Initiatory biomechanical study on humeral head migration after coracoacromial ligament cut.
OBJECTIVE
To design and evaluate the strength of muscles in preventing humeral head migration after acromioplasty by biomechanical research on cadaver models.


METHODS
Six fresh shoulder cadavers were studied. The coracoacromial ligament cut model was prepared in five shoulders for the study. Different forces were applied to the head of humerus with designed strengthened force on rotator cuff muscles. The results were calculated with SPSS software.


RESULTS
The anterior and superior pulling force caused obvious migration of humeral head in coracoacromial ligament cut model; after strengthening the rotator cuff muscles, especially the supraspinatus and subscapular muscle, the humeral head migration was reduced.


CONCLUSIONS
Modified acromioplasty with supraspinatus and subscapular muscle, strengthened in our experiment, helped to control the migration of humeral head.
Chen
Jian
J
Shanghai Jiaotong University Affiliated Shanghai Sixth People's Hospital, Shanghai, 200233, China. chenjianscor@gmail.com
Budoff
Jeffrey E
JE
Luo
Cong-Feng
CF
Luo
Zong-Ping
ZP
D000173:Acromioclavicular Joint / Q000601:surgery*; D000368:Aged; D001696:Biomechanical Phenomena; D006801:Humans; D006811:Humerus / Q000503:physiopathology*; D066298:In Vitro Techniques; D008023:Ligaments, Articular / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009068:Movement; D018482:Muscle, Skeletal / Q000601:surgery; D017006:Rotator Cuff / Q000503:physiopathology; D019534:Shoulder Impingement Syndrome / Q000503:physiopathology / Q000601:surgery*; D012785:Shoulder Joint / Q000503:physiopathology / Q000601:surgery