SlideShare a Scribd company logo
1 of 36
Shoulder & Elbow
  Biomechanics
Forces, Moments & Joint Reaction Forces



            Lennard Funk
Force


• any influence that causes a free body to
  undergo an acceleration

• = Mass x Acceleration
• Newton’s second law
Moment          (of force) /


• Turning Force
• = Force x Distance
 • = F.r
Moment = Force (F) x Distance (d)
Equilibrium = Sum of the moments
Joint Reaction Force

• not the same as joint forces
• "the equal and opposite forces that exist
  between adjacent bones at a joint caused by the
  weight and inertial forces of the two segments."
The arm is in 90 degrees of abduction and it is assumed that only deltoid is
active.
The arm is in 90 degrees of abduction and it is assumed that only deltoid is
active.
The force produced by deltoid muscle (M) acts 3cm from the centre of
rotation of the shoulder joint.
The arm is in 90 degrees of abduction and it is assumed that only deltoid is
active.
The force produced by deltoid muscle (M) acts 3cm from the centre of
rotation of the shoulder joint.
The force produced by the weight of the arm is 0.05 times body weight (BW)
and acts 30cm from the joint centre.
The arm is in 90 degrees of abduction and it is assumed that only deltoid is
active.
The force produced by deltoid muscle (M) acts 3cm from the centre of
rotation of the shoulder joint.
The force produced by the weight of the arm is 0.05 times body weight (BW)
and acts 30cm from the joint centre.
The reaction force of the joint (J) is equal to M.
The arm is in 90 degrees of abduction and it is assumed that only deltoid is
active.
The force produced by deltoid muscle (M) acts 3cm from the centre of
rotation of the shoulder joint.
The force produced by the weight of the arm is 0.05 times body weight (BW)
and acts 30cm from the joint centre.
The reaction force of the joint (J) is equal to M.
The sum of the moments (∑M) should be in equilibrium i.e. ∑M=0
The arm is in 90 degrees of abduction and it is assumed that only deltoid is
active.
The force produced by deltoid muscle (M) acts 3cm from the centre of
rotation of the shoulder joint.
The force produced by the weight of the arm is 0.05 times body weight (BW)
and acts 30cm from the joint centre.
The reaction force of the joint (J) is equal to M.
The sum of the moments (∑M) should be in equilibrium i.e. ∑M=0
i.e the clockwise moments must be equal to the anticlockwise moments.
The arm is in 90 degrees of abduction and it is assumed that only deltoid is
active.
The force produced by deltoid muscle (M) acts 3cm from the centre of
rotation of the shoulder joint.
The force produced by the weight of the arm is 0.05 times body weight (BW)
and acts 30cm from the joint centre.
The reaction force of the joint (J) is equal to M.
The sum of the moments (∑M) should be in equilibrium i.e. ∑M=0
i.e the clockwise moments must be equal to the anticlockwise moments.
(30cm x .05BW) = (M x 3cm)
The arm is in 90 degrees of abduction and it is assumed that only deltoid is
active.
The force produced by deltoid muscle (M) acts 3cm from the centre of
rotation of the shoulder joint.
The force produced by the weight of the arm is 0.05 times body weight (BW)
and acts 30cm from the joint centre.
The reaction force of the joint (J) is equal to M.
The sum of the moments (∑M) should be in equilibrium i.e. ∑M=0
i.e the clockwise moments must be equal to the anticlockwise moments.
(30cm x .05BW) = (M x 3cm)
M = (30cm x .05BW) / 3cm
The arm is in 90 degrees of abduction and it is assumed that only deltoid is
active.
The force produced by deltoid muscle (M) acts 3cm from the centre of
rotation of the shoulder joint.
The force produced by the weight of the arm is 0.05 times body weight (BW)
and acts 30cm from the joint centre.
The reaction force of the joint (J) is equal to M.
The sum of the moments (∑M) should be in equilibrium i.e. ∑M=0
i.e the clockwise moments must be equal to the anticlockwise moments.
(30cm x .05BW) = (M x 3cm)
M = (30cm x .05BW) / 3cm

Problem: Assuming BW is 70Kg and Gravity is 10m/s, calculate the abduction
force of deltoid (M):
The arm is in 90 degrees of abduction and it is assumed that only deltoid is
active.
The force produced by deltoid muscle (M) acts 3cm from the centre of
rotation of the shoulder joint.
The force produced by the weight of the arm is 0.05 times body weight (BW)
and acts 30cm from the joint centre.
The reaction force of the joint (J) is equal to M.
The sum of the moments (∑M) should be in equilibrium i.e. ∑M=0
i.e the clockwise moments must be equal to the anticlockwise moments.
(30cm x .05BW) = (M x 3cm)
M = (30cm x .05BW) / 3cm

Problem: Assuming BW is 70Kg and Gravity is 10m/s, calculate the abduction
force of deltoid (M):

............Next slide for answer ..........
Calculations:
M = (0.3m x 0.05 (70Kg x 10m/s) / 0.03m

Tips:
- Units should be converted to metres (m)
- BW should be a Force (N), which is mass x acceleration = 70Kg x
10m/s
Answer: M = 350N
Calculations:
M = (0.3m x 0.05 (70Kg x 10m/s) / 0.03m

Tips:
- Units should be converted to metres (m)
- BW should be a Force (N), which is mass x acceleration = 70Kg x
10m/s
In this example the person is holding ball in the outstretched hand.
In this example the person is holding ball in the outstretched hand.

∑M=0
In this example the person is holding ball in the outstretched hand.

