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    DPT Overview

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    Ambreen Ghafoor
    This document provides an overview of the shoulder complex and elbow joint. It describes scapulohumeral rhythm in the shoulder as 2 degrees of humeral flexion/abduction for every 1 degree of scapular upward rotation. Details are given on the humerus, ligaments, and force couple of the shoulder. For the elbow joint, details are provided on arthrokinematics, ligaments, carrying angle, and common injuries like tennis elbow and golfer's elbow. Loading forces on the elbow during various activities are also listed.

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    DPT Overview

    Uploaded by

    Ambreen Ghafoor
    23 views15 pages
    This document provides an overview of the shoulder complex and elbow joint. It describes scapulohumeral rhythm in the shoulder as 2 degrees of humeral flexion/abduction for every 1 degree of scapular upward rotation. Details are given on the humerus, ligaments, and force couple of the shoulder. For the elbow joint, details are provided on arthrokinematics, ligaments, carrying angle, and common injuries like tennis elbow and golfer's elbow. Loading forces on the elbow during various activities are also listed.

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    This document provides an overview of the shoulder complex and elbow joint. It describes scapulohumeral rhythm in the shoulder as 2 degrees of humeral flexion/abduction for every 1 degree of scapular upward rotation. Details are given on the humerus, ligaments, and force couple of the shoulder. For the elbow joint, details are provided on arthrokinematics, ligaments, carrying angle, and common injuries like tennis elbow and golfer's elbow. Loading forces on the elbow during various activities are also listed.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    23 views15 pages

    DPT Overview

    Uploaded by

    Ambreen Ghafoor
    This document provides an overview of the shoulder complex and elbow joint. It describes scapulohumeral rhythm in the shoulder as 2 degrees of humeral flexion/abduction for every 1 degree of scapular upward rotation. Details are given on the humerus, ligaments, and force couple of the shoulder. For the elbow joint, details are provided on arthrokinematics, ligaments, carrying angle, and common injuries like tennis elbow and golfer's elbow. Loading forces on the elbow during various activities are also listed.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 15

    OVERVIEW OF

    JOINTS
    ARTICULATIONS OF SHOULDER
    COMPLEX
    Scapulohumeral Rhythm
    The coordinated motion of the scapula and humerus experienced
    during shoulder movement and motion that has been traditionally
    viewed as occurring at a ratio of 2:1 (2 degrees of humeral
    flexion/abduction to 1 degree of scapular upward rotation).
    FORCE COUPLE
    HUMERUS
    • Humeral head is directed Superiorly,
    • Medially and posteriorly
    Angle of inclination
     Normal :130 to 150 degree (Frontal plane)
    Angle of Torsion
     Is approximately 30 degree
     Posterior orientation of humeral head with respect to Humerus
    condyle is called Retroversion/Posterior torsion of Humerus
     Retroversion of Humerus head and internal rotation of scapula
    increases glenohumeral congruency
    Ligaments

     Superior GH ligament: Provides anterior and inferior joint


    stability and limits ant. & inf. translations of Humerus head
     Middle GH ligament: Provides anterior joint stability.
     Limits anterior translation of Humerus when shoukder is in
    45 degrees of Abduction
     IGHLC plays key role in stabilization of GH joint beyond 45
    degree in Abduction combined with rotations
     IGHLC prevents inferior translation of humeral head
    ELBOW JOINT
    Arthrokinematics
    Humeroulnar Joint

     Trochlear ridge slides on humeral trochlear groove


     Extension: sliding continues until olecranon process enters olecranon
    fossa
     Flexion: sliding continues until coronoid process reaches coronoid fossa

    In elbow flexion Convex –concave rule is followed and vice versa


    HUMERORADIAL JOINT

    • Extension: No contact of articulating surfaces


    • Flexion: Rim of radial head slides in capitulotrochlear groove
    and enters the radial fossa at the end range
    LIGAMENTS

     MEDIAL COLLATERAL LIGAMENT


     Provides stabilization against valgus forces at
    elbow
     It consists of three components;
     Anterior, Posterior and Transverse
     Primary resistance to distraction
    and valgus stress hence damaged due to valgus
    stress at elbow
    LATERAL COLLATERAL LIGAMENT
     Lateral radial collateral ligament (LCL), Lateral ulnar
    collateral ligament (LUCL), Annular ligament
     Primary resistance to distraction
    and varus stress hence damaged due to varus stress at
    elbow
    CARRYING ANGLE
    Normal: 10-15
    Increase: Cubital Valgus
    Decrease: Cubitus varus
    Elbow Joint Common
    Injuries
    Tennis Elbow, or lateral epicondylitis

    • Most common in adults between the ages of 30-50. It’s an overuse


    injury of muscle Extensor Carpii Radialis Brevis
    • Plumbers, carpenters and painters are prone to Tennis Elbow due to
    the repetitive nature of their jobs.
    • The region involved is Lateral Epicondyle
    Medial epicondylitis, or Golfer’s Elbow

    • It is an irritation on the inner side of the arm and elbow. This


    condition can be caused by activities that require repeated
    twisting or flexing of the wrist.
    • Flexor Carpii Radialis Brevis is involved
    • Racquet sports, baseball or softball, weightlifting, carpentry,
    painting and other similar activities.
    • The region involved is the Medial Epicondyle.
    LOADING ON ELBOW

    Activities Compressive load


    Rising from a chair 1700 n (382 lb.)
    (Body is supported by
    the arms)

    Pulling table 1900 n (427 lb.)


    Across the floor

    Dressing and eating 300 n (67 lb.)

    Gymnastic skills twice body weight

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