The scapulohumeral rhythm of the shoulder.
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概要
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The movement of the shoulder complex was once aptly described by Codman as the "scapulohumeral rhythm". The aim of our study was to demonstrate this rhythm by using fluoroscopy and a computer.The subjects were asked to elevate their arms smoothly in approximately 3 seconds and 5 seconds in front of the fluoroscopy with and without load. The X-ray was irradiated perpendicullarly to the scapular plane. Movements were calculated using the computer.During abduction in the scapular plane, the ratio of scapular movements to humeral movements was about 0.38. The scapulohumeral rhythm was divided into three stages, and the first stage was thought as the setting phase.The movements of the instant center of the humerus were in a small area during elevation. This result suggested that the movement of the glenohumeral joint was almost rotational. The movements of the instant center of the scapula were in a relatively large area during the motion.
- 西日本整形・災害外科学会の論文
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