∑M=0
[(30cm x .05BW) + (60cm x .025BW)] - (M x 3cm) = 0
In this example the person is holding ball in the outstretched hand.

∑M=0
[(30cm x .05BW) + (60cm x .025BW)] - (M x 3cm) = 0
M = [(30cm x .05BW) + (60cm x .025BW)] / 3cm
In this example the person is holding ball in the outstretched hand.

∑M=0
[(30cm x .05BW) + (60cm x .025BW)] - (M x 3cm) = 0
M = [(30cm x .05BW) + (60cm x .025BW)] / 3cm

Problem: Assuming BW is 70Kg and Gravity is 10m/s, calculate the
abduction force of deltoid (M):
Answer: M = 700N
In this example the person has their elbow bent.

∑M=0
[(30cm x .05BW) + (60cm x .025BW)] - (M x 3cm) = 0
M = (15cm x .05BW) / 3cm

Problem: Assuming BW is 70Kg and Gravity is 10m/s, calculate the
abduction force of deltoid (M):

................ Next slide for answer .......
Answer: M = 175N
In the next two slides you can see how Moments are
relevant in clinical practice.
With a cuff deficient shoulder, arm elevation (flexion &
abduction) are dependent entirely on the deltoid
muscle.

By bending their elbow, the person reduces the
moment of their arm (by shortening the distance the of
the force from the shoulder). This reduces the Force
required by deltoid to elevate the arm.



               M = 350N                      M = 175N
Joint Reaction Force in
                        practice




•The joint reaction force (JRF) is a useful
 measure of joint stability
•An imbalance in the force couples of the
 rotator cuff tendons alters the position,
 direction and magnitude of the JRF (Parsons et al. J
 Orthop Res, 2001)
•It is also important in the process of
JRF             JRF Inclination
          Activity of Daily Living
                                                 %BW                 Angle
Abduction
  75 degrees without weight                       85                   33
                                                                                   Bergmann
  45 degrees with 19.4 N weight                   88                   30
  45 degrees without weight
Flexion
                                                  51                   33           Magnitude JRF
  120 degrees without weight                     124                   34          Inclination Angle
  90 degrees with 19.4 N weight                  129                   34
   90 degrees without weight                     77                    33
Extension, supine position, elbow
flexed, 118 N resistance at elbow                 82                   32
Lifting 13.6 N Coffeepot, straight arm           103                   32
Nailing 15 cm above head                         88                    40
Steering automobile
  Slow, 7 Nm, both hands                          42                   32
  Fast, 7 Nm, both hands                          40                   23
  Fast, 7 Nm, one hand                           109                   19
  Slow, 12 Nm, both hands                        110                   21
  Steering wheel fixed, both hands               152                   32
Walking with 2 crutches, full support            118                   21
Lifting 96.8 N laterally                          14                   26
Putting 24.2 N into shelf, 60 cm in front         69                   32
Combing hair
  Typical effort                                  64                  47
  Maximum effort                                  98                  41
                                                       Average       31.3
                                            Standard Deviation       7.2
Polar Reference Frame for designing
    a humeral head replacement
                                                         "Y""Superior"
           """"""""Y""Superior




                                 """"""""""X""Anterior


   Z                                                                     ""X""Anterior"




                                   Right Arm

       Joint Force




                Joint Force
               Inclination
               Angle
Elbow Biomechanics:
In the example below, assume Force W is 20N and Force P
is 10N, calculate the force required by biceps to keep the




                                           10N
                               20N
Resources
1. Richards - Biomechanics in Clinic &
   Research, Churchill Livingstone
2. Norden & Frankel - Biomechanics of the
   Musculoskeletal System
3. Wikipedia.org
4. Orthoteers.com

More Related Content

What's hot

biomechanic of knee joint
biomechanic of knee jointbiomechanic of knee joint
biomechanic of knee jointAkshay Chavan
 
BIOMECHANICS & PATHOMECHANICS OF KNEE JOINT AND PATELLOFEMORAL JOINT
BIOMECHANICS & PATHOMECHANICS OF KNEE JOINT AND PATELLOFEMORAL JOINTBIOMECHANICS & PATHOMECHANICS OF KNEE JOINT AND PATELLOFEMORAL JOINT
BIOMECHANICS & PATHOMECHANICS OF KNEE JOINT AND PATELLOFEMORAL JOINTDr. Taniya Verma ( PT) Gold medalist
 
Myoelectric prosthesis
Myoelectric  prosthesisMyoelectric  prosthesis
Myoelectric prosthesisSreetama Das
 
Upper Limb Prosthetics - Dr Om Prakash
Upper Limb Prosthetics - Dr Om PrakashUpper Limb Prosthetics - Dr Om Prakash
Upper Limb Prosthetics - Dr Om Prakashmrinal joshi
 
Lower limb orthoses
Lower limb orthosesLower limb orthoses
Lower limb orthosesorthoprince
 
Biomechanics of ligament and tendon
Biomechanics of ligament and tendonBiomechanics of ligament and tendon
Biomechanics of ligament and tendonhamzaAliansari
 
Biomechanics of knee joint
Biomechanics of knee jointBiomechanics of knee joint
Biomechanics of knee jointDivya Kumari
 
Lumbar and sacral Biomechanics
Lumbar and sacral BiomechanicsLumbar and sacral Biomechanics
Lumbar and sacral BiomechanicsSreeraj S R
 
Sitting to Standing Mechanism and Osteoarthritis
Sitting to Standing Mechanism and OsteoarthritisSitting to Standing Mechanism and Osteoarthritis
Sitting to Standing Mechanism and OsteoarthritisStephan Van Breenen
 
