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The coracoid process acts as an attachment and origin for a large number of muscles (attached muscles not labeled here). The coracoid process is a thick curved process attached by a broad base to the upper part of the neck of the scapula; [2] it runs at first upward and medially; then, becoming smaller, it changes its direction, and projects forward and laterally.
The subscapularis is covered by a dense fascia which attaches to the scapula at the margins of the subscapularis' attachment (origin) on the scapula. [1] The muscle's fibers pass laterally from its origin before coalescing into a tendon of insertion. [citation needed] The tendon intermingles with the glenohumeral (shoulder) joint capsule. [1]
The shoulder that is injured is placed in a sling and shoulder flexion or abduction of the arm is avoided for 4 to 6 weeks after surgery (Brewster, 1993). Avoiding movement of the shoulder joint allows the torn tendon to fully heal. [24] Once the tendon is entirely recovered, passive exercises
Additional muscle deficits can contraindicate tendon transfer, namely the serratus anterior muscle or the muscles-to-be-transferred themselves. Serratus anterior muscle deficit is another cause of scapular winging and decreases the efficacy of an Eden–Lange procedure, but it can be overcome with a simultaneous pectoralis major transfer .
The type of sport also is important, since contact sports have a greater chance of injuring the labrum repair. However, a vast majority of patients have full function of the shoulder after labrum repair, and most patients can return to their previous level of sports with no or few restrictions. [3] repair of the capsular ligaments (Bankart repair)
The coracoacromial ligament may impinge and compress rotator cuff muscle or tendon. [3] It may be damaged during a shoulder injury. [4] The attachment of the coracoacromial ligament may be moved from acromion to the end of the clavicle when reconstructing the acromioclavicular joint. [5] [6] This often fails. [5]
Palpation of sternoclavicular joint, clavicle, acromioclavicular joint, subacromial bursa, bicipital tendon. Evaluation of passive and active range of motion: Neck range of motion should be assessed that may reveal a neck source of shoulder pain. The Apley scratch test specifically tests range of motion and in a normal exam, an individual ...
Its function is to reduce friction between the coracobrachialis, subscapularis and short head of the biceps tendons, thus facilitating internal and external rotation of the shoulder. The subcoracoid bursa does not communicate with the glenohumeral joint under normal circumstances, but may communicate with the subacromial bursa . [ 1 ]