Is there a relation between loss of shoulder external rotation and sternoclavicular joint disorders?

Francesco Pisanu; Vincenzo Verderosa; Stefano Perego; Rosario Cutaia; Corrado Ciatti; Andrea Fabio Manunta; Carlo Doria

doi:10.23750/abm.v94iS2.12524

Is there a relation between loss of shoulder external rotation and sternoclavicular joint disorders?

Authors

Francesco Pisanu https://orcid.org/0000-0001-8780-5706
Vincenzo Verderosa Casa di Cura Policlinico Città di Quartu, Quartu Sant'Elena, Italy.
Stefano Perego Orthopedics and Traumatology Department, University of Sassari, Sassari, Italy
Rosario Cutaia Orthopedics and Traumatology Department, University of Sassari, Sassari, Italy
Corrado Ciatti Orthopedics and Traumatology Department, University of Sassari, Sassari, Italy https://orcid.org/0000-0002-7094-4344
Andrea Fabio Manunta Orthopedics and Traumatology Department, University of Sassari, Sassari, Italy
Carlo Doria Orthopedics and Traumatology Department, University of Sassari, Sassari, Italy

DOI: https://doi.org/10.23750/abm.v94iS2.12524

Keywords:

Sternoclavicular joint, shoulder instability repair, shoulder kinematics, scapulothoracic movements, scapulohumeral rhythm

Abstract

Background and aim: Scapulothoracic movements are essential in shoulder kinematics and can partially compensate stiffness and loss of motion of glenohumeral joint. The scapulothoracic movement is strictly dependent on the translation and rotation of the clavicle at the sternoclavicular joint (SCJ), this being the only true joint between the axial and the upper appendicular skeleton.

Aim of the study is to define a possible correlation between loss of shoulder external rotation following surgery for anterior shoulder instability and long-term sternoclavicular joint disorders. Methods: A group of 20 patients and a group of 20 healthy volunteers were studied.

Results: In the statistical analysis of the patient group and of the two groups jointly, the association between the reduction of shoulder external rotation and the onset of disorder of SCJ appeared statistically significant.

Conclusions: Our results provide support for an association between some disorders of the SCJ and the alterations of the shoulder kinematics associated with a reduction of ROM in external rotation. Our sample is too small to allow definitive conclusions to be drawn. These results, if confirmed by larger studies, could help us further clarify the complex kinematics of the shoulder girdle.

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