The Shoulder

instability

Dynamic factors (stability through contractile structures)

Muscles of the shoulder girdle

Trapezius, rhomboideus , latissimus dorsi, serratus anterior and levator scapulae stabilize the de scapula as a firm platform for movement of the humeral head.

The 'rotator cuff'

Supraspinatus, Infraspinatus, Subscapularis and the long head of the Biceps

The cuff muscles serve three stabilizing functions:

  1. Dynamic ligaments. By virtue of the blending of their tendons with the glenohumeral capsule and ligaments, selective contraction of the cuff muscles can adjust the tension in these structures, producing "dynamic" ligaments.
  2. contracting together, the rotator cuff muscles and the biceps press the humeral head into the glenoid fossa, locking it into position and thus providing a secure scapulohumeral link for upper extremity function.
  3. contracting selectively, the rotator cuff muscles can resist displacing forces resulting from contraction of the principal shoulder motors.

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