By Andrea De Vita MD, W. Ben Kibler MD, FACSM (auth.), Giovanni Di Giacomo, Nicole Pouliart, Alberto Costantini, Andrea De Vita (eds.)
The function of this Atlas is to concentration the reader's consciousness on a chain of bone, ligament, muscle and tendon constructions and ultrastructures that experience now not to this point been mentioned other than within the most up-to-date overseas literature and in expert journals. This Atlas additionally offers tremendous high-definition pictures of "targeted" sections acquired from cadavers preserved utilizing state of the art techniques.
The authors' goal is to offer the shoulder anatomy in a brand new and unique means and, utilizing an easy yet committed descriptive language, to aid the reader comprehend the complexity of clinical learn, highlighting the significance of integrating anatomical, biomechanical and neurophysiological knowledge.
The textual content is meant as a supplement to the latest and present anatomical stories in clinical examine, bringing out the significance of these miniscule buildings to which certain and transparent mechanical and neurological roles are actually being attributed.
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Additional info for Atlas of Functional Shoulder Anatomy
The result, then, of a downward force applied to the superior aspect of the acromion is either a lesion of the AC and coracoclavicular ligaments or clavicle fracture. There may be an additional anteroposterior direction to the force. AC joint injuries vary along a continuum of ligament injuries, beginning with a mild sprain of the AC ligaments and progressing through AC ligament tears, followed by stresses on the coracoclavicular ligament; and finally, if the downward force continues, tears of the deltoid and trapezius muscle attachments occur from the clavicle, as do ruptures of the coracoclavicular ligament (Fig.
When these structures tear, the upper extremity has lost its ligamentous support from the distal end of the clavicle, and it droops downward. The classification scheme described by Rockwood and Young  for AC grading is well accepted. Six types of injury are classified according to the degree of displacement of the distal clavicle, the involvement of the AC and coracoclavicular ligaments, and the integrity of the fascia overlying the deltoid and trapezius musculature: • Type I: Direct force to the shoulder produces a minor strain to the fibres of the AC ligaments.
Williams P, Warwick R (1980) Gray’s anatomy. Churchill Livingstone, Edinburgh 60. Williams GR Jr, Shakil M, KlimKiewicz J et al (1999) Anatomy of the scapulothoracic articulation. Clin Orthop 359:237-246 61. Soslowsky LJ, Malicky DM, Blasier RB (1997) Active and passive factors in inferior glenohumeral stabilization: a biomechanical model. J Shoulder Elbow Surg 6:371-379 62. Howell SM, Galinat BJ, Renzi AJ et al (1988) Normal and abnormal mechanics of the glenohumeral joint in the horizontal plane.
Atlas of Functional Shoulder Anatomy by Andrea De Vita MD, W. Ben Kibler MD, FACSM (auth.), Giovanni Di Giacomo, Nicole Pouliart, Alberto Costantini, Andrea De Vita (eds.)
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