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The scapula plays an important role in shoulder impingement syndrome. [8] It is a wide, flat bone lying on the posterior thoracic wall that provides an attachment for three different groups of muscles. The intrinsic muscles of the scapula include the muscles of the rotator cuff- the subscapularis, infraspinatus, teres minor and supraspinatus. [9]
The same hand following cracking with the addition of a post-cracking distraction force (right). Note the dark, interarticular void (yellow arrow). For many decades, the physical mechanism that causes the cracking sound as a result of bending, twisting, or compressing joints was uncertain. Suggested causes included:
Medical history (the patient tells the doctor about an injury). For shoulder problems the medical history includes the patient's age, dominant hand, if injury affects normal work/activities as well as details on the actual shoulder problem including acute versus chronic and the presence of shoulder catching, instability, locking, pain, paresthesias (burning sensation), stiffness, swelling, and ...
Crepitus is "a grating sound or sensation produced by friction between bone and cartilage or the fractured parts of a bone". Various types of crepitus that can be heard in joint pathologies are: Bone crepitus: This can be heard when two fragments of a fracture are moved against each other.
Dead arm syndrome starts with repetitive motion and forces on the posterior capsule of the shoulder. The posterior capsule is a band of fibrous tissue that interconnects with tendons of the rotator cuff of the shoulder. Four muscles and their tendons make up the rotator cuff. They cover the outside of the shoulder to hold, protect and move the ...
The shoulder joint is made up of three bones: the shoulder blade (scapula), the collarbone (clavicle) and the upper arm bone (humerus). The acromion is a bony process at the end of the scapula. The shoulder is a complex mechanism involving bones, ligaments, joints, muscles, and tendons.
The rotator cuff muscles of the shoulder produce a high tensile force, and help to pull the head of the humerus into the glenoid cavity. The glenoid cavity is shallow and contains the glenoid labrum which deepens it and aids stability. With 120 degrees of unassisted flexion, the shoulder joint is the most mobile joint in the body.
Having both hands pronated while pulling the barbell provides the lifter with a symmetrical shoulder position which avoids the imbalance caused by the alternated grip. [3] The imbalanced shoulder rotation, particularly in the spine side of the arm, causes a higher bicep flexion, as well as being more likely to result in bicep tears. [ 3 ]