Biomechanics of ligaments & tendons
Biomechanics of ligaments & tendonsBiomechanics of ligaments & tendons
Biomechanics of ligaments & tendonsKyat Andrew
 
Cervical spine: anatomy, biomechanics and pathomechanics
Cervical spine: anatomy, biomechanics and pathomechanicsCervical spine: anatomy, biomechanics and pathomechanics
Cervical spine: anatomy, biomechanics and pathomechanicsRadhika Chintamani
 
elbow biomechanics and Pathomechanics.pptx
elbow biomechanics and Pathomechanics.pptxelbow biomechanics and Pathomechanics.pptx
elbow biomechanics and Pathomechanics.pptxKaustubhMaktedar
 

What's hot (20)

Biomechanics of Bones
Biomechanics of BonesBiomechanics of Bones
Biomechanics of Bones
 
biomechanic of knee joint
biomechanic of knee jointbiomechanic of knee joint
biomechanic of knee joint
 
BIOMECHANICS & PATHOMECHANICS OF KNEE JOINT AND PATELLOFEMORAL JOINT
BIOMECHANICS & PATHOMECHANICS OF KNEE JOINT AND PATELLOFEMORAL JOINTBIOMECHANICS & PATHOMECHANICS OF KNEE JOINT AND PATELLOFEMORAL JOINT
BIOMECHANICS & PATHOMECHANICS OF KNEE JOINT AND PATELLOFEMORAL JOINT
 
Spinal orthoses
Spinal orthosesSpinal orthoses
Spinal orthoses
 
Spinal orthoses
Spinal orthosesSpinal orthoses
Spinal orthoses
 
Wheelchair Prescription
Wheelchair PrescriptionWheelchair Prescription
Wheelchair Prescription
 
Biomechanics of joints
Biomechanics of jointsBiomechanics of joints
Biomechanics of joints
 
Myoelectric prosthesis
Myoelectric  prosthesisMyoelectric  prosthesis
Myoelectric prosthesis
 
Biomechanics of the shoulder
Biomechanics of the shoulder Biomechanics of the shoulder
Biomechanics of the shoulder
 
Upper Limb Prosthetics - Dr Om Prakash
Upper Limb Prosthetics - Dr Om PrakashUpper Limb Prosthetics - Dr Om Prakash
Upper Limb Prosthetics - Dr Om Prakash
 
Biomechanics of knee
Biomechanics of knee Biomechanics of knee
Biomechanics of knee
 
Mechanical Properties Of Bone
Mechanical Properties Of BoneMechanical Properties Of Bone
Mechanical Properties Of Bone
 
Lower limb orthoses
Lower limb orthosesLower limb orthoses
Lower limb orthoses
 
Biomechanics of ligament and tendon
Biomechanics of ligament and tendonBiomechanics of ligament and tendon
Biomechanics of ligament and tendon
 
Biomechanics of knee joint
Biomechanics of knee jointBiomechanics of knee joint
Biomechanics of knee joint
 
Lumbar and sacral Biomechanics
Lumbar and sacral BiomechanicsLumbar and sacral Biomechanics
Lumbar and sacral Biomechanics
 
Sitting to Standing Mechanism and Osteoarthritis
Sitting to Standing Mechanism and OsteoarthritisSitting to Standing Mechanism and Osteoarthritis
Sitting to Standing Mechanism and Osteoarthritis
 
Biomechanics of ligaments & tendons
Biomechanics of ligaments & tendonsBiomechanics of ligaments & tendons
Biomechanics of ligaments & tendons
 
Cervical spine: anatomy, biomechanics and pathomechanics
Cervical spine: anatomy, biomechanics and pathomechanicsCervical spine: anatomy, biomechanics and pathomechanics
Cervical spine: anatomy, biomechanics and pathomechanics
 
elbow biomechanics and Pathomechanics.pptx
elbow biomechanics and Pathomechanics.pptxelbow biomechanics and Pathomechanics.pptx
elbow biomechanics and Pathomechanics.pptx
 

Viewers also liked

Biomechanics of shoulder complex
Biomechanics of shoulder complexBiomechanics of shoulder complex
Biomechanics of shoulder complexdebashree roy
 
Anatomy and Biomechanics of the Elbow Joint
Anatomy and Biomechanics of the Elbow JointAnatomy and Biomechanics of the Elbow Joint
Anatomy and Biomechanics of the Elbow Jointorthoprince
 
Joint biomechanics
Joint biomechanics Joint biomechanics
Joint biomechanics Lennard Funk
 
Elbow anatomy and biomechanics
Elbow anatomy and biomechanicsElbow anatomy and biomechanics
Elbow anatomy and biomechanicsAdam Watts
 
biomechanics of shoulder
biomechanics of shoulderbiomechanics of shoulder
biomechanics of shouldermrinal joshi
 
Kinesiology of the Shoulder
Kinesiology of the ShoulderKinesiology of the Shoulder
Kinesiology of the ShoulderSado Anatomist
 
The shoulder joint
The shoulder jointThe shoulder joint
The shoulder jointQuan Fu Gan
 
Anatomy of shoulder joint - vamshi kiran
Anatomy of shoulder joint - vamshi kiranAnatomy of shoulder joint - vamshi kiran
Anatomy of shoulder joint - vamshi kiranbadamvamshikiran
 
Introduction to Biomechanics
Introduction to BiomechanicsIntroduction to Biomechanics
Introduction to BiomechanicsNick Johnstone
 
