Culham E, Peat M
School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada.
J Orthop Sports Phys Ther. 1993 Jul;18(1):342-50. doi: 10.2519/jospt.1993.18.1.342.
Recent research findings are incorporated in this review of the functional anatomy of the shoulder complex. The scapulothoracic mechanism is described, including a review of scapular motion and the structure and function of the sternoclavicular and acromioclavicular joints. New information regarding the resting position of the scapula on the thorax and the effect of aging and spinal posture on position has been presented. In the second part of the paper, the anatomy of the glenohumeral joint is reviewed, with emphasis on the articular, periarticular, and muscular mechanisms responsible for stability of this articulation. The article concludes with a discussion of the integrated function of the scapulothoracic and glenohumeral articulations in upper extremity elevation.
本肩部复合体功能解剖学综述纳入了近期的研究成果。文中描述了肩胛胸壁机制，包括对肩胛骨运动以及胸锁关节和肩锁关节的结构与功能的综述。还介绍了有关肩胛骨在胸廓上的静止位置以及衰老和脊柱姿势对该位置影响的新信息。在本文的第二部分，对盂肱关节的解剖结构进行了综述，重点关注负责该关节稳定性的关节、关节周围和肌肉机制。文章最后讨论了肩胛胸壁关节和盂肱关节在上肢抬高过程中的综合功能。
