Restricted scapular mobility during arm abduction: implications for impingement syndrome

Acta Orthop Belg. 2009 Feb;75(1):19-24.

Abstract

Scapular mobility plays a central role in normal shoulder function, and alterations in scapular mobility have been suggested as a factor in impingement syndrome. We therefore measured the effect of restricted scapular mobility during arm abduction on acromiohumeral and coracohumeral distances. For the control measurements, healthy volunteers (n = 10, all male, age range 25-35 years) underwent multislice computed tomography in a supine position, with the humerus actively maintained in the scapular plane at 45 degrees internal rotation and 60, 90 or 120 degrees abduction. To restrict scapular mobility a custom-made brace was then placed on each volunteer and fastened firmly with bandages, and the measurements were repeated. From the three-dimensional images the acromiohumeral and coracohumeral distances were measured. With the humerus in 90 degrees abduction, the acromiohumeral distance was significantly reduced (Student's t test). This result suggests that impingement syndrome may have a functional component.

MeSH terms

  • Adult
  • Biomechanical Phenomena
  • Braces
  • Female
  • Humans
  • Imaging, Three-Dimensional
  • Male
  • Range of Motion, Articular
  • Scapula / physiopathology*
  • Shoulder Impingement Syndrome / diagnosis
  • Shoulder Impingement Syndrome / physiopathology*
  • Shoulder Joint / physiopathology