Year 11 biomechanics with levers, force summation
Year 11 biomechanics with levers, force summationYear 11 biomechanics with levers, force summation
Year 11 biomechanics with levers, force summationryanm9
 
Biomechanics concepts
Biomechanics conceptsBiomechanics concepts
Biomechanics conceptsRatan Khuman
 
Hip joint anatomy and biomechanics
Hip joint anatomy and biomechanicsHip joint anatomy and biomechanics
Hip joint anatomy and biomechanicsRem Kulung
 
Biomechanics powerpoint 2010
Biomechanics powerpoint 2010Biomechanics powerpoint 2010
Biomechanics powerpoint 2010mrsdavison
 
Tests for shoulder joint
Tests for shoulder jointTests for shoulder joint
Tests for shoulder jointAarti Sareen
 
Force summation powerpoint
Force summation powerpointForce summation powerpoint
Force summation powerpointpfordham
 

Viewers also liked (20)

Shoulder 3 (1)
Shoulder 3 (1)Shoulder 3 (1)
Shoulder 3 (1)
 
Biomechanics of shoulder complex
Biomechanics of shoulder complexBiomechanics of shoulder complex
Biomechanics of shoulder complex
 
Anatomy and Biomechanics of the Elbow Joint
Anatomy and Biomechanics of the Elbow JointAnatomy and Biomechanics of the Elbow Joint
Anatomy and Biomechanics of the Elbow Joint
 
Joint biomechanics
Joint biomechanics Joint biomechanics
Joint biomechanics
 
Elbow anatomy and biomechanics
Elbow anatomy and biomechanicsElbow anatomy and biomechanics
Elbow anatomy and biomechanics
 
biomechanics of shoulder
biomechanics of shoulderbiomechanics of shoulder
biomechanics of shoulder
 
Hip biomechanics
Hip biomechanicsHip biomechanics
Hip biomechanics
 
Kinesiology of the Shoulder
Kinesiology of the ShoulderKinesiology of the Shoulder
Kinesiology of the Shoulder
 
Slideshow: Elbow Joint
Slideshow: Elbow JointSlideshow: Elbow Joint
Slideshow: Elbow Joint
 
Torque
TorqueTorque
Torque
 
The shoulder joint
The shoulder jointThe shoulder joint
The shoulder joint
 
Elbow joint
Elbow joint Elbow joint
Elbow joint
 
Anatomy of shoulder joint - vamshi kiran
Anatomy of shoulder joint - vamshi kiranAnatomy of shoulder joint - vamshi kiran
Anatomy of shoulder joint - vamshi kiran
 
Introduction to Biomechanics
Introduction to BiomechanicsIntroduction to Biomechanics
Introduction to Biomechanics
 
Year 11 biomechanics with levers, force summation
Year 11 biomechanics with levers, force summationYear 11 biomechanics with levers, force summation
Year 11 biomechanics with levers, force summation
 
Biomechanics concepts
Biomechanics conceptsBiomechanics concepts
Biomechanics concepts
 
Hip joint anatomy and biomechanics
Hip joint anatomy and biomechanicsHip joint anatomy and biomechanics
Hip joint anatomy and biomechanics
 
Biomechanics powerpoint 2010
Biomechanics powerpoint 2010Biomechanics powerpoint 2010
Biomechanics powerpoint 2010
 
Tests for shoulder joint
Tests for shoulder jointTests for shoulder joint
Tests for shoulder joint
 
Force summation powerpoint
Force summation powerpointForce summation powerpoint
Force summation powerpoint
 

Similar to Moments and forces shoulder elbow

Chapter 2 angular kinetics
Chapter 2 angular kineticsChapter 2 angular kinetics
Chapter 2 angular kineticsEimaan Ktk
 
Biomechanics - Force on the Spine .pptx
Biomechanics - Force on the Spine  .pptxBiomechanics - Force on the Spine  .pptx
Biomechanics - Force on the Spine .pptxsaadalattawneh
 
Exss 3850 10 summer angular kinetics
Exss 3850 10 summer   angular kineticsExss 3850 10 summer   angular kinetics
Exss 3850 10 summer angular kineticsdrew lee
 
Turning Effect of Forces
Turning Effect of ForcesTurning Effect of Forces
Turning Effect of ForcesShafie Sofian
 
lecture 6 -revision before midterm exam.pptx
lecture 6 -revision before midterm exam.pptxlecture 6 -revision before midterm exam.pptx
lecture 6 -revision before midterm exam.pptxKareemSaeed17
 
Chapter 9 tutorial exercises with solutions 19 02 2013
Chapter 9    tutorial exercises with solutions 19 02 2013Chapter 9    tutorial exercises with solutions 19 02 2013
Chapter 9 tutorial exercises with solutions 19 02 2013TRL4EVER
 
Physics Equilibrium
Physics EquilibriumPhysics Equilibrium
Physics Equilibriumwehaa
 
Principle of Angular Motion - Physics - An Introduction by Arun Umrao
Principle of Angular Motion - Physics - An Introduction by Arun UmraoPrinciple of Angular Motion - Physics - An Introduction by Arun Umrao
Principle of Angular Motion - Physics - An Introduction by Arun Umraossuserd6b1fd
 
Angular motion
Angular motionAngular motion
Angular motionArun Umrao
 
Chapter 1 - Rotational Dynamics.pptx
Chapter 1 - Rotational Dynamics.pptxChapter 1 - Rotational Dynamics.pptx
Chapter 1 - Rotational Dynamics.pptxPooja M
 
