By Giovanni Di Giacomo, Nicole Pouliart, Alberto Costantini, Andrea de Vita
The anatomy of the shoulder relies on complicated joint biomechanics. the aim of this Atlas is to concentration the reader’s awareness on a sequence of bone, ligament, muscle and tendon buildings and ultrastructures in the shoulder on which purely the newest foreign literature has said in really expert journals. This Atlas additionally offers tremendous high-definition pictures of "targeted" sections bought from cadavers preserved utilizing state-of-art suggestions. This particular Atlas, using photographs of significant visible impression, deals a systematic message on a topical joint, utilizing uncomplicated yet committed descriptive language.
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Extra resources for Atlas of Functional Shoulder Anatomy
Prilutsky B, Zatsiorsky VM (2002) Optimization based models of muscle coordination. Exerc Sports Sci Rev 30:32-38 37. Kibler WB, Sciascia AD, Dome DC (2006) Evaluation of apparent and absolute supraspinatus strength in patients with shoulder injury using the scapular retraction test. Am J Sports Med 34:1643-1647 38. Kebaetse M, McClure PW, Pratt NA (1999) Thoracic position effect on shoulder range of motion, strength, and three-dimensional scapular kinematics. Arch Phys Med Rehabil 80:945-950 39.
1 The Superior Acromioclavicular Ligament (Ligamentum Acromioclaviculare) This is a quadrilateral band covering the superior part of the joint and extending between the upper part of the acromial end of the clavicle and the adjoining part of the upper surface of the acromion. It is composed of parallel fibres, which interlace with the aponeuroses of the trapezius and deltoideus muscles; below, it is in contact with the articular disc when this is present. 2 The Inferior Acromioclavicular Ligament This is somewhat thinner than the superior acromioclavicular ligament; it covers the lower part of the joint and is attached to the adjoining surfaces of the two bones.
Because of the important stabilising effect of the soft tissues around this joint, the goal is to leave the superior and posterior ligaments of the AC joint intact to prevent gross instability. Another technique frequently used in conjunction with an arthroscopic Mumford procedure is subacromial decompression, in which the subacromial bursa is removed, together with any osteophytes of the anterolateral acromion [29, 30]. These techniques can alter the normal biomechanics of the AC joint significantly; removal of the distal end of the clavicle is not without its biomechanical consequences.