c s t e a a r b m a he purpose of this study was to determine whether lane, end-range determination, or scapular motion ffects shoulder range-of-motion measurements. In 16 ealthy subjects, instrumentation with a magnetic trackng device was used to measure shoulder internal and xternal range of motion. The arm was supported hile it was rotated either actively or passively with a easured torque. ...

A 52-year-old motorbike driver was struck by a trailer. His left shoulder was swollen and no pulse was evident at his left wrist. In the emergency room, a scapulothoracic dissociation with subclavian artery dissection and a complex fracture of the humerus were evident (Fig. 1). Carotido-subclavian bypass restored blood flow with preservation of the arm in follow-up (Fig. 2). Fig. 1. 3D-computer...

[Purpose] This study prescribed pain-free range exercises for a female amateur skier who complained of limitations in her shoulder range of motion, and pain caused by protective spasms; the tester evaluated the effects of such exercise on pain. [Subject and Methods] A 23-year-old female who complained of pain of 3 weeks in duration in the right glenohumoral and scapulothoracic joints was enroll...

Laxity testing is an important part of the examination of any joint. In the shoulder, it presents unique challenges because of the complexity of the interactions of the glenohumeral and scapulothoracic joints. Many practitioners believe that laxity testing of the shoulder is difficult, and they are unclear about its role in evaluation of patients. The objectives of the various laxity and instab...

(thirty women, nine men) have been reviewed. Using internal fixation and external splints the position of the shoulder was maintained in 55 degrees of abduction, 25 degrees of horizontal flexion and enough internal rotation to allow the patient to reach the mouth. The mean period of immobiisation in a thoracobrachial splint was nine weeks, and 90 per cent of the shoulders had solid bony fusion ...

We have used a modified technique in five patients to correct winging of the scapula caused by injury to the brachial plexus or the long thoracic nerve during transaxillary resection of the first rib. The procedure stabilises the scapulothoracic articulation by using strips of autogenous fascia lata wrapped around the 4th, 6th and 7th ribs at least two, and preferably three, times. The mean age...

Subacromial impingement syndrome is the most common disorder of the shoulder, resulting in functional loss and disability in the patients that it affects. This musculoskeletal disorder affects the structures of the subacromial space, which are the tendons of the rotator cuff and the subacromial bursa. Subacromial impingement syndrome appears to result from a variety of factors. Evidence exists ...