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At least 703 records · Page 39Linked to original sources
PubMed2006

The insertional footprint of the rotator cuff: an anatomic study.

PURPOSE: The purpose of this study was to define the entire rotator cuff footprint and relate it to known, easily identifiable landmarks as a guide for both open and arthroscopic rotator cuff repair. Anatomic: Gross and microscopic. METHODS: The myotendinous units of the rotator cuff and their insertions onto the humerus were dissected in 20 fresh-frozen cadavers. The separate tendon insertions were identified, and their length and width measured. The character and exact anatomy of the tendons were also noted. The entire insertion was measured and referenced to the articular surface, biceps groove, and bare area of the humerus. In a separate part of the study, 6 cadavers were decalcified and thin-sliced through the supraspinatus tendon insertion. This insertion was evaluated via scanning electron microscopy (SEM). RESULTS: Our findings demonstrated a consistent pattern at the insertion of the rotator cuff. The horseshoe-shaped insertion tapers away from the articular surface in a superior-to-inferior direction. Interdigitation of the muscle units may be noted, particularly between the supraspinatus and the infraspinatus. Average maximum insertional lengths and widths were as follows: subscapularis (SC): 40 x 20 mm; infraspinatus (IS): 29 x 19 mm; supraspinatus (SS): 23 x 16 mm; and teres minor (TM): 29 x 21 mm. The SC inserted on the lesser tuberosity adjacent to the biceps groove at the edge of the articular surface. It tapered away 18 mm at its inferior border. The SS inserted at the articular surface along its entire insertion from the bicipital groove to the top of the bare area. The IS wrapped the posterior border of the SS superiorly at the articular surface and tapered away inferiorly, framing the bare area. SEM microscopy showed the SS to be adherent to the edge of the articular surface medially. As it filled the sulcus, its lateral edge extended over the edge of the greater tuberosity. CONCLUSIONS: A consistent pattern was noted at the insertional anatomy of the rotator cuff. This anatomy was related to known, easily identifiable landmarks and may serve as a guide for evaluation of size, location, and propagation patterns of rotator cuff tears, as well as for their repair. CLINICAL RELEVANCE: Knowledge of the insertional anatomy of the rotator cuff can facilitate grading and repair of rotator cuff tears.

Cadaver↗
PubMed2004

Cervical muscle response to posterolateral impacts--effect of head rotation.

BACKGROUND: Rear impacts may be offset, and may also occur with the head rotated at impact. The purpose of this study was to determine the response of the cervical muscles to increasing low-velocity rear impacts offset by 45 degrees to the subject's right, but also with the head rotated either right or left. METHODS: Twenty healthy volunteers underwent right posterolateral impacts of 4.6, 8.0, 11.0, and 13.1 m/s2 acceleration with head turned right or left. Electromyograms of the sternocleidomastoids, trapezii, and splenii capitis were recorded, as were acceleration of the sled, torso, and head of the participant. FINDINGS: At an impact acceleration of 13.1 m/s2, with head rotated to the right, the left sternocleidomastoid and the contralateral (to rotation) trapezius and splenius capitis generated more electromyogram activity than their counterparts (P < 0.05). Following impacts with the head rotated to the right, the left sternocleidomastoid generated 67% of its maximal voluntary electromyogram, and the right sternocleidomastoid 5% of the maximal voluntary electromyogram, whereas the remaining muscles did not generate more than 31% of the maximal voluntary contraction electromyogram. In impacts with head rotated left, the right sternocleidomastoid generated 53% of its maximal voluntary electromyogram, and the left splenius capitis and left trapezius showed more electromyogram activity than their counterparts (P < 0.05). INTERPRETATION: Head rotation in a right posterolateral impact modifies the cervical response mainly by generating an asymmetry in the paired sternocleidomastoid electromyograms. This may asymmetrically affect the risk of injury to the sternocleidomastoids. An understanding of the muscular response to rear-impacts of different types and the effect of head rotation at the time of impact is relevant to understanding the mechanism of acute whiplash injury and may be helpful to develop targeted treatments and preventative measures.

Acceleration↗
PubMed2004

Maximising somersault rotation in tumbling.

