The effect of the long head of the biceps on glenohumeral kinematics.
The long head of the biceps has been described as a stabilizing force in the setting of glenohumeral instability. However, data are lacking on the effect of loading the long head of the biceps on glenohumeral kinematics. Six cadaveric shoulders were tested for glenohumeral rotational range of motion and translation using a custom shoulder testing system and the Microscribe 3DLX (Immersion, San Jose, CA). The path of glenohumeral articulation (PGA) was measured by calculating the humeral head center with respect to the glenoid articular surface at maximal internal rotation, 30 degrees, 60 degrees, 90 degrees, and maximal external rotation. Significant decreases in glenohumeral rotational range of motion and translation were found with 22-N biceps loading vs the unloaded group. With respect to the PGA, the humeral rotation center was shifted posterior with biceps loading at maximal internal rotation, 30 degrees, and 60 degrees of external rotation. Loading the long head of the biceps significantly affects glenohumeral rotational range of motion, translations, and kinematics.
Youm
Thomas
T
New York University Hospital for Joint Diseases, New York, NY 10028, USA. youmt01@yahoo.com
ElAttrache
Neal S
NS
Tibone
James E
JE
McGarry
Michelle H
MH
Lee
Thay Q
TQ
D000368:Aged; D000369:Aged, 80 and over; D001696:Biomechanical Phenomena; D002102:Cadaver; D006801:Humans; D008875:Middle Aged; D008953:Models, Anatomic; D009119:Muscle Contraction / Q000502:physiology*; D018482:Muscle, Skeletal / Q000033:anatomy & histology* / Q000502:physiology; D016059:Range of Motion, Articular / Q000502:physiology*; D012785:Shoulder Joint / Q000033:anatomy & histology / Q000502:physiology*