Kinesiology of PE
Chapter 5: Shoulder joint
Chapter 5: Shoulder joint
Shoulder flexion
Elevation & upward rotaton
Shoulder abduction
elevation & upward rotation
Shoulder extension
Depression & downward roation
Shoulder adduction
Downward rotation
Shoulder horizontal ADD
Scapular ABD
Shoulder horizontal ABD
Scapular ADD
Shoulder joint
Significant amount of laxity
due to wide range of motion
type of joint
Shoulder Joint Common to have instabilityproblems
Rotator cuff impingement
Subluxations & dislocations
Bones
•Supraspinatus fossa
•Infraspinatus fossa
•Spine of the scapula
•Glenoid cavity
•Acromion process
•Inferior angle
•Superior angle
•Lateral border
•Medial border
Bones
•Supraspinatus fossa
•Infraspinatus fossa
•Spine of the scapula
•Glenoid cavity
•Acromion process
•Inferior angle
•Superior angle
•Lateral border
•Medial border
Bones
•Supraspinatus fossa
•Infraspinatus fossa
•Spine of the scapula
•Glenoid cavity
•Acromion process
•Inferior angle
•Superior angle
•Lateral border
•Medial border
Bones
•Supraspinatus fossa
•Infraspinatus fossa
•Spine of the scapula
•Glenoid cavity
•Acromion process
•Inferior angle
•Superior angle
•Lateral border
•Medial border
Glenohumeral Joint
- 90 - 95 degrees shoulder abduction
- Includes shoulder girdle
- 60 degrees scapula upward rotation &
- 25 degrees scapula elevation
- 180 degrees total
Glenohumeral Joint
•0 degrees adduction, 75 degrees anterior to trunk
•Medial movement of humerus away from midline
Glenohumeral joint
•90 - 100 degrees of flexion
•Anterior movement of humerus
Flenohumeral Joint
•40 - 60 degrees of extension
•Posterior movement of humerus
Glenohumeral Joint
•70 - 90 degrees of internal & external rotation
•Rotary movement medially toward midline (internal)
•Rotary movement laterally away from midline (external)
Abduction
•upward lateral movement of humerus out to the side, away from body
•Frontal plane
Adduction
•downward movement of humerus medially toward body from abduction
•Frontal plane
flexion
•movement of humerus straight anteriorly
•Sagittal plane
Extension
•movement of humerus straight posteriorly
•Sagittal plane
Diagonal abduction
•movement of humerus in a diagonal plane away from midline of body
Diagonal adduction
•movement of humerus in a diagonal plane toward midline of body
POM horizontal abduction
Tranverse Plane
POM horizontal adduction
transverse plane
POM diagonal abduction
diagonal plane
POM diagonal adduction
diagonal plane
Deltoid Anterior muscles
- O: Anterior lateral third of clavicle
- I: Deltoid tuberosity of lateral humerus
- A:
- Abduction: Frontal
- Flexion: Sagittal
- Horizontal Add & internal Rotation: Transverse
- Diagonal Add: Diagonal
- N: Axillary nerve, C5 & C6
Deltoid Middle Fibers
- O: Lateral Aspect of acromion
- I: Deltoid tuberosity of lateral humerus
- A:
- Abduction: Frontal
- Horizontal abduction: tranverse
- Innervation: axillary nerve C5&6
Deltoid Posterior Muscles
- O: Inferior edge of spine of scapula
- I: deltoid tuberosity of lateral humerus
- A: POM
- Abduction: Frontal
- Horizontal abd: Tranverse
- External Rotation: Transverse
- Diagonal Abduction: Diagonal
- Innervation: Axillary Nerve C5&6
Supraspinatus
- O: Medial 2/3 of supraspinous fossa
- I: Superiorly on greater tubercle of humerus
- A: POM
- Abduction: Frontal
- Nerve: Suprascapula Nerve C5
Latissimus Dorsi
- O: Posterior crest of ilium, back of sacrum & spinous processes of lumbar & lower 6 thoracic vertebrae, slips from lower 3 ribs
- I: medial side of intertubercular groove of humerus, just anterior to the insertion of teres major
- A: POM
- Extension: Sagittal
- Adduction: Frontal
- Internal Rotation: Transverse
- Horizontal Abd: Transverse
- Innervation: Thoracodorsal (C6-8)
Teres Major
- O: Posteriorly on inferir 3rd of lateral border of scapula & just superior to inferior angle
- I: Medial lip of intertubercular groove of humerus, just posterior to the insertion of latissimus dorsi
- A:POM
- Extension: Sagittal
- Adduction: Frontal
- Internal Rotation: Tranverse
- Innervation: Lower subscapular Nerve C5&6
Infraspinatus
- O: Infraspinous fossa just below spine of scapula
- I: Posteriorly on greater tubercle of humerus
- A:POM
- External Rotation: Transverse
- Horizontal Abd: Transverse
- Extension: Sagittal
- Diagonal Abd: Diagonal
- Innervation: Supracapula Nerve C5&6
Teres Minor
- O: Posteriorly on upper & min aspect of lateral border of scapula
- I: Posteriorly on greater tubercle of humerus
- A:POM
- Ext Rotation: Transverse
- Horizontal Abd: Transverse
- Extension: Sagittal
- Diagonal Abd: Diagonal
- Innervation: Axillary Nerve C5&6