Performing complex somersaulting skills during the flight phase of tumbling requires the generation of linear and angular momenta during the approach and takeoff phases. This paper investigates how approach characteristics and takeoff technique affect performance with a view to maximising somersault rotation in tumbling. A five-segment planar simulation model, customised to an elite gymnast, was used to produce a simulation which closely matched a recorded performance of a double layout somersault by the elite gymnast. Three optimisations were carried out to maximise somersault rotation with different sets of initial conditions. Using the same initial linear and angular momentum as the double layout somersault and varying the joint torque activation timings allowed a double straight somersault to be performed with 19% more rotation potential than the actual performance. Increasing the approach velocity to a realistic maximum of 7 ms(-1) resulted in a 42% reduction in rotation potential when the activation timings were unchanged but allowed a triple layout somersault to be performed with an increase of 31% in rotation potential when activation timings were re-optimised. Increasing also the initial angular momentum to a realistic maximum resulted in a 4% reduction in rotation potential when the activation timings were unchanged but allowed a triple straight somersault to be performed with a further increase of 9% in rotation potential when activation timings were re-optimised. It is concluded that the limiting factor to maximising somersault rotation is the ability to generate high linear and angular velocities during the approach phase coupled with the ability to adopt consonant activation timings during the takeoff phase.

Computer Simulation↗
PubMed2005

Glenohumeral elevation-dependent influence of anterior glenohumeral capsular lesions on passive axial humeral rotation.

The purpose of this study was to assess the effect of standardized anterior glenohumeral capsular lesions on axial humeral rotation in a full arc of glenohumeral elevation. Using a testing apparatus, the range of internal and external humeral rotation was assessed in an arc of glenohumeral elevation in the scapular plane with steps of 15 degrees in six isolated shoulder joint specimens. Cutting of the glenohumeral joint capsule 1 cm laterally from, and parallel to the glenoid rim was performed in seven steps of 1 cm till the anterior capsule was cut. Capsular lesions were made in three ways: from inferior, from superior and from the middle of the capsule. Anterior capsular lesions resulted in significant increase of external humeral rotation. This occurred particularly at 15-60 degrees glenohumeral elevation. Lesions of the inferior part of the capsule mainly increased external rotation at 30-60 degrees glenohumeral elevation, lesions of the superior part mainly in lower elevation angles and lesions of the middle more gradually in the range till 60 degrees of glenohumeral elevation. Cutting of the anterior glenohumeral capsule barely increased passive axial humeral rotation at elevation angles over 60 degrees. Above 60 degrees glenohumeral elevation, tightening of the inferior posterior glenohumeral joint capsule prevented both internal and, increasingly, external humeral rotation. From these observations it is concluded that increased external rotation correlates with progressive anterior capsular lesions, mainly below 60 degrees glenohumeral elevation. To assess anterior glenohumeral capsular lesions in patients, axial humeral rotation tests should probably not exceed 60 degrees glenohumeral elevation, i.e. 90 degrees thoracohumeral elevation.

Aged↗
PubMed2005

Measurement of lumbar spine loads and motions during rotational mobilization.

OBJECTIVES: To measure the loads acting at the lumbar spine and the resulting motions during rotational mobilization. METHODS: Twenty healthy subjects were subjected to right rotational mobilization of different grades. The magnitude and frequency of mobilization loads were decided by an experienced manipulative therapist to be appropriate for each mobilization grade. Subjects were positioned on a specially constructed plinth capable of measuring forces and moments about 3 axes. The 3-dimensional movements of the lumbar spine were captured by an electromagnetic tracking device. RESULTS: In the starting positions, the lumbar spines were found to be flexed, axially rotated to the right, and laterally bent to the left. As the mobilization grade increased, the spine was axially rotated further into the range. Rotational mobilization was found to induce oscillatory moments and movements of the spine in all 3 anatomical planes. The twisting moment and movement were generally accompanied by lateral bending moment and movement in the opposite direction. The mean amplitudes of the moment and movement oscillations were small and found to be largest for grade III mobilization. CONCLUSION: The mechanical effects of rotational mobilization are not restricted to axial rotation of the spine as the name may have suggested. Rotational mobilization may be able to restore lost movements of the lumbar spine in any of the 3 planes. The method developed in this study showed good reliability and may be considered to assess treatment outcome and changes in spinal stiffness after therapy.

Adult↗
PubMedDate not supplied

Should acute anterior dislocations of the shoulder be immobilized in external rotation? A cadaveric study.

