Journal of Shoulder and Elbow Surgery
Volume 15, Issue 6 , Pages 665-674 , November 2006

The inferior glenohumeral ligament: A correlative investigation

  • Jonathan B. Ticker, MD

      Affiliations

    • New York Orthopaedic Hospital Research Laboratory, Columbia-Presbyterian Medical Center, New York, NY
    • Corresponding Author InformationReprint requests to: Jonathan B. Ticker, MD, Island Orthopaedics & Sports Medicine, PC, 660 Broadway, Massapequa, NY 11758
  • ,
  • Evan L. Flatow, MD

      Affiliations

    • Department of Orthopaedic Surgery, Mount Sinai Medical Center, New York, NY
  • ,
  • Robert J. Pawluk, MS

      Affiliations

    • New York Orthopaedic Hospital Research Laboratory, Columbia-Presbyterian Medical Center, New York, NY
  • ,
  • Louis J. Soslowsky, PhD

      Affiliations

    • McKay Orthopaedic Research Laboratory, University of Pennsylvania, Philadelphia, PA
  • ,
  • Anthony Ratcliffe, PhD

      Affiliations

    • New York Orthopaedic Hospital Research Laboratory, Columbia-Presbyterian Medical Center, New York, NY
  • ,
  • Steven P. Arnoczky, DVM

      Affiliations

    • Laboratory for Comparative Orthopaedic Research, College of Veterinary Medicine, Michigan State University, East Lansing, MI
  • ,
  • Van C. Mow, PhD

      Affiliations

    • New York Orthopaedic Hospital Research Laboratory, Columbia-Presbyterian Medical Center, New York, NY
  • ,
  • Louis U. Bigliani, MD

      Affiliations

    • New York Orthopaedic Hospital Research Laboratory, Columbia-Presbyterian Medical Center, New York, NY

