当前位置： SCI文献检索 > JOURNAL OF SHOULDER AND ELBOW SURGERY期刊下所有文献 > A biomechanical confirmation of the relationship between critical shoulder angle (CSA) and articular joint loading.

A biomechanical confirmation of the relationship between critical shoulder angle (CSA) and articular joint loading.

Abstract：

BACKGROUND:The critical shoulder angle (CSA) has been shown to be correlated with shoulder disease states. The biomechanical hypothesis to explain this correlation is that the CSA changes the shear and compressive forces on the shoulder. The objective of this study is to test this hypothesis by use of a validated computational shoulder model. Specifically, this study assesses the impact on glenohumeral biomechanics of modifying the CSA. METHODS:An inverse dynamics 3-dimensional musculoskeletal model of the shoulder was used to quantify muscle forces and glenohumeral joint forces. The CSA was changed by altering the attachment point of the middle deltoid into a normal CSA (33°), a reduced CSA of 28°, and an increased CSA of 38°. Subject-specific kinematics of slow and fast speed abduction in the scapular plane and slow and fast forward flexion measured by a 3-dimensional motion capture system were used to quantify joint reaction shear and compressive forces. RESULTS:Increasing the CSA results in increased superior-inferior forces (shearing forces; integrated over the range of motion; P < .05). Reducing CSA results in increased lateromedial (compressive) forces for both the maximum and integrated sum of the forces over the whole motion (P < .01). DISCUSSION/CONCLUSION:Changes in the CSA modify glenohumeral joint biomechanics with increasing CSA producing higher shear forces that could contribute to rotator cuff overuse, whereas reducing the CSA results in higher compressive forces that contribute to joint wear.

journal_name

J Shoulder Elbow Surg

journal_title

Journal of shoulder and elbow surgery

authors

Villatte G,van der Kruk E,Bhuta AI,Zumstein MA,Moor BK,Emery RJH,Bull AMJ,Reilly P

doi

10.1016/j.jse.2020.03.002

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

1967-1973

issue

10

eissn

1058-2746

issn

1532-6500

pii

S1058-2746(20)30240-8

journal_volume

29

pub_type

杂志文章

相关文献

JOURNAL OF SHOULDER AND ELBOW SURGERY文献大全
  • Arthroscopically assisted internal fixation of the symptomatic unstable os acromiale with absorbable screws.

    abstract：BACKGROUND:Symptomatic meso- type os acromiale is a common pathology with inconsistent outcomes of treatment with various surgical techniques. We report the outcome of a new technique for arthroscopic fusion of symptomatic os acromiale with absorbable screws. MATERIALS AND METHODS:The study included 8 shoulders in 8 p...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2011.12.011

    authors： Atoun E,van Tongel A,Narvani A,Rath E,Sforza G,Levy O

    更新日期：2012-12-01 00:00:00

  • Correlation of Patient Reported Outcome Measurement Information System (PROMIS) with American Shoulder and Elbow Surgeon (ASES), and Constant (CS) scores in idiopathic adhesive capsulitis.

    abstract：PURPOSE:To correlate the Patient Reported Outcomes Measurement Information System Upper Extremity (PROMIS UE) score with pre-existing validated outcome scores, American Shoulder and Elbow Surgeons score (ASES), and Constant score (CS) in patients with idiopathic adhesive capsulitis (AC). METHODS:Patients with a clinic...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2020.05.040

    authors： Kolade O,Ghosh N,Luthringer TA,Rosenthal Y,Kwon YW,Rokito AS,Zuckerman JD,Virk MS

    更新日期：2020-07-07 00:00:00

  • Fracture of pyrocarbon humeral head resurfacing implant: a case report.

    abstract：:We report a case of a pyrocarbon humeral head resurfacing implant fracture, occurring 6 years after its implantation, without any obvious trauma or dislocation. Initial radiographs showed a proud and oversized pyrocarbon resurfacing implant. On clinical examination, the patient had a painful and pseudoparalyzed should...

    journal_title：Journal of shoulder and elbow surgery

    pub_type：

    doi：10.1016/j.jse.2020.02.028

    authors： Pangaud C,Gonzalez JF,Galvin JW,Gauci MO,Boileau P

    更新日期：2020-08-01 00:00:00

  • Outcomes and radiographic findings of anatomic press-fit radial head arthroplasty.

    abstract：BACKGROUND:Radial head arthroplasty (RHA) is a popular method of treatment for complex fractures of the radial head. The purpose of this study was to investigate patient outcomes and radiographic findings associated with a single anatomic monopolar press-fit radial head system commonly used for the treatment of radial ...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2015.11.014

    authors： Levy JC,Formaini NT,Kurowicki J

    更新日期：2016-05-01 00:00:00

  • Stabilizers of capitellocondylar total elbow arthroplasty.

