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The shoulder comprises two joints: the scapulothoracic joint is simple and robust, while the scapulohumeral joint is complex and fragile. The spatial functioning of the shoulder and its essential role in upper-limb prehension, especially on the dominant side, account for the high incidence of pathology related to overuse or misuse, as well as elevated trauma risk in a projecting structure very liable to be involved in shock contact. The diversity of structures and their very numerous interactions point to functional aspects the implementation of which is indispensable to rehabilitation: humeral lowering, scapulohumeral rhythm, the thoracoscapulobrachial entity, the paradoxes of Codman and Lombard, diagonal pivot, and shoulder-elbow relations. Solutions lie in respecting the operating principles of the shoulder, understanding its ergonomics and optimizing the 3Es: efficacy-economy-esthetics. Journal page Archives Contents list. Article Article Outline. Access to the text HTML.
Protection biomédicale amovible pour les épaules et les coudes Spidi
Les muscles de l'épaule - Nouvelle anatomie, biomécanique, rééducation