The high recurrence rate associated with anterior shoulder dislocations may reflect inadequate healing of a Bankart lesion when the arm is immobilized in internal rotation. The effect of external rotation (ER) of the humerus on the glenoid-labrum contact of Bankart lesions was examined in 10 human cadaveric shoulders. The contact force between the glenoid labrum and the glenoid was measured in 60 degrees of internal rotation, neutral rotation, and 45 degrees of ER in 10 human cadaveric shoulders. No detectable contact force was found with the arm in internal rotation. The contact force increased as the arm passed through neutral rotation and reached a maximum at 45 degrees of ER. The contact force returned to 0 g when the arm was returned to neutral rotation. The mean contact force at 45 degrees of ER was 83.5 g. External rotation significantly increases the labrum-glenoid contact force and may influence the healing of a Bankart lesion.

Acute Disease↗
PubMedDate not supplied

Biceps tenodesis associated with arthroscopic repair of rotator cuff tears.

Associated lesions of the biceps tendon are commonly found during arthroscopic repair of rotator cuff tears. These lesions are treated with tenodesis, classically performed through an open approach. However, it seems reasonable to seek a single approach to correct both lesions; therefore, we have proposed a new arthroscopic technique that allows an exclusive arthroscopic tenodesis by including the biceps tendon in the rotator cuff suture, a surgical technique with a single suture of the rotator cuff that includes the biceps tendon. We treated 97 shoulders in 96 patients arthroscopically for complete rotator cuff tears. Of these shoulders, 15 required tenodesis for treatment of biceps tendon lesions. Through an arthroscopic approach, a subacromial decompression followed by a rotator cuff repair was carried out in association with a biceps tenodesis. In this technique, one limb of the suture was passed through the biceps tendon, and the other was passed through the rotator cuff tear, bringing both tissues together in the final suture. Of the patients, 9 were men and 5 were women. Their mean age was 71 years (range, 41-80 years). The dominant arm was affected in all patients. Postoperative evaluation, by use of the UCLA score, after a mean follow-up period of 32.4 months showed satisfactory results in 93.4% of patients: 11 had excellent results, 3 had good results, and only 1 had an unsatisfactory result. In this case a postoperative magnetic resonance imaging scan showed an intact rotator cuff and biceps tenodesis. The suture involving the rotator cuff and the biceps tendon proved effective to correct both lesions, with the main advantage being that an additional approach was not required.

Aged↗
PubMed2006

Three-dimensional rotation of the scapula during functional movements: an in vivo study in healthy volunteers.

The goal of this study was to measure 3-dimensional shoulder motion by use of a direct invasive technique during 4 different arm movements in healthy volunteers. Eight subjects with healthy shoulders were recruited. Optoelectronic marker carriers (ie, infrared light-emitting diodes) were mounted on bone pins, which were inserted into the lateral scapular spine. Subjects performed 4 different arm movements while the motion was being recorded by a precision optoelectronic camera. Joint angles were calculated in 3 dimensions. Intraclass correlation coefficients and root-mean-square differences were calculated as measures of reliability. During abduction, the scapula tipped posteriorly (44 degrees +/- 11 degrees), rotated upward (49 degrees +/- 7 degrees), and rotated externally (27 degrees +/- 11 degrees). For reaching, the scapula consistently rotated upward (17 degrees +/- 3 degrees) and rotated internally (18 degrees +/- 6 degrees) whereas tipping was generally less than 10 degrees (5 degrees +/- 2 degrees). Overall, the range of scapular movement for the hand behind the back was small and variable, with most rotations not exceeding 15 degrees. For horizontal adduction, the scapula tipped anteriorly (8 degrees +/- 3 degrees), rotated upward (5 degrees +/- 2 degrees), and rotated internally (27 degrees +/- 6 degrees). These scapular rotations provide normative data that will be useful for diagnosing scapular dysfunction.

Adult↗
PubMed2006

Reflection makes sense of rotation of the eyes.