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Lernkarten
Shoulder flexion
Elevation & upward rotaton
Shoulder abduction
elevation & upward rotation
Shoulder extension
Depression & downward roation
Shoulder adduction
Downward rotation
Shoulder horizontal ADD
Scapular ABD
Shoulder horizontal ABD
Scapular ADD
Shoulder joint
Significant amount of laxity
due to wide range of motion
type of joint
Shoulder Joint Common to have instabilityproblems
Rotator cuff impingement
Subluxations & dislocations
Bones
•Supraspinatus fossa
•Infraspinatus fossa
•Spine of the scapula
•Glenoid cavity
•Acromion process
•Inferior angle
•Superior angle
•Lateral border
•Medial border
Bones
•Supraspinatus fossa
•Infraspinatus fossa
•Spine of the scapula
•Glenoid cavity
•Acromion process
•Inferior angle
•Superior angle
•Lateral border
•Medial border
Bones
•Supraspinatus fossa
•Infraspinatus fossa
•Spine of the scapula
•Glenoid cavity
•Acromion process
•Inferior angle
•Superior angle
•Lateral border
•Medial border
Bones
•Supraspinatus fossa
•Infraspinatus fossa
•Spine of the scapula
•Glenoid cavity
•Acromion process
•Inferior angle
•Superior angle
•Lateral border
•Medial border
Glenohumeral Joint
- 90 - 95 degrees shoulder abduction
- Includes shoulder girdle
- 60 degrees scapula upward rotation &
- 25 degrees scapula elevation
- 180 degrees total
Glenohumeral Joint
•0 degrees adduction, 75 degrees anterior to trunk
•Medial movement of humerus away from midline
Glenohumeral joint
•90 - 100 degrees of flexion
•Anterior movement of humerus
Flenohumeral Joint
•40 - 60 degrees of extension
•Posterior movement of humerus
Glenohumeral Joint
•70 - 90 degrees of internal & external rotation
•Rotary movement medially toward midline (internal)
•Rotary movement laterally away from midline (external)
Abduction
•upward lateral movement of humerus out to the side, away from body
•Frontal plane
Adduction
•downward movement of humerus medially toward body from abduction
•Frontal plane
flexion
•movement of humerus straight anteriorly
•Sagittal plane
Extension
•movement of humerus straight posteriorly
•Sagittal plane
Diagonal abduction
•movement of humerus in a diagonal plane away from midline of body
Diagonal adduction
•movement of humerus in a diagonal plane toward midline of body
POM horizontal abduction
Tranverse Plane
POM horizontal adduction
transverse plane
POM diagonal abduction
diagonal plane
POM diagonal adduction
diagonal plane
Deltoid Anterior muscles
- O: Anterior lateral third of clavicle
- I: Deltoid tuberosity of lateral humerus
- A:
- Abduction: Frontal
- Flexion: Sagittal
- Horizontal Add & internal Rotation: Transverse
- Diagonal Add: Diagonal
- N: Axillary nerve, C5 & C6
Deltoid Middle Fibers
- O: Lateral Aspect of acromion
- I: Deltoid tuberosity of lateral humerus
- A:
- Abduction: Frontal
- Horizontal abduction: tranverse
- Innervation: axillary nerve C5&6
Deltoid Posterior Muscles
- O: Inferior edge of spine of scapula
- I: deltoid tuberosity of lateral humerus
- A: POM
- Abduction: Frontal
- Horizontal abd: Tranverse
- External Rotation: Transverse
- Diagonal Abduction: Diagonal
- Innervation: Axillary Nerve C5&6
Supraspinatus
- O: Medial 2/3 of supraspinous fossa
- I: Superiorly on greater tubercle of humerus
- A: POM
- Abduction: Frontal
- Nerve: Suprascapula Nerve C5
Latissimus Dorsi
- O: Posterior crest of ilium, back of sacrum & spinous processes of lumbar & lower 6 thoracic vertebrae, slips from lower 3 ribs
- I: medial side of intertubercular groove of humerus, just anterior to the insertion of teres major
- A: POM
- Extension: Sagittal
- Adduction: Frontal
- Internal Rotation: Transverse
- Horizontal Abd: Transverse
- Innervation: Thoracodorsal (C6-8)
Teres Major
- O: Posteriorly on inferir 3rd of lateral border of scapula & just superior to inferior angle
- I: Medial lip of intertubercular groove of humerus, just posterior to the insertion of latissimus dorsi
- A:POM
- Extension: Sagittal
- Adduction: Frontal
- Internal Rotation: Tranverse
- Innervation: Lower subscapular Nerve C5&6
Infraspinatus
- O: Infraspinous fossa just below spine of scapula
- I: Posteriorly on greater tubercle of humerus
- A:POM
- External Rotation: Transverse
- Horizontal Abd: Transverse
- Extension: Sagittal
- Diagonal Abd: Diagonal
- Innervation: Supracapula Nerve C5&6
Teres Minor
- O: Posteriorly on upper & min aspect of lateral border of scapula
- I: Posteriorly on greater tubercle of humerus
- A:POM
- Ext Rotation: Transverse
- Horizontal Abd: Transverse
- Extension: Sagittal
- Diagonal Abd: Diagonal
- Innervation: Axillary Nerve C5&6
