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Scapulothoracic Joint Kinematics Explained

The document discusses the kinematics of the scapulothoracic joint, which facilitates scapula movement over the rib cage, enhancing shoulder function and upper limb mobility. It outlines various movements of the scapula, including upward/downward rotation, internal/external rotation, anterior/posterior tilting, elevation/depression, and protraction/retraction, each with specific actions and examples. The document emphasizes that these movements are dependent on the sternoclavicular and acromioclavicular joints.

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pranavwankhede11
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3 views9 pages

Scapulothoracic Joint Kinematics Explained

The document discusses the kinematics of the scapulothoracic joint, which facilitates scapula movement over the rib cage, enhancing shoulder function and upper limb mobility. It outlines various movements of the scapula, including upward/downward rotation, internal/external rotation, anterior/posterior tilting, elevation/depression, and protraction/retraction, each with specific actions and examples. The document emphasizes that these movements are dependent on the sternoclavicular and acromioclavicular joints.

Uploaded by

pranavwankhede11
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

SHOULDER COMPLEX

KINEMATICS

Scapulothoracic Joint
Scapulothoracic Joint
• The kinematics of the Scapulothoracic joint refers
to the movement of the scapula over the rib cage
(mainly 2nd to 7th rib is involved).
• Although the ST joint is not a true anatomical
joint, it plays a crucial role in shoulder function by
allowing smooth movement of the scapula to
enhance upper limb mobility.
• The ST joint is a functional articulation - the
scapula glides over the curved thoracic wall.
• Movements depend entirely on the SC and AC
joints.
Movements
• The motions of scapula from the resting position
include 3 rotations similar to AC joint.

1) upward/downward rotation
2) internal/external rotation
3) anterior/posterior tilting
• Also includes translatory motions
1) elevation/depression
2) protraction/retraction
Upward / Downward
Rotation

• Upward: inferior angle of


scapula moves laterally and
superiorly.
Essential for overhead activities.

• Downward: inferior angle


moves medially and inferiorly.
Returns to the anatomical
position.

Plane: Frontal plane


Axis: Anteroposterior axis
Internal / External Rotation
• Internal: The medial border of the scapula moves
posteriorly, and the glenoid class faces more
anteriorly.
Occurs naturally during protraction.
Also referred to as scapular winging.

• External: The medial border of the scapula moves


towards the thorax and glenoid fossa faces more
laterally.
Occurs naturally during retraction.
Anterior / Posterior Tilting

• Anterior: The superior border of the


scapula moves anteriorly, and the
inferior angle moves posteriorly away
from the thorax.
Occurs with shoulder hyperextension.

• Posterior: The superior border of the


scapula moves posteriorly, and the
inferior angle moves anteriorly toward
the thorax.
Occurs with arm elevation.

Plane: Sagittal plane


Axis: Frontal axis
Elevation / Depression
• Elevation: Superior
movement of the scapula on
the thorax.
Associated with the elevation
at SC joint and slight
adjustments at AC joint.
Example: shrugging of shoulder

• Depression: Inferior
movement of the scapula.
Occurs during returning from
elevation.

Occurs in Frontal plane and


Anteroposterior axis.
Protraction / Retraction
• Protraction: scapula moves
away from the midline
(vertebral column) wrapping
around the rib cage.
Example: reaching, pushing,
punching.

• Retraction: scapula moves


towards the midline (vertebral
column).
Example: pulling

Occurs in Transverse plane and


Vertical axis.
THANK YOU

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