PHYSICS - Rotational dynamics (MAHARASHTRA STATE BOARD)
PHYSICS - Rotational dynamics (MAHARASHTRA STATE BOARD)PHYSICS - Rotational dynamics (MAHARASHTRA STATE BOARD)
PHYSICS - Rotational dynamics (MAHARASHTRA STATE BOARD)Pooja M
 
Torsional Stress
Torsional StressTorsional Stress
Torsional Stresslimon1705
 
Lecture 4_Biomechanics-Dr. Emad Taleb.pdf
Lecture 4_Biomechanics-Dr. Emad Taleb.pdfLecture 4_Biomechanics-Dr. Emad Taleb.pdf
Lecture 4_Biomechanics-Dr. Emad Taleb.pdfEmadTaleb1
 

Similar to Moments and forces shoulder elbow (20)

Chapter 2 angular kinetics
Chapter 2 angular kineticsChapter 2 angular kinetics
Chapter 2 angular kinetics
 
Biomechanics - Force on the Spine .pptx
Biomechanics - Force on the Spine  .pptxBiomechanics - Force on the Spine  .pptx
Biomechanics - Force on the Spine .pptx
 
Exss 3850 10 summer angular kinetics
Exss 3850 10 summer   angular kineticsExss 3850 10 summer   angular kinetics
Exss 3850 10 summer angular kinetics
 
Turning Effect of Forces
Turning Effect of ForcesTurning Effect of Forces
Turning Effect of Forces
 
lecture 6 -revision before midterm exam.pptx
lecture 6 -revision before midterm exam.pptxlecture 6 -revision before midterm exam.pptx
lecture 6 -revision before midterm exam.pptx
 
Chapter 9 tutorial exercises with solutions 19 02 2013
Chapter 9    tutorial exercises with solutions 19 02 2013Chapter 9    tutorial exercises with solutions 19 02 2013
Chapter 9 tutorial exercises with solutions 19 02 2013
 
Physics Equilibrium
Physics EquilibriumPhysics Equilibrium
Physics Equilibrium
 
Moments
MomentsMoments
Moments
 
Principle of Angular Motion - Physics - An Introduction by Arun Umrao
Principle of Angular Motion - Physics - An Introduction by Arun UmraoPrinciple of Angular Motion - Physics - An Introduction by Arun Umrao
Principle of Angular Motion - Physics - An Introduction by Arun Umrao
 
Angular motion
Angular motionAngular motion
Angular motion
 
Lecture14
Lecture14Lecture14
Lecture14
 
Lecture14
Lecture14Lecture14
Lecture14
 
Chapter 1 - Rotational Dynamics.pptx
Chapter 1 - Rotational Dynamics.pptxChapter 1 - Rotational Dynamics.pptx
Chapter 1 - Rotational Dynamics.pptx
 
Ch9
Ch9Ch9
Ch9
 
PHYSICS - Rotational dynamics (MAHARASHTRA STATE BOARD)
PHYSICS - Rotational dynamics (MAHARASHTRA STATE BOARD)PHYSICS - Rotational dynamics (MAHARASHTRA STATE BOARD)
PHYSICS - Rotational dynamics (MAHARASHTRA STATE BOARD)
 
Torsional Stress
Torsional StressTorsional Stress
Torsional Stress
 
Lecture 4_Biomechanics-Dr. Emad Taleb.pdf
Lecture 4_Biomechanics-Dr. Emad Taleb.pdfLecture 4_Biomechanics-Dr. Emad Taleb.pdf
Lecture 4_Biomechanics-Dr. Emad Taleb.pdf
 
Lecture02
Lecture02Lecture02
Lecture02
 
Lecture02
Lecture02Lecture02
Lecture02
 
Biomechanics of hip complex 4
Biomechanics of hip complex 4Biomechanics of hip complex 4
Biomechanics of hip complex 4
 

More from Lennard Funk

ACJ Disloc Management 2022.pdf
ACJ Disloc Management 2022.pdfACJ Disloc Management 2022.pdf
ACJ Disloc Management 2022.pdfLennard Funk
 
Clavicle Fractures Pro Cyclists 2021.pdf
Clavicle Fractures Pro Cyclists 2021.pdfClavicle Fractures Pro Cyclists 2021.pdf
Clavicle Fractures Pro Cyclists 2021.pdfLennard Funk
 
ACJ Osteolysis.pdf
ACJ Osteolysis.pdfACJ Osteolysis.pdf
ACJ Osteolysis.pdfLennard Funk
 
Chronic Pectoralis Major Injuries Len Funk 2020
Chronic Pectoralis Major Injuries Len Funk 2020Chronic Pectoralis Major Injuries Len Funk 2020
Chronic Pectoralis Major Injuries Len Funk 2020Lennard Funk
 
Rotator Cuff Augment 2018.pdf
Rotator Cuff Augment 2018.pdfRotator Cuff Augment 2018.pdf
Rotator Cuff Augment 2018.pdfLennard Funk
 
Rotator Cuff Update 2022 for Medbelle Len Funk.pptx
Rotator Cuff Update 2022 for Medbelle Len Funk.pptxRotator Cuff Update 2022 for Medbelle Len Funk.pptx
Rotator Cuff Update 2022 for Medbelle Len Funk.pptxLennard Funk
 
Should We Repair Rotator Cuff Tears OPN 2017.pdf
Should We Repair Rotator Cuff Tears OPN 2017.pdfShould We Repair Rotator Cuff Tears OPN 2017.pdf
Should We Repair Rotator Cuff Tears OPN 2017.pdfLennard Funk
 
