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Factors Preventing Downward Dislocation of the Adducted Shoulder Joint An Electromyographic and Morphological Study
J. V. Basmajian; F. J. Bazant
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Department of Anatomy, Queen's University at Kingston
1959 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1959; 41:1182-1186 
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Abstract

An electromyographic study of various muscles in the region of the shoulder joint in twenty-two healthy men combined with a study of dissections shows that, contrary to expectations, downward dislocation of the shoulder joint is not prevented by the vertically running muscles, for example, the deltoid, biceps, and triceps. Normally it is prevented by a locking mechanism dependent on three factors: (1) the slope of the glenoid fossa, leading to (2) the tightening of the superior part of the capsule (including the coracohumeral ligament), and (3) the activity of the supraspinatus muscle (and, to a lesser extent, the posterior fibers of the deltoid).

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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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