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In Vivo Determination of the Dynamics of Normal, Rotator Cuff-Deficient, Total, and Reverse Replacement Shoulders by Mohamed Mahfouz, Gregory Nicholson, Richard Komistek, David Hovis, and Matthew Kubo J Bone Joint Surg Am Volume 87(suppl 2):107-113 December 1, 2005 ©2005 by The Journal of Bone and Joint Surgery, Inc.

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Page 1: In Vivo Determination of the Dynamics of Normal, Rotator Cuff-Deficient, Total, and Reverse Replacement Shoulders by Mohamed Mahfouz, Gregory Nicholson,

In Vivo Determination of the Dynamics of Normal, Rotator Cuff-Deficient, Total, and Reverse Replacement Shoulders

by Mohamed Mahfouz, Gregory Nicholson, Richard Komistek, David Hovis, and Matthew Kubo

J Bone Joint Surg AmVolume 87(suppl 2):107-113

December 1, 2005

©2005 by The Journal of Bone and Joint Surgery, Inc.

Page 2: In Vivo Determination of the Dynamics of Normal, Rotator Cuff-Deficient, Total, and Reverse Replacement Shoulders by Mohamed Mahfouz, Gregory Nicholson,

Three-dimensional overlay of a shoulder without an implant (left) and a shoulder with an implant (right).

Mohamed Mahfouz et al. J Bone Joint Surg Am 2005;87:107-113

©2005 by The Journal of Bone and Joint Surgery, Inc.

Page 3: In Vivo Determination of the Dynamics of Normal, Rotator Cuff-Deficient, Total, and Reverse Replacement Shoulders by Mohamed Mahfouz, Gregory Nicholson,

Illustration depicting the motion pattern for five points on the humeral head for a normal shoulder (superior/inferior [S/I] position = 15.8 mm; medial/lateral [M/L] position = 15.4 mm).

Mohamed Mahfouz et al. J Bone Joint Surg Am 2005;87:107-113

©2005 by The Journal of Bone and Joint Surgery, Inc.

Page 4: In Vivo Determination of the Dynamics of Normal, Rotator Cuff-Deficient, Total, and Reverse Replacement Shoulders by Mohamed Mahfouz, Gregory Nicholson,

Illustration depicting the motion pattern for five points on the humeral head for a rotator cuff-deficient shoulder (superior/inferior [S/I] position = 6.5 mm; medial/lateral [M/L] position = 6.9

mm).

Mohamed Mahfouz et al. J Bone Joint Surg Am 2005;87:107-113

©2005 by The Journal of Bone and Joint Surgery, Inc.

Page 5: In Vivo Determination of the Dynamics of Normal, Rotator Cuff-Deficient, Total, and Reverse Replacement Shoulders by Mohamed Mahfouz, Gregory Nicholson,

Illustration depicting the location of the axode for a subject who had been managed with reverse shoulder arthroplasty.

Mohamed Mahfouz et al. J Bone Joint Surg Am 2005;87:107-113

©2005 by The Journal of Bone and Joint Surgery, Inc.

Page 6: In Vivo Determination of the Dynamics of Normal, Rotator Cuff-Deficient, Total, and Reverse Replacement Shoulders by Mohamed Mahfouz, Gregory Nicholson,

Illustration depicting the average resultant torques in each group during the box-lifting motion.

Mohamed Mahfouz et al. J Bone Joint Surg Am 2005;87:107-113

©2005 by The Journal of Bone and Joint Surgery, Inc.

Page 7: In Vivo Determination of the Dynamics of Normal, Rotator Cuff-Deficient, Total, and Reverse Replacement Shoulders by Mohamed Mahfouz, Gregory Nicholson,

Illustration depicting the average resultant theoretical bearing-surface forces in each group during the box-lifting motion.

Mohamed Mahfouz et al. J Bone Joint Surg Am 2005;87:107-113

©2005 by The Journal of Bone and Joint Surgery, Inc.

Page 8: In Vivo Determination of the Dynamics of Normal, Rotator Cuff-Deficient, Total, and Reverse Replacement Shoulders by Mohamed Mahfouz, Gregory Nicholson,

Illustration depicting the resultant shoulder, elbow, and wrist forces for a single subject with a deficient rotator cuff.

Mohamed Mahfouz et al. J Bone Joint Surg Am 2005;87:107-113

©2005 by The Journal of Bone and Joint Surgery, Inc.