References 

  1. Akizuki S, Mow VC, Muller F, Pita JC, Howell DS, Manicourt DH. Tensile properties of knee joint cartilage: I (Influence of ionic condition, weight bearing, and fibrillation on the tensile modulus). J Orthop Res. 1986;4:379–392
  2. Amiel D, Frank C, Harwood F, Fronek J, Akeson W. Tendons and ligaments: a morphological and biochemical comparison. J Orthop Res. 1984;1:257–265
  3. Arnoczky SP, Aksan A. Thermal modification of connective tissues: basic science considerations and clinical implications. J Am Acad Orthop Surg. 2000;8:305–313
  4. Bigliani LU, Pollock RG, Soslowsky LJ, Flatow EL, Pawluk RJ, Mow VC. Tensile properties of the inferior glenohumeral ligament. J Orthop Res. 1992;10:187–197
  5. Bigliani LU, Kurzweil PR, Schwartzbach CC, Wolfe IN, Flatow EL. Inferior capsular shift procedure for anterior-inferior shoulder instability in athletes. Am J Sports Med. 1994;22:578–584
  6. Blasier RB, Goldberg RE. Anterior shoulder instability: contribution of rotator cuff forces and capsular ligaments in a cadaver model. J Shoulder Elbow Surg. 1992;1:140–150
  7. Blevins FT, Djurasovic M, Flatow EL, Vogel KG. Biology of the rotator cuff tendon. Orthop Clin North Am. 1997;28:1–16
  8. Butler DL, Sheh MY, Stouffer DC, Samaranayake VA, Levy MS. Surface strain variation in human patellar tendon and knee cruciate ligaments. J Biomech Eng. 1990;112:38–45
  9. Cain PR, Mutschler TA, Fu FH, Lee SK. Anterior stability of the glenohumeral joint: a dynamic model. Am J Sports Med. 1987;15:144–148
  10. Cole BJ, L’Insalata J, Irrgang J, Warner JJ. Comparison of arthroscopic and open anterior shoulder stabilization: a two to six-year follow-up study. J Bone Joint Surg Am. 2000;82:1108–1114
  11. Debski RE, Moore SM, Mercer JL, Sacks MS, McMahon PJ. The collagen fibers of the anteroinferior capsulolabrum have multiaxial orientation to resist shoulder dislocation. J Shoulder Elbow Surg. 2003;12:247–252
  12. Detrisac DA, Johnson LL. Glenohumeral capsular ligaments. In: Arthroscopic shoulder anatomy: pathologic and surgical implications. Thorofare, NJ: Slack; 1986;p. 37–38
  13. Eyre DR, Koob TJ, Van Ness KP. Quantitation of hydroxypyridinium crosslinks in collagen by high-performance liquid chromatography. Anal Biochem. 1984;137:380–388
  14. Fithian DC, Kelly MA, Mow VC. Material properties and structure-function relationships in the menisci. Clin Orthop Rel Res. 1990;252:19–31
  15. Fithian DC, Schmidt MB, Ratcliffe A, Mow VC. Human meniscus tensile properties: regional variation and biochemical correlation. Trans Orthop Res Soc. 1989;14:205
  16. Flatow EL, Djurasovic M, Bigliani LU, Ratcliffe A. Proteoglycans of the rotator cuff tendons: comparison of rotator cuff tears to normals. Trans Orthop Res Soc. 1998;23:1040
  17. Frank C, Woo SL-Y, Amiel D, Harwood F, Gomez M, Akeson W. Medial collateral ligament healing: a multidisciplinary assessment in rabbits. Am J Sports Med. 1983;11:379–389
  18. Frank C, Woo SL-Y, Andriacchi T, et al. Normal ligament: structure, function, and composition. In:  Woo SL-Y,  Buckwalter JA editor. Injury and repair of the musculoskeletal soft tissues. Park Ridge, IL: American Academy of Orthopaedic Surgeons; 1988;p. 45–101
  19. Fung YCB. Stress-strain history relations of soft tissue in simple elongation. In:  Fung YC,  Perrone N,  Anliker M editor. Biomechanics: its foundations and objectives. Englewood Cliffs, NJ: Prentice-Hall; 1972;p. 181–208
  20. Gohlke F, Essigkrug B, Schmitz F. The pattern of the collagen fiber bundles of the capsule of the glenohumeral joint. J Shoulder Elbow Surg. 1994;3:111–128
  21. Guilak F, Ratcliffe A, Lane N, Rosenwasser MP, Mow VC. Mechanical and biochemical changes in the superficial zone of articular cartilage in a canine model of osteoarthritis. J Orthop Res. 1994;12:474–484
  22. Hayashi K, Massa KL, Thabit G, et al. Histologic evaluation of the glenohumeral joint capsule after the laser-assisted capsular shift procedure for glenohumeral instability. Am J Sports Med. 1999;27:162–167
  23. Hayashi K, Thabit G, Massa KL, et al. The effect of thermal heating on the length and histologic properties of the glenohumeral joint capsule. Am J Sports Med. 1997;25:107–112
  24. Jobe FW, Giangarra CE, Kvitne RS, Glousman RE. Anterior capsulolabral reconstruction of the athlete in overhand sports. Am J Sports Med. 1991;19:429–434
  25. Kaltsas DS. Comparative study of the properties of the shoulder joint capsule with those of other joint capsules. Clin Orthop Rel Res. 1983;173:20–26
  26. Lee SB, Kim KJ, O’Driscoll SW, Morrey BF, An KN. Dynamic glenohumeral stability provided by the rotator cuff muscles in the mid-range and end-range of motion (A study in cadavera). J Bone Joint Surg Am. 2000;82:849–857
  27. Liao WL, Hedman TP, Vangsness CT. Thermal profile of radiofrequency energy in the inferior glenohumeral ligament. Arthroscopy. 2004;20:603–608
  28. Lippitt SB, Vanderhooft JE, Harris SL, Sidles JA, Harryman DT, Matsen FA. Glenohumeral stability from concavity-compression: a quantitative analysis. J Shoulder Elbow Surg. 1993;2:27–35
  29. McMahon PJ, Tibone JE, Cawley PW, et al. The anterior band of the inferior glenohumeral ligament: biomechanical properties from tensile testing in the position of apprehension. J Shoulder Elbow Surg. 1998;7:467–471
