- Discussion:
- muscular stabilizers
- static stabilizers
- stabilizers include: glenoid, glenoid labrum, negative intraarticular pressure, glenohumeral capsular ligaments, rotator cuff and scapular muscles;
- stabilizers include glenohumeral size, posteriorly angulated glenoid & humeral head, & functional muscle control (most important);
- structure that is most responsible for preventing anterior glenohumeral dislocation varies with the position of the arm.
- 0 deg: at 0 degrees of abduction, subscapularis muscle stabilizes the joint to a large extent.
- 45 deg: at 45 degrees of abduction subscapularis, middle glenohumeral ligament, and the anterior superior fibers of inferior glenohumeral ligament provide shoulder stability; (greatest strain in the inferior and middle ligaments);
- 90 deg: in abduction with external rotation, the inferior glenohumeral ligament prevents dislocation;
- when arm is in a position of anterior instability (90 deg abduction & 90 degrees external rotation), role of dynamic stabilizers changes.
- in this position, pectoral, short head of biceps, coracobrachial, anterior deltoid, & subscapularis resist anterior dislocation
Stabilizing mechanisms preventing anterior dislocation of the glenohumeral joint.