    abstract：:The contribution of the medial and lateral collateral ligaments (MCL, LCL) and muscle forces to the kinematics and stability of the capitellocondylar total elbow arthroplasty was investigated in six fresh cadaveric elbows. The three-dimensional orientation of the ulna relative to the humerus was monitored with the use...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/S1058-2746(09)80069-4

    authors： Itoi E,King GJ,Morrey BF,An KN

    更新日期：1992-09-01 00:00:00

  • The results of ORIF of displaced unstable proximal humeral fractures using a locking plate.

    abstract：BACKGROUND/HYPOTHESIS:Surgical management of displaced unstable proximal humerus fracture remains a challenge due to poor proximal bone quality and significant deforming forces. We hypothesized that the technique of application and mechanical properties of the proximal humeral locking plate would allow successful treat...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2009.08.008

    authors： Duralde XA,Leddy LR

    更新日期：2010-06-01 00:00:00

  • Regeneration of the coracoacromial ligament after acromioplasty and arthroscopic subacromial decompression.

    abstract：:The clinical observation of apparent and complete regeneration of the coracoacromial ligament after known partial excision of the ligament and acromioplasty has been investigated. Ten patients who had open revision surgery following failure of symptomatic relief after arthroscopic subacromial decompression were studie...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1067/mse.2001.116519

    authors： Levy O,Copeland SA

    更新日期：2001-07-01 00:00:00

  • Intratendinous strain fields of the supraspinatus tendon: effect of a surgically created articular-surface rotator cuff tear.

    abstract：:Articular-surface partial-thickness rotator cuff tears play a significant role in shoulder pathology, but the role of the articular-surface tissue is poorly understood. This investigation assessed the effect of an articular-surface partial-thickness rotator cuff tear on intratendinous strain fields. A magnetic resonan...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1067/mse.2002.126767

    authors： Bey MJ,Ramsey ML,Soslowsky LJ

    更新日期：2002-11-01 00:00:00

  • Reverse shoulder arthroplasty in patients younger than 55 years: 2- to 12-year follow-up.

    abstract：BACKGROUND:This study reports the outcomes of reverse shoulder arthroplasty (RSA) in patients younger than 55 years with midterm to long-term follow-up. METHODS:Sixty-seven patients (average age, 47.9 years; range, 21-54 years) were identified who underwent RSA with an average 62.3 months of follow-up (24-144 months)....

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2016.09.051

    authors： Otto RJ,Clark RE,Frankle MA

    更新日期：2017-05-01 00:00:00

  • Effects of exercise therapy for the treatment of symptomatic full-thickness supraspinatus tears on in vivo glenohumeral kinematics.

    abstract：BACKGROUND:The high incidence of rotator cuff disease combined with high failure rates for nonoperative treatment of full-thickness rotator cuff tears underlines the importance of improving nonoperative management of rotator cuff tears. The study objective was to assess changes in in vivo glenohumeral kinematics of pat...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2015.08.048

    authors： Miller RM,Popchak A,Vyas D,Tashman S,Irrgang JJ,Musahl V,Debski RE

    更新日期：2016-04-01 00:00:00

  • Mechanical testing of shoulder prostheses and recommendations for glenoid design.

    abstract：:Glenoid component loosening generates the greatest concern among surgeons performing total shoulder arthroplasty. Laboratory testing of glenoid prostheses may lead to improved design, subsequently leading to a reduction in the incidence of clinical loosening. The goals of this study were to develop a laboratory test m...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1067/mse.2000.105451

    authors： Anglin C,Wyss UP,Pichora DR

    更新日期：2000-07-01 00:00:00

  • Intersurgeon and intrasurgeon variability in preoperative planning of anatomic total shoulder arthroplasty: a quantitative comparison of 49 cases planned by 9 surgeons.

    abstract：BACKGROUND:Preoperative planning software is widely available for most anatomic total shoulder arthroplasty (ATSA) systems. It can be most useful in determining implant selection and placement with advanced glenoid wear. The purpose of this study was to quantify inter- and intrasurgeon variability in preoperative plann...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2020.04.010

    authors： Parsons M,Greene A,Polakovic S,Rohrs E,Byram I,Cheung E,Jones R,Papandrea R,Youderian A,Wright T,Flurin PH,Zuckerman J

    更新日期：2020-12-01 00:00:00

  • Effects of glenosphere positioning on impingement-free internal and external rotation after reverse total shoulder arthroplasty.