  30. McMahon PJ, Dettling J, Sandusky MD, Tibone JE, Lee TQ. The anterior band of the inferior glenohumeral ligament: assessment of its permanent deformation and the anatomy of its glenoid attachment. J Bone Joint Surg [Br]. 1999;81:406–413
  31. Morrey BF, Itoi E, An K-N. Biomechanics of the shoulder. In:  Rockwood CA,  Matsen FA editor. The shoulder. 2nd edition. Philadelphia: WB Saunders; 1998;p. 233–276
  32. Neer CS, Foster CR. Inferior capsular shift for involuntary inferior and multidirectional instability of the shoulder. J Bone Joint Surg [Am]. 1980;62:897–908
  33. Noyes FR, Grood ES. The strength of the anterior cruciate ligament in humans and rhesus monkeys. J Bone Joint Surg [Am]. 1976;58:1074–1082
  34. O’Brien SJ, Neves M, Arnoczky SP, Rozbruck R, DiCarlo EF, Warren RF, et al. The anatomy and histology of the inferior glenohumeral ligament complex of the shoulder. Am J Sports Med. 1990;18:449–456
  35. O’Connell PW, Nuber GW, Mileski RA, Lautenschlager E. The contribution of glenohumeral ligaments to anterior stability of the shoulder joint. Am J Sports Med. 1990;18:579–584
  36. Ovesen J, Nielsen S. Stability of the shoulder joint (Cadaver study of stabilizing structures). Acta Orthop Scand. 1985;56:149–151
  37. Pollock RG, Wang VM, Bucchieri JS, Cohen NP, Huang C-Y, Pawluk RJ, et al. Effects of repetitive subfailure strains on the mechanical behavior of the inferior glenohumeral ligament. J Shoulder Elbow Surg. 2000;9:427–435
  38. Prodromos CC, Ferry JA, Schiller AL, Zarins B. Histological studies of the glenoid labrum from fetal life to old age. J Bone Joint Surg [Am]. 1990;72:1344–1348
  39. Roth V, Mow VC. The intrinsic tensile behavior of the matrix of bovine articular cartilage and its variation with age. J Bone Joint Surg [Am]. 1980;62:1102–1117
  40. Saha AK. Dynamic stability of the glenohumeral joint. Acta Orthop Scand. 1971;42:491–505
  41. Schmidt MB, Mow VC, Chun LE, Eyre DR. Effects of proteoglycan extraction on the tensile behavior of articular cartilage. J Orthop Res. 1990;8:353–363
  42. Selecky MT, Vangsness CT, Liao WL, Saadat V, Hedman TP. The effects of laser-induced collagen shortening on the biomechanical properties of the inferior glenohumeral ligament complex. Am J Sports Med. 1999;27:168–172
  43. Stefko JM, Tibone JE, Cawley PW, ElAttrache NE, McMahon PJ. Strain of the anterior band of the inferior glenohumeral ligament during capsule failure. J Shoulder Elbow Surg. 1997;6:473–479
  44. Steinbeck J, Jerosch J. Surgery for atraumatic anterior-inferior shoulder instability (A modified capsular shift evaluated in 20 patients followed for 3 years). Acta Orthop Scand. 1997;68:447–450
  45. Terry GC, Hammon D, France P, Norwood LA. The stabilizing function of passive shoulder restraints. Am J Sports Med. 1991;19:26–34
  46. Tibone JE, McMahon PJ, Shrader TA, Sandusky MD, Lee TQ. Glenohumeral joint translation after arthroscopic, nonablative, thermal capsuloplasty with a laser. Am J Sports Med. 1998;26:495–498
  47. Ticker JB, Soslowsky LJ, Pawluk RJ, Bigliani LU, Flatow EL, Mow VC. Inferior glenohumeral ligament: geometric and strain-rate dependent properties. J Should Elbow Surg. 1996;5:269–279
  48. Ticker JB, Bigliani LU, Soslowsky LJ, Pawluk RJ, Flatow EL, Mow VC. Biomechanical properties of the inferior glenohumeral ligament: a comparative study of fast and slow strain rates. Orthop Trans. 1992;16:760
  49. Tsutsui H, Yamamoto R, Kuroki Y, et al. Biochemical study of collagen from the loose shoulder joint capsules. In:  Post M,  Morrey BF,  Hawkins RJ editor. Surgery of the shoulder. St. Louis, MO: Mosby Year Book; 1990;p. 108–111
  50. Turkel SJ, Panio MW, Marshall JL, Girgis FG. Stabilizing mechanisms preventing anterior dislocation of the glenohumeral joint. J Bone Joint Surg [Am]. 1981;63:1208–1217
  51. Vangsness CT, Mitchell W, Nimni M, Erlich M, Saadat V, Schmotzer H. Collagen shortening: an experimental approach with heat. Clin Orthop Rel Res. 1997;337:267–271
  52. Viidik A. Structure and function of normal and healing tendons and ligaments. In:  Mow VC,  Ratcliffe A,  Woo SL-Y editor. Biomechanics of diarthrodial joints. New York: Springer-Verlag; 1990;p. 1–38
  53. Vogel KG, Ordog A, Pogany G, Olah J. Proteoglycans in the compressed region of human tibialis posterior tendon and in ligaments. J Orthop Res. 1993;11:68–77
  54. Whipple RR, Wirth CR, Mow VC. Anisotropic and zonal variations in the tensile properties of the meniscus. Trans Orthop Res Soc. 1985;10:367
  55. Woo SL-Y. Mechanical properties of tendons and ligaments. Biorheology. 1982;19:385–396
  56. Woo SL-Y, Gomez MA, Seguchi Y, Endo C, Akeson WH. Measurement of mechanical properties of ligament substance from a bone-ligament-bone preparation. J Orthop Res. 1983;1:22–29
  57. Yamaguchi K, Flatow EL. Management of multidirectional instability. Clin Sports Med. 1995;14:885–902

 This study was supported in part by an Orthopaedic Research and Education Foundation Resident Research Fellowship Grant (to J.B.T.), and Bristol-Myers Squib/Zimmer Center of Excellence in Orthopaedic Research Grant.

PII: S1058-2746(05)00384-8

doi: 10.1016/j.jse.2005.11.006

Journal of Shoulder and Elbow Surgery
Volume 15, Issue 6 , Pages 665-674 , November 2006