Question

In: Anatomy and Physiology

If you sustain injury to the shoulder joint how they affect movement of the shoulder

If you sustain injury to the shoulder joint how they affect movement of the shoulder

Solutions

Expert Solution

The shoulder joint is a ball and socket joint between the scapula and the humerus. It is the major joint connecting the upper limb to the trunk.

As a ball and socket synovial joint, there is a wide range of movement permitted:

Extension (upper limb backwards in sagittal plane) – posterior deltoid, latissimus dorsi and teres major.
Flexion (upper limb forwards in sagittal plane) – pectoralis major, anterior deltoid and coracobrachialis. Biceps brachii weakly assists in forward flexion.
Abduction (upper limb away from midline in coronal plane):
The first 0-15 degrees of abduction is produced by the supraspinatus.
The middle fibres of the deltoid are responsible for the next 15-90 degrees.
Past 90 degrees, the scapula needs to be rotated to achieve abduction – that is carried out by the trapezius and serratus anterior.
Adduction (upper limb towards midline in coronal plane) – pectoralis major, latissimus dorsi and teres major.
Internal rotation (rotation towards the midline, so that the thumb is pointing medially) – subscapularis, pectoralis major, latissimus dorsi, teres major and anterior deltoid.
External rotation (rotation away from the midline, so that the thumb is pointing laterally) – infraspinatus and teres minor.

All these movements mentioned above will be affected if sustained injury to the shoulder joint.


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