Anterior shoulder instability st4-6
Anterior shoulder instability   st4-6Anterior shoulder instability   st4-6
Anterior shoulder instability st4-6Lennard Funk
 
ACJ revision surgery for failed reconstructions and excisions
ACJ revision surgery for failed reconstructions and excisionsACJ revision surgery for failed reconstructions and excisions
ACJ revision surgery for failed reconstructions and excisionsLennard Funk
 
Pectoralis Major Injuries for BESS 2020
Pectoralis Major Injuries for BESS 2020Pectoralis Major Injuries for BESS 2020
Pectoralis Major Injuries for BESS 2020Lennard Funk
 
Anterior shoulder Instability in the young athlete 2020 bostaa
Anterior shoulder Instability in the young athlete 2020 bostaaAnterior shoulder Instability in the young athlete 2020 bostaa
Anterior shoulder Instability in the young athlete 2020 bostaaLennard Funk
 
Superior Capsular Reconstruction Outcomes Wrightington 2020
Superior Capsular Reconstruction Outcomes Wrightington 2020Superior Capsular Reconstruction Outcomes Wrightington 2020
Superior Capsular Reconstruction Outcomes Wrightington 2020Lennard Funk
 
Shoulder Instability Sports - Decision Making
Shoulder Instability Sports - Decision MakingShoulder Instability Sports - Decision Making
Shoulder Instability Sports - Decision MakingLennard Funk
 
The Incidence of Traumatic Posterior and Combined Labral Tears in Patients Un...
The Incidence of Traumatic Posterior and Combined Labral Tears in Patients Un...The Incidence of Traumatic Posterior and Combined Labral Tears in Patients Un...
The Incidence of Traumatic Posterior and Combined Labral Tears in Patients Un...Lennard Funk
 
Pectoralis major allograft reconstruction
Pectoralis major allograft reconstructionPectoralis major allograft reconstruction
Pectoralis major allograft reconstructionLennard Funk
 
What the surgeon wants from radiologist
What the surgeon wants from radiologistWhat the surgeon wants from radiologist
What the surgeon wants from radiologistLennard Funk
 
Rotator cuff tear management 2019
Rotator cuff tear management 2019Rotator cuff tear management 2019
Rotator cuff tear management 2019Lennard Funk
 
Perioperative pain management toni hundle the arm clinic 2019
Perioperative pain management toni hundle the arm clinic 2019Perioperative pain management toni hundle the arm clinic 2019
Perioperative pain management toni hundle the arm clinic 2019Lennard Funk
 
Hydrodistension outcomes 2017
Hydrodistension outcomes 2017Hydrodistension outcomes 2017
Hydrodistension outcomes 2017Lennard Funk
 

More from Lennard Funk (20)

ACJ Disloc Management 2022.pdf
ACJ Disloc Management 2022.pdfACJ Disloc Management 2022.pdf
ACJ Disloc Management 2022.pdf
 
Clavicle Fractures Pro Cyclists 2021.pdf
Clavicle Fractures Pro Cyclists 2021.pdfClavicle Fractures Pro Cyclists 2021.pdf
Clavicle Fractures Pro Cyclists 2021.pdf
 
ACJ Osteolysis.pdf
ACJ Osteolysis.pdfACJ Osteolysis.pdf
ACJ Osteolysis.pdf
 
Chronic Pectoralis Major Injuries Len Funk 2020
Chronic Pectoralis Major Injuries Len Funk 2020Chronic Pectoralis Major Injuries Len Funk 2020
Chronic Pectoralis Major Injuries Len Funk 2020
 
Rotator Cuff Augment 2018.pdf
Rotator Cuff Augment 2018.pdfRotator Cuff Augment 2018.pdf
Rotator Cuff Augment 2018.pdf
 
Rotator Cuff Update 2022 for Medbelle Len Funk.pptx
Rotator Cuff Update 2022 for Medbelle Len Funk.pptxRotator Cuff Update 2022 for Medbelle Len Funk.pptx
Rotator Cuff Update 2022 for Medbelle Len Funk.pptx
 
Should We Repair Rotator Cuff Tears OPN 2017.pdf
Should We Repair Rotator Cuff Tears OPN 2017.pdfShould We Repair Rotator Cuff Tears OPN 2017.pdf
Should We Repair Rotator Cuff Tears OPN 2017.pdf
 
Anterior shoulder instability st4-6
Anterior shoulder instability   st4-6Anterior shoulder instability   st4-6
Anterior shoulder instability st4-6
 
ACJ revision surgery for failed reconstructions and excisions
ACJ revision surgery for failed reconstructions and excisionsACJ revision surgery for failed reconstructions and excisions
ACJ revision surgery for failed reconstructions and excisions
 
Pectoralis Major Injuries for BESS 2020
Pectoralis Major Injuries for BESS 2020Pectoralis Major Injuries for BESS 2020
Pectoralis Major Injuries for BESS 2020
 
Anterior shoulder Instability in the young athlete 2020 bostaa
Anterior shoulder Instability in the young athlete 2020 bostaaAnterior shoulder Instability in the young athlete 2020 bostaa
Anterior shoulder Instability in the young athlete 2020 bostaa
 
Superior Capsular Reconstruction Outcomes Wrightington 2020
Superior Capsular Reconstruction Outcomes Wrightington 2020Superior Capsular Reconstruction Outcomes Wrightington 2020
Superior Capsular Reconstruction Outcomes Wrightington 2020
 
Shoulder Instability Sports - Decision Making
Shoulder Instability Sports - Decision MakingShoulder Instability Sports - Decision Making
Shoulder Instability Sports - Decision Making
 
Scapula Pain
Scapula PainScapula Pain
Scapula Pain
 
The Incidence of Traumatic Posterior and Combined Labral Tears in Patients Un...
The Incidence of Traumatic Posterior and Combined Labral Tears in Patients Un...The Incidence of Traumatic Posterior and Combined Labral Tears in Patients Un...
The Incidence of Traumatic Posterior and Combined Labral Tears in Patients Un...
 
