Scapulohumeral Rythm:
For every 2 degrees abduction of the humerus, there is 1 degree upward rotation of the scapula (this is an average, it varies throughout the range)
Reverse Scapulohumeral Rythm: is seen in cases such as frozen shoulder and rotator cuff tearsMovements
- Glenohumeral: abduction (deltoids, supraspinatus)
- Scapular: upward rotation (serratus anterior, trapezius)
- Clavicle: elevation
- Glenohumeral: adduction (latissimus dorsi, teres major, pectoralis major (sternal))
- Scapular: downward rotation (rhomboids, pectoralis minor)
- Clavicle: depression
- Glenohumeral: flexion (anterior deltoid, pectoralis major (clavicle), biceps brachii, coracobrachialis)
- Scapular: upward rotation (serratus anterior, trapezius) abduction (serratus anterior, pectoralis minor)
- Clavicle: elevation, protraction
- Glenohumeral: extension (latissimus dorsi, teres major, posterior deltoid, triceps brachii)
- Scapular: downward rotation (pectoralis minor, trapezius) adduction (rhomboids, trapezius)
- Clavicle: depression, retraction
- Glenohumeral: hyperextension (posterior deltoid, teres major, latissimus dorsi)
- Scapular: upward tilt (pectoralis minor)
- Clavicle: rotation
- Glenohumeral: External Rotation (infraspinatus, teres minor)
- Scapular: adduction (rhomboids, trapezius)
- Clavicle: retracion
- Glenohumeral: Internal Rotation (subscapularis, latissimus dorsi, teres major, pectoralis major)
- Scapular: abduction (pectoralis minor, serratus anterior)
- Clavicle: protraction
Scapular positioning (scapular spines begin medially at the T3 level) the scapula itself should go from the T2 to T7 spinous processes. Sprengel's deformity is a congenitally high or undescending shoulder.