, Three-dimensional analysis of shoulder girdle and supraspinatus motion patterns in patients with impingement syndrome Journal of Orthopaedic Research. ,vol. 19, pp. 1192- 1198 ,(2001) , 10.1016/S0736-0266(01)00035-3
KJ McQuade, Shun Hwa Wei, GL Smidt, Effects of local muscle fatigue on three-dimensional scapulohumeral rhythm. Clinical Biomechanics. ,vol. 10, pp. 144- 148 ,(1995) , 10.1016/0268-0033(95)93704-W
Mansheung Fung, Sadafumi Kato, Peter J. Barrance, John J. Elias, Edward G. McFarland, Katsuya Nobuhara, Edmund Y. Chao, Scapular and clavicular kinematics during humeral elevation: A study with cadavers * ** * Journal of Shoulder and Elbow Surgery. ,vol. 10, pp. 278- 285 ,(2001) , 10.1067/MSE.2001.114496
Zachary Abbott, James K. Richardson, Subacromial Impingement Syndrome as a Consequence of Botulinum Therapy to the Upper Trapezii: A Case Report Archives of Physical Medicine and Rehabilitation. ,vol. 88, pp. 947- 949 ,(2007) , 10.1016/J.APMR.2007.04.006