Our 3-D percept of the world is constructed from the two-dimensional visual images on the retina of each eye, but these images and the relationships between them are affected by the 3-D rotations of each eye. These 3-D eye rotations are constrained to patterns such as Listing's law, or its generalisation 'L2', according to the context. Our understanding of the patterns of such three-dimensional eye rotations, and their effect on the retinal images, has been greatly advanced by the development of algebraic methods (Haustein, 1989; Tweed & Vilis, 1987; Westheimer, 1957) for calculating the effect of eye rotations. But not many would say, with Dirac, that they understand the equations describing the 3-D geometry in the sense that they have "a way of figuring out the characteristic of its solution without actually solving it" (Dirac, according to Feynman, Leighton, & Sands, 1964). I show here how the geometry of 3-D rotations of the eye and their visual effects can be made easier to understand by use of the principle that a rotation through angle alpha can be achieved by a pair of reflections in planes with an angular separation alpha/2, and a common line that is the rotation axis (Tweed, 1997b; Tweed, Cadera, & Vilis, 1990). Mathematically (see Appendix A), the method is equivalent to decomposing the unit quaternions so successfully used to study three-dimensional eye rotations (Tweed & Vilis, 1987; Westheimer, 1957) into pairs of pure quaternions (ones whose scalar part is zero) which represent the reflections (Coxeter, 1946).

Biomechanical Phenomena↗
PubMed1997

Extreme bilateral molar rotation in Monodelphis domestica (Marsupialia: Didelphidae).

Rotation of a tooth around an axis perpendicular to the occlusal plane through angles approaching 180 degrees is a rare anomaly found in the mammalian dentition. A specimen of Monodelphis domestica was found to show such extreme rotation of both lower last molars, with consequent disruption of normal occlusion and wear. A review of the literature discovered 41 other reported cases of extreme rotation, from four different orders of mammals. The distribution of extreme rotation within the dentition can be summarized as follows. It is found only in isolated teeth or in contralateral pairs of teeth. Bilateral rotation is far more common than would be expected based on the chance of the independent occurrence of two rotations. Extreme rotation has a significantly higher frequency in upper rather than lower teeth, in premolars rather than other teeth, and on the left- rather than the right--hand side. The incidence of extreme rotation across mammals was estimated to be approx. 1 in 5850.

Animal Diseases↗
PubMed1991

Rotational dynamics of spin-labeled F-actin during activation of myosin S1 ATPase using caged ATP.

The most probable source of force generation in muscle fibers in the rotation of the myosin head when bound to actin. This laboratory has demonstrated that ATP induces microsecond rotational motions of spin-labeled myosin heads bound to actin (Berger, C. L. E. C. Svensson, and D. D. Thomas. 1989. Proc. Natl. Acad. Sci. USA. 86:8753-8757). Our goal is to determine whether the observed ATP-induced rotational motions of actin-bound heads are accompanied by changes in actin rotational motions. We have used saturation transfer electron paramagnetic resonance (ST-EPR) and laser-induced photolysis of caged ATP to monitor changes in the microsecond rotational dynamics of spin-labeled F-actin in the presence of myosin subfragment-1 (S1). A maleimide spin label was attached selectively to cys-374 on actin. In the absence of ATP (with or without caged ATP), the ST-EPR spectrum (corresponding to an effective rotational time of approximately 150 microseconds) was essentially the same as observed for the same spin label bound to cys-707 (SH1) on S1, indicating that S1 is rigidly bound to actin in rigor. At normal ionic strength (micro = 186 mM), a decrease in ST-EPR intensity (increase in microsecond F-actin mobility) was clearly indicated upon photolysis of 1 mM caged ATP with a 50-ms, 351-nm laser pulse. This increase in mobility is due to the complete dissociation of Si from the actin filament. At low ionic strength (micro, = 36 mM), when about half the Si heads remain bound during ATP hydrolysis, no change in the actin mobility was detected, despite much faster motions of labeled S1 bound to actin. Therefore, we conclude that the active interaction of Si, actin,and ATP induces rotation of myosin heads relative to actin, but does not affect the microsecond rotational motion of actin itself, as detected at cys-374 of actin.

Actins↗
PubMed1995

Simultaneous measurement of bacterial flagellar rotation rate and swimming speed.