    abstract：INTRODUCTION:Patients may experience a loss of internal rotation (IR) and external rotation (ER) after reverse total shoulder arthroplasty (RTSA). We hypothesized that alterations in the glenosphere position will affect the amount of impingement-free IR and ER. MATERIALS AND METHODS:Computed tomography (CT) scans of t...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2012.07.013

    authors： Li X,Knutson Z,Choi D,Lobatto D,Lipman J,Craig EV,Warren RF,Gulotta LV

    更新日期：2013-06-01 00:00:00

  • Corrective osteotomy for cubitus varus in middle-aged patients.

    abstract：BACKGROUND:We reviewed the results of corrective osteotomy for cubitus varus in middle-aged patients to investigate whether it is recommended in this age group. MATERIALS AND METHODS:We studied 20 consecutive patients who underwent 3-dimensional corrective osteotomy at an average age of 47.9 years (range, 41-55 years)...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2011.04.003

    authors： Lim TK,Koh KH,Lee DK,Park MJ

    更新日期：2011-09-01 00:00:00

  • The effect of the beach-chair position angle on cerebral oxygenation during shoulder surgery.

    abstract：BACKGROUND:Although the safety of the beach-chair position (BCP) is widely accepted, rare devastating neurologic complications have been reported and attributed to cerebral hypoperfusion. Cerebral oxygenation (regional oxygen saturation [rSO2]) can be monitored noninvasively using near-infrared spectroscopy. The purpos...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2017.03.018

    authors： Songy CE,Siegel ER,Stevens M,Wilkinson JT,Ahmadi S

    更新日期：2017-09-01 00:00:00

  • Chronic Essex-Lopresti injuries: an alternative treatment method.

    abstract：BACKGROUND:Currently, no technique has met general acceptance for the restoration of forearm longitudinal stability in chronic Essex-Lopresti injuries. The purpose of this study is to present an alternative treatment method for chronic Essex-Lopresti lesions by radial head replacement and ulnar shortening osteotomy. M...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2014.01.043

    authors： Venouziou AI,Papatheodorou LK,Weiser RW,Sotereanos DG

    更新日期：2014-06-01 00:00:00

  • Sensory nerve supply in the human subacromial bursa.

    abstract：:The subacromial bursa is the major component of the subacromial gliding mechanism. The neural elements of the subacromial bursa obtained from specimens that underwent autopsy and surgery were investigated by the silver impregnation and immunohistochemical methods with antisera to substance P and calcitonin gene-relate...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/s1058-2746(96)80069-3

    authors： Ide K,Shirai Y,Ito H,Ito H

    更新日期：1996-09-01 00:00:00

  • Establishing maximum medical improvement following reverse total shoulder arthroplasty for rotator cuff deficiency.

    abstract：BACKGROUND:Since US Food and Drug Administration approval of the reverse prosthesis in 2003, the incidence of shoulder arthroplasty in the United States has risen dramatically. With increasing demand, efforts have shifted from traditional volume-based health care models to more patient-centered care. The purpose of thi...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2018.05.029

    authors： Cabarcas BC,Gowd AK,Liu JN,Cvetanovich GL,Erickson BJ,Romeo AA,Verma NN

    更新日期：2018-09-01 00:00:00

  • Impaction autografting: bone-preserving, secure fixation of a standard humeral component.

    abstract：BACKGROUND:When fixed with bone ingrowth, a tight diaphyseal press fit, or cement, the humeral component of a shoulder arthroplasty may present problems of malposition, stress shielding, or periprosthetic fracture or difficulty with removal at revision arthroplasty. We have avoided the need for these fixation methods b...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2016.03.008

    authors： Lucas RM,Hsu JE,Gee AO,Neradilek MB,Matsen FA 3rd

    更新日期：2016-11-01 00:00:00

  • Is nonoperative management of partial distal biceps tears really successful?

    abstract：BACKGROUND:The current treatment of partial distal biceps tears is a period of nonoperative management, followed by surgery, if symptoms persist. Little is known about the success rate and outcomes of nonoperative management of this illness. METHODS:We identified 132 patients with partial distal biceps tears through a...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2017.12.010

    authors： Bauer TM,Wong JC,Lazarus MD

    更新日期：2018-04-01 00:00:00

  • The chondral print sign: what does it really mean?

    abstract：BACKGROUND:The chondral print (CP) sign is a chondral change on the humeral head underneath the long head of the biceps (LHB) tendon. Several suggested causative links have been described, but the pathologic mechanism remains unclear. METHODS:We designed this prospective cohort association study of 102 consecutive sho...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2016.11.003

    authors： Domos P,Neogi DS,Longo UG,Ahrens PM

    更新日期：2017-06-01 00:00:00

  • The long-term efficacy of the GraftRope technique.

