By World Health Organization

A scientific authoritative type of the various approaches utilized in varied branches of medication. Chapters hide systems for scientific analysis laboratory techniques preventive approaches surgical operations different healing systems and ancillary systems. the quantity, which follows the constitution and method of coding utilized in the overseas class of ailments, features a tabular checklist of approaches through an in depth alphabetical index.

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Philadelphia: WB Saunders, 1998, p. ) 35 36 CHAPTER 6 Principles of Glenohumeral Mobility The rotational laxity of the glenohumeral joint in a specified direction is the angle through which the humeral head can be rotated from an initial position centered in the glenoid socket (Fig. 6–2). The rotational laxity is determined by (1) the length of the capsule and ligaments constraining the rotation, (2) the position and orientation of the humeral head at the start of the rotation, and (3) the radius of curvature of the humeral head.

6–23), external rotation in abduction (Fig. 6–24), and internal rotation in abduction (Fig. 6–25) can be quantitated. These motions give the examiner a good feel for the rotational laxity of the humerus relative to the scapula. Selective examination of the different components of the capsule can reveal the parts that are tight (Table 6–1). Table 6–1 Relation of Motion Limitation to Location of Capsular Tightness Limitation of this motion External rotation at the side Internal rotation at the side External rotation in abduction Internal rotation in abduction Cross-body movement Flexion Abduction Adduction Suggests tightness of this part of the capsule Anterior superior and coracohumeral ligament Posterior superior Anterior inferior Posterior inferior Posterior Posterior inferior Inferior Superior PART II Limited Adduction Figure 6–18.

When ligaments become shortened, they can limit the range of glenohumeral rotation and translation (Fig. 6–4). Exerting a large torque against strong, tight ligaments can result in a major compressive force at Figure 6–4. Ligament shortening limits rotation If the capsule and ligaments on one side of the joint are shortened, they limit the rotation of the humerus in the direction opposite the tight structures. Mobility 39 40 CHAPTER 6 Principles of Glenohumeral Mobility the glenohumeral joint, which could damage the joint surface or underlying bone (Fig.

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International Classification of Procedures in Medicine by World Health Organization
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