Swimming speeds and flagellar rotation rates of individual free-swimming Vibrio alginolyticus cells were measured simultaneously by laser dark-field microscopy at 25, 30, and 35 degrees C. A roughly linear relation between swimming speed and flagellar rotation rate was observed. The ratio of swimming speed to flagellar rotation rate was 0.113 microns, which indicated that a cell progressed by 7% of pitch of flagellar helix during one flagellar rotation. At each temperature, however, swimming speed had a tendency to saturate at high flagellar rotation rate. That is, the cell with a faster-rotating flagellum did not always swim faster. To analyze the bacterial motion, we proposed a model in which the torque characteristics of the flagellar motor were considered. The model could be analytically solved, and it qualitatively explained the experimental results. The discrepancy between the experimental and the calculated ratios of swimming speed to flagellar rotation rate was about 20%. The apparent saturation in swimming speed was considered to be caused by shorter flagella that rotated faster but produced less propelling force.

Biophysical Phenomena↗
PubMedDate not supplied

Changes in vertebral artery blood flow following normal rotation of the cervical spine.

BACKGROUND: Extreme rotation of the cervical spine may cause compromised vertebral artery (VA) blood flow. This is of particular interest to manual therapists because of the potential risks associated with these movements. The question is whether the decreased blood flow is significant and therefore likely to cause vertebrobasilar insufficiency/ischemia (VBI) and whether contralateral and ipsilateral rotations are equally affected. Several studies measuring VA blood flow have been reported. However, different parts of the VA were studied, in small samples of normal subjects and patients over a wide range of ages. Hence, the results are controversial. OBJECTIVE: To investigate intracranial VA blood flow in normal male subjects and female subjects, aged 20 to 30 years, in neutral and maximally rotated cervical spinal positions. METHODS: Transcranial Doppler sonography was used to measure intracranial VA blood flow, with the cervical spine in neutral and then rotated maximally to the left and later to the right. The sample consisted of 60 male subjects and 60 female subjects (240 VAs). Comparisons between the neutral and rotated head positions were made within and between the groups. RESULTS: There was a significant decrease (P =.001) in intracranial VA blood flow following cervical spine rotation, irrespective of side but greater on the contralateral side, in the total sample and in male subjects. Female subjects had a significantly higher blood flow than male subjects, and although they showed a significant decrease with contralateral rotation, there was no significant difference in blood flow on the ipsilateral side. CONCLUSION: Maximal rotation of the cervical spine may significantly affect vertebral artery blood flow, particularly when used in the treatment of patients with underlying vascular pathology.

Adult↗
PubMed1991

Intrastriatal dopaminergic agents, muscarinic stimulation, and GABA antagonism compared for rotation responses in rats.

We tested the common hypothesis that rotation on systemic injection of dopaminergic agents in rats with unilateral 6-hydroxydopamine lesions of the substantia nigra is attributable to unequal stimulation of dopamine receptors between the two striata. No rotation occurred when dopamine, apomorphine or amphetamine were injected into dorsal striatum or nucleus accumbens of intact, unanesthetized rats. Intrastriatal haloperidol elicited ipsiversive postural deviation only in conjunction with hypermotility induced by systemic amphetamine. In unilateral 6-hydroxydopamine-lesioned rats, intrastriatal apomorphine elicited rotation directed away from the side of its injection, whether intact or lesioned. Carbachol elicited short-latency rotation, contraversive to injection in dorsal striatum or nucleus accumbens, in both intact and 6-hydroxydopamine-lesioned rats. The rotation response to carbachol was suppressed by atropine administered systemically or into the site of intrastriatal carbachol. Picrotoxin or bicuculline produced contraversive rotation or contralateral myoclonic jerks on injection into the striatum in intact rats. The results show that asymmetric stimulation of striatal dopamine receptors is not sufficient to cause rotation, unless the receptors have been denervated. On the other hand, asymmetric stimulation muscarinic receptors is in itself enough to produce the imbalance of gamma-aminobutyric acid (GABA)ergic striatal outputs responsible for rotation.

Amphetamine↗
PubMed2001

Rotational dynamics of surface probes in lipid vesicles.