    abstract：BACKGROUND:Acromioclavicular joint separations continue to be a challenge for surgeons, and modern arthroscopically assisted techniques are becoming increasingly widespread. The aim of this study is to evaluate if the use of a biological support in association with a nonresorbable subcoracoid fixation can improve long-...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2020.02.014

    authors： Motta P,Marra F,Maderni A,Vasario G,Sisto R,Jawahar M,Mariotti U

    更新日期：2020-10-01 00:00:00

  • Ulnar neuritis after open elbow arthrolysis combined with ulnar nerve subcutaneous transposition for post-traumatic elbow stiffness: outcome and risk factors.

    abstract：BACKGROUND:Ulnar neuritis (UN) is a common complication of open elbow arthrolysis for elbow stiffness. The purpose of this study was to evaluate the outcome of subcutaneous anterior transposition of the ulnar nerve during open elbow arthrolysis and to describe the risk factors for UN. METHODS:We retrospectively studie...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2016.01.013

    authors： Cai J,Zhou Y,Chen S,Sun Y,Yuanming O,Ruan H,Fan C

    更新日期：2016-06-01 00:00:00

  • Management of traumatic anterior shoulder dislocation in the 17- to 25-year age group: a dramatic evolution of practice.

    abstract：BACKGROUND:Anterior shoulder dislocation in the young patient is a common problem, yet there is no universal agreement on its management. METHODS:In this study, we comprehensively surveyed all members of the British Elbow and Shoulder Society (BESS) to ascertain their preferred methods of treating young patients with ...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2011.01.006

    authors： Malhotra A,Freudmann MS,Hay SM

    更新日期：2012-04-01 00:00:00

  • Patient-specific instrumentation for total shoulder arthroplasty: not as accurate as it would seem.

    abstract：BACKGROUND:There is an increasing body of literature suggesting that the use of patient-specific instrumentation (PSI) in total shoulder arthroplasty (TSA) results in improved positioning of the glenoid component. The aim of this in vivo study was to assess the accuracy of PSI of the glenoid component in TSA in a conse...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2017.07.004

    authors： Lau SC,Keith PPA

    更新日期：2018-01-01 00:00:00

  • Cost of shoulder surgery.

    abstract：:A cost analysis of four common shoulder procedures was performed to better advise patients and payers of the expected costs and to provide a foundation for future cost/benefit analysis. Four groups of 50 patients each were evaluated. Group 1 underwent primary, open rotator cuff repair. Group 2 underwent open, anterior...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/S1058-2746(09)80073-6

    authors： Milne JC,Gartsman GM

    更新日期：1994-09-01 00:00:00

  • An anthropometric study of the bilateral anatomy of the humerus.

    abstract：:The purpose of this study was to describe the extramedullary humeral morphology in paired humeri to determine whether geometric differences exist from side to side in the same individual. The anatomic characteristics of 28 paired, dry cadaveric humeri were measured by use of an electromagnetic tracking system. Of the ...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2006.09.016

    authors： DeLude JA,Bicknell RT,MacKenzie GA,Ferreira LM,Dunning CE,King GJ,Johnson JA,Drosdowech DS

    更新日期：2007-07-01 00:00:00

  • Evolution of lesions of the labrum-ligament complex in posttraumatic anterior shoulder instability: a prospective study.

    abstract：:The aim of this study was to evaluate the evolution of intraarticular disease in posttraumatic shoulder instability. Ninety-one patients with posttraumatic shoulder instability were examined arthroscopically. The intraarticular disease was recorded on a special documentation sheet (containing 67 descriptive items). Th...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 临床试验,杂志文章

    doi：10.1016/s1058-2746(99)90058-7

    authors： Habermeyer P,Gleyze P,Rickert M

    更新日期：1999-01-01 00:00:00

  • Double-row vs single-row rotator cuff repair: a review of the biomechanical evidence.

    abstract：HYPOTHESIS:A review of the current literature will show a difference between the biomechanical properties of double-row and single-row rotator cuff repairs. BACKGROUND:Rotator cuff tears commonly necessitate surgical repair; however, the optimal technique for repair continues to be investigated. Recently, double-row r...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.jse.2009.07.002

    authors： Wall LB,Keener JD,Brophy RH

    更新日期：2009-11-01 00:00:00

  • Scapulothoracic fusion for painful winging of the scapula in nondystrophic patients.

    abstract：:A modified technique of scapulothoracic fusion was used in 6 patients who did not have muscular dystrophy and who were later evaluated clinically. The cause of the painful winging of the scapula was traumatic disruption of the trapezius and the accessory nerve in 3 patients, injury to the brachial plexus in 2, and Spr...

    journal_title：Journal of shoulder and elbow surgery

    pub_type： 杂志文章

    doi：10.1016/j.jse.2004.09.008

    authors： Jeon IH,Neumann L,Wallace WA

    更新日期：2005-07-01 00:00:00