Pectoralis major allograft reconstruction
Pectoralis major allograft reconstructionPectoralis major allograft reconstruction
Pectoralis major allograft reconstruction
 
What the surgeon wants from radiologist
What the surgeon wants from radiologistWhat the surgeon wants from radiologist
What the surgeon wants from radiologist
 
Rotator cuff tear management 2019
Rotator cuff tear management 2019Rotator cuff tear management 2019
Rotator cuff tear management 2019
 
Perioperative pain management toni hundle the arm clinic 2019
Perioperative pain management toni hundle the arm clinic 2019Perioperative pain management toni hundle the arm clinic 2019
Perioperative pain management toni hundle the arm clinic 2019
 
Hydrodistension outcomes 2017
Hydrodistension outcomes 2017Hydrodistension outcomes 2017
Hydrodistension outcomes 2017
 

Recently uploaded

Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoybabeytanya
 
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safenarwatsonia7
 
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...narwatsonia7
 
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service BangaloreCall Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalorenarwatsonia7
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Miss joya
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.MiadAlsulami
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Serviceparulsinha
 
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Service
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls ServiceCall Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Service
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Servicenarwatsonia7
 
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...narwatsonia7
 
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safenarwatsonia7
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Miss joya
 
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...Miss joya
 
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night EnjoyCall Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoynarwatsonia7
 
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...Call girls in Ahmedabad High profile
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoybabeytanya
 

Recently uploaded (20)

Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
 
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
 
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
 
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service BangaloreCall Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
 
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
 
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Service
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls ServiceCall Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Service
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Service
 
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...
 
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
 
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
 
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night EnjoyCall Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
 