Translational and rotational diffusion of fluorescent molecules on the surface of small biological systems such as vesicles, proteins and micelles depolarize the fluorescence. A recent study has treated the case of the translational dynamics of surface probes (M.M.G. Krishna, R. Das, N. Periasamy and R. Nityananda, J. Chem. Phys., 112 (2000) 8502-8514) using Monte Carlo and theoretical methods. Here we extend the application of the methodologies to apply the case of rotational dynamics of surface probes. The corresponding fluorescence anisotropy decays were obtained using the Monte Carlo simulation methods for the two cases: surface probes undergoing rotational dynamics on a plane and on a sphere. The results were consistent with the theoretical equations which show that Monte Carlo methods can be used to simulate the surface diffusion problems. The anisotropy decay for the rotational diffusion of a molecule on a planar surface is single exponential and the residual anisotropy is zero. However, residual anisotropy is finite for the case of rotational diffusion on a sphere because of the spatial averaging of the anisotropy function. The rotational correlation time in both the cases is (4Drot)(-1) with Drot being the rotational diffusion coefficient. Rotational dynamics of a surface bound dye in a single giant liposome and in sonicated vesicles were studied and the results were explained according to the theoretical equations. A fast component of fluorescence depolarization was also observed for sonicated vesicles which was interpreted as wobbling-in-cylinder dynamics of the surface-bound dye.

Carbocyanines↗
PubMed2002

Drug-induced rotation intensity in unilateral dopamine-depleted rats is not correlated with end point or qualitative measures of forelimb or hindlimb motor performance.

The pharmacological induction of rotational (circling) behavior is widely used to assess the effects of lesions to the dopaminergic system and the success of treatment strategies in rat models of Parkinson's disease. While the number of rotations under apomorphine, L-DOPA and amphetamine is related to the extent of dopamine depletion after unilateral 6-hydroxydopamine lesion of the nigrostriatal dopamine system, the relationship of the intensity of rotational behavior to the degree of impairment in motor behavior is unclear. The present study examined this question by correlating rotational behavior and motor abilities in a rat analogue for Parkinson's disease produced by unilateral nigrostriatal bundle lesion with 6-hydroxydopamine. Ipsiversive and contraversive rotation was measured in the rats following systemic administration of low and high doses of apomorphine, the dopamine precursor L-DOPA, and amphetamine. The motor assessment included end point and qualitative measures of fore- and hindlimbs assessed in a skilled reaching task and a skilled ladder rung walking task. The intensity of drug-induced rotation did not correlate with the measures of motor performance. We conclude that independence of rotational behavior and motor performance argues that both the assessment of 6-hydroxydopamine behavioral deficits and potential treatments for the functional deficits require comprehensive assessment, including both measures of rotation and motor behavior.

Amphetamine↗
PubMed2003

The measurement of the rotational deformities with computed tomography in femoral shaft fractures of the children treated with early spica cast.

Twenty-eight children with femoral shaft fractures, treated with early spica cast, were evaluated with computed tomography (CT), for their femoral shaft rotational deformities. The femoral torsion angles were measured on both sides. If the torsion angle of the fractured side was more than the other side, it was considered as an internal rotational deformity and if it was less, it was considered as an external rotational deformity. Internal rotational deformities were detected in nine cases and external rotational deformities were detected in 17 cases. Rotational deformity was not observed in two cases. Four cases, with a rotational deformity more than 10 degrees, were corrected with a gypsotomy through the level of the fracture. We concluded that a rotational deformity, which is an important complication in conservative treatment of the femoral shaft fractures in children, can be determined exactly with CT and corrections on the spica cast can be made with a gypsotomy.

Casts, Surgical↗
PubMed1995

Condylar movement and mandibular rotation during jaw opening.

Inaccurate description of mandibular rotation can have profound effects on orthognathic surgical treatment planning and surgical outcome, as well as affect the precision of appliances fabricated on articulators. Disagreement exists concerning movements of the condyle during jaw opening. Although mandibular function is often described as rotation around an instantaneous center located outside of the condyle, many believe that jaw opening occurs around an axis of rotation that remains fixed at the center of the condylar head. In this study, condylar movements and centers of mandibular rotation during jaw opening were examined in normal subjects with the Dolphin Sonic Digitizing System. All of the subjects demonstrated both translation and rotation of the condyle during initiation of jaw opening, and none had a center of mandibular rotation located at the condylar head. The findings support the theory of a constantly moving, instantaneous center of jaw rotation during opening that is different in every person. There were also differences in movement within the subjects between experimental trials. The uncertainty of predicting mandibular rotation for a given patient should be considered when planning surgical treatment and fabricating orthodontic appliances.

Cephalometry↗