The roentgenographic parameters of motion in normal and abnormal
shoulders, including the movement of the scapula, arm angle, glenohumeral
angle, scapulothoracic angle, excursion of the humeral head, and instant
center of motion for abduction in the plane of the scapula, were determined
in twelve normal subjects and fifteen patients. The scapula rotated
externally with abduction. The ratio of glenohumeral to scapulothoracic
movement was 5:4 after about 30 degrees of abduction. The center of
rotation of the glenohumeral joint for abduction in the plane of the
scapula was located within six millimeters of the geometric center of the
humeral ball. The average excursion of the humeral ball on the face of the
glenoid in the superoinferior plane between each 30-degree arc of motion
was less than 1.5 millimeters in normal subjects. Significant previous
injury resulting in abnormal mechanics of the shoulder joint was associated
with abnormal values for excursion of the instant center and of the humeral
head. An abnormal glenohumeral-to-scapulothoracic ratio was associated with
significant pain in the shoulder. The fact that these various parameters
were sensitive indicators of normal and abnormal motion raises the
possibility of diagnostic clinical application.