THE ROTATOR CRESCENT AND ROTATOR CABLE - AN ANATOMIC DESCRIPTION OF THE SHOULDERS SUSPENSION BRIDGE

被引:270
作者
BURKHART, SS
ESCH, JC
JOLSON, RS
机构
[1] University of Texas Health Science Center, San Antonio, Texas
[2] University of California at San Diego, California
[3] Freiberg Orthopedic Group, Inc., Cincinnati, ohio
来源
ARTHROSCOPY | 1993年 / 9卷 / 06期
关键词
ROTATOR CRESCENT; ROTATOR CABLE; ROTATOR CUFF; SUSPENSION BRIDGE; ROTATOR CUFF TEAR;
D O I
10.1016/S0749-8063(05)80496-7
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Twenty fresh frozen cadaver shoulders were dissected in order to study the rotator cable-crescent complex. The rotator crescent is a term that we have used to describe the thin, crescent-shaped sheet of rotator cuff comprising the distal portions of the supraspinatus and infraspinatus insertions. The crescent was found to be bounded on its proximal margin by a thick bundle of fibers that we have called the rotator cable. This cable-crescent configuration was found to consistently span the insertions of supraspinatus and infraspinatus tendons. The dimensions of the rotator cable and crescent were measured by a digital micrometer. The rotator cable was found to be a very substantial structure, averaging 2.59 times the thickness of the rotator crescent that it surrounded. This anatomic study supports the concepts of stress-shielding of the rotator crescent by the stout rotator cable and stress transfer by this loaded cable system.
引用
收藏
页码:611 / 616
页数:6
相关论文
共 8 条
[1]  
Burkhart SS, Fluoroscopic comparison of kinematic patterns in massive rotator cuff tears: a suspension bridge model, Clin Orthop, 284, pp. 144-152, (1992)
[2]  
Clark J, Sidles JA, Matsen FA, The relationship of the glenohumeral joint capsule to the rotator cuff, Clin Orthop, 254, pp. 29-34, (1990)
[3]  
Clark JM, Harryman DT, Tendons, ligaments, and capsule of the rotator cuff, J Bone Joint Surg [Am], 74, pp. 713-725, (1992)
[4]  
Burkhart SS, Arthroscopic treatment of massive rotator cuff tears: clinical results and biomechanical rationale, Clin Orthop, 267, pp. 45-56, (1991)
[5]  
Burkhart SS, Arthroscopic debridement and decompression for selected rotator cuff tears: clinical results, pathomechanics, and patient selection based on biomechanical parameters, Orthop Clin North Am, 24, pp. 111-123, (1993)
[6]  
Bassett RW, Browne AD, Morrey BF, An KN, Glenohumeral muscle force and mechanics in a position of shoulder instability, J Biomech, 23, pp. 405-415, (1990)
[7]  
Ikai M, Fukunaga T, Calculation of muscle strength per unit of cross-sectional area of human muscle, Int Zeitschrift Angewandte Physiol einschliesslich Arbeitsphysiol, 26, pp. 26-31, (1968)
[8]  
Hibbeler RC, Engineering mechanics, (1989)