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
 

Moments and forces shoulder elbow

  • 1. Shoulder & Elbow Biomechanics Forces, Moments & Joint Reaction Forces Lennard Funk
  • 2. Force • any influence that causes a free body to undergo an acceleration • = Mass x Acceleration • Newton’s second law
  • 3. Moment (of force) / • Turning Force • = Force x Distance • = F.r
  • 4. Moment = Force (F) x Distance (d)
  • 5. Equilibrium = Sum of the moments
  • 6. Joint Reaction Force • not the same as joint forces • "the equal and opposite forces that exist between adjacent bones at a joint caused by the weight and inertial forces of the two segments."
  • 7.
  • 8. The arm is in 90 degrees of abduction and it is assumed that only deltoid is active.
  • 9. The arm is in 90 degrees of abduction and it is assumed that only deltoid is active. The force produced by deltoid muscle (M) acts 3cm from the centre of rotation of the shoulder joint.
  • 10. The arm is in 90 degrees of abduction and it is assumed that only deltoid is active. The force produced by deltoid muscle (M) acts 3cm from the centre of rotation of the shoulder joint. The force produced by the weight of the arm is 0.05 times body weight (BW) and acts 30cm from the joint centre.
  • 11. The arm is in 90 degrees of abduction and it is assumed that only deltoid is active. The force produced by deltoid muscle (M) acts 3cm from the centre of rotation of the shoulder joint. The force produced by the weight of the arm is 0.05 times body weight (BW) and acts 30cm from the joint centre. The reaction force of the joint (J) is equal to M.
  • 12. The arm is in 90 degrees of abduction and it is assumed that only deltoid is active. The force produced by deltoid muscle (M) acts 3cm from the centre of rotation of the shoulder joint. The force produced by the weight of the arm is 0.05 times body weight (BW) and acts 30cm from the joint centre. The reaction force of the joint (J) is equal to M. The sum of the moments (∑M) should be in equilibrium i.e. ∑M=0
  • 13. The arm is in 90 degrees of abduction and it is assumed that only deltoid is active. The force produced by deltoid muscle (M) acts 3cm from the centre of rotation of the shoulder joint. The force produced by the weight of the arm is 0.05 times body weight (BW) and acts 30cm from the joint centre. The reaction force of the joint (J) is equal to M. The sum of the moments (∑M) should be in equilibrium i.e. ∑M=0 i.e the clockwise moments must be equal to the anticlockwise moments.
  • 14. The arm is in 90 degrees of abduction and it is assumed that only deltoid is active. The force produced by deltoid muscle (M) acts 3cm from the centre of rotation of the shoulder joint. The force produced by the weight of the arm is 0.05 times body weight (BW) and acts 30cm from the joint centre. The reaction force of the joint (J) is equal to M. The sum of the moments (∑M) should be in equilibrium i.e. ∑M=0 i.e the clockwise moments must be equal to the anticlockwise moments. (30cm x .05BW) = (M x 3cm)
  • 15. The arm is in 90 degrees of abduction and it is assumed that only deltoid is active. The force produced by deltoid muscle (M) acts 3cm from the centre of rotation of the shoulder joint. The force produced by the weight of the arm is 0.05 times body weight (BW) and acts 30cm from the joint centre. The reaction force of the joint (J) is equal to M. The sum of the moments (∑M) should be in equilibrium i.e. ∑M=0 i.e the clockwise moments must be equal to the anticlockwise moments. (30cm x .05BW) = (M x 3cm) M = (30cm x .05BW) / 3cm
  • 16. The arm is in 90 degrees of abduction and it is assumed that only deltoid is active. The force produced by deltoid muscle (M) acts 3cm from the centre of rotation of the shoulder joint. The force produced by the weight of the arm is 0.05 times body weight (BW) and acts 30cm from the joint centre. The reaction force of the joint (J) is equal to M. The sum of the moments (∑M) should be in equilibrium i.e. ∑M=0 i.e the clockwise moments must be equal to the anticlockwise moments. (30cm x .05BW) = (M x 3cm) M = (30cm x .05BW) / 3cm Problem: Assuming BW is 70Kg and Gravity is 10m/s, calculate the abduction force of deltoid (M):
  • 17. The arm is in 90 degrees of abduction and it is assumed that only deltoid is active. The force produced by deltoid muscle (M) acts 3cm from the centre of rotation of the shoulder joint. The force produced by the weight of the arm is 0.05 times body weight (BW) and acts 30cm from the joint centre. The reaction force of the joint (J) is equal to M. The sum of the moments (∑M) should be in equilibrium i.e. ∑M=0 i.e the clockwise moments must be equal to the anticlockwise moments. (30cm x .05BW) = (M x 3cm) M = (30cm x .05BW) / 3cm Problem: Assuming BW is 70Kg and Gravity is 10m/s, calculate the abduction force of deltoid (M): ............Next slide for answer ..........
  • 18. Calculations: M = (0.3m x 0.05 (70Kg x 10m/s) / 0.03m Tips: - Units should be converted to metres (m) - BW should be a Force (N), which is mass x acceleration = 70Kg x 10m/s
  • 19. Answer: M = 350N Calculations: M = (0.3m x 0.05 (70Kg x 10m/s) / 0.03m Tips: - Units should be converted to metres (m) - BW should be a Force (N), which is mass x acceleration = 70Kg x 10m/s
  • 20.
  • 21. In this example the person is holding ball in the outstretched hand.
  • 22. In this example the person is holding ball in the outstretched hand. ∑M=0
  • 23. In this example the person is holding ball in the outstretched hand. ∑M=0 [(30cm x .05BW) + (60cm x .025BW)] - (M x 3cm) = 0
  • 24. In this example the person is holding ball in the outstretched hand. ∑M=0 [(30cm x .05BW) + (60cm x .025BW)] - (M x 3cm) = 0 M = [(30cm x .05BW) + (60cm x .025BW)] / 3cm
  • 25. In this example the person is holding ball in the outstretched hand. ∑M=0 [(30cm x .05BW) + (60cm x .025BW)] - (M x 3cm) = 0 M = [(30cm x .05BW) + (60cm x .025BW)] / 3cm Problem: Assuming BW is 70Kg and Gravity is 10m/s, calculate the abduction force of deltoid (M):
  • 26.
  • 27. Answer: M = 700N
  • 28. In this example the person has their elbow bent. ∑M=0 [(30cm x .05BW) + (60cm x .025BW)] - (M x 3cm) = 0 M = (15cm x .05BW) / 3cm Problem: Assuming BW is 70Kg and Gravity is 10m/s, calculate the abduction force of deltoid (M): ................ Next slide for answer .......
  • 29.
  • 30. Answer: M = 175N
  • 31. In the next two slides you can see how Moments are relevant in clinical practice. With a cuff deficient shoulder, arm elevation (flexion & abduction) are dependent entirely on the deltoid muscle. By bending their elbow, the person reduces the moment of their arm (by shortening the distance the of the force from the shoulder). This reduces the Force required by deltoid to elevate the arm. M = 350N M = 175N
  • 32. Joint Reaction Force in practice •The joint reaction force (JRF) is a useful measure of joint stability •An imbalance in the force couples of the rotator cuff tendons alters the position, direction and magnitude of the JRF (Parsons et al. J Orthop Res, 2001) •It is also important in the process of
  • 33. JRF JRF Inclination Activity of Daily Living %BW Angle Abduction 75 degrees without weight 85 33 Bergmann 45 degrees with 19.4 N weight 88 30 45 degrees without weight Flexion 51 33 Magnitude JRF 120 degrees without weight 124 34 Inclination Angle 90 degrees with 19.4 N weight 129 34 90 degrees without weight 77 33 Extension, supine position, elbow flexed, 118 N resistance at elbow 82 32 Lifting 13.6 N Coffeepot, straight arm 103 32 Nailing 15 cm above head 88 40 Steering automobile Slow, 7 Nm, both hands 42 32 Fast, 7 Nm, both hands 40 23 Fast, 7 Nm, one hand 109 19 Slow, 12 Nm, both hands 110 21 Steering wheel fixed, both hands 152 32 Walking with 2 crutches, full support 118 21 Lifting 96.8 N laterally 14 26 Putting 24.2 N into shelf, 60 cm in front 69 32 Combing hair Typical effort 64 47 Maximum effort 98 41 Average 31.3 Standard Deviation 7.2
  • 34. Polar Reference Frame for designing a humeral head replacement "Y""Superior" """"""""Y""Superior """"""""""X""Anterior Z ""X""Anterior" Right Arm Joint Force Joint Force Inclination Angle
  • 35. Elbow Biomechanics: In the example below, assume Force W is 20N and Force P is 10N, calculate the force required by biceps to keep the 10N 20N
  • 36. Resources 1. Richards - Biomechanics in Clinic & Research, Churchill Livingstone 2. Norden & Frankel - Biomechanics of the Musculoskeletal System 3. Wikipedia.org 4. Orthoteers.com