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Joints Stability


Factors affecting joint stability

  • configuration of the bone

  • medial longitudinal arch
  • components of ligament¡G depending on proportion of different types of fibers in ligament
  • collagen fibers¡G for strength
  • 94% of the anterior cruciate ligament of the knee is composed of collagen fibers
  • 60% of the ligamentum of flavum are elastin fibers
  • elastin fibers¡G for flexibility
  • rectin fibers¡G for mass

  • muscular arrangement

  • fascia and skin

  • atmosphere pressure
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    Position of a joint

  • rest position
  • definition¡Gthe position where is the least congruent position, resulting in the greatest mechanical mobility for that joint
  • example¡G for the glenohumeral joint the rest position is abduction of 70º and flexion of 30º
  • close-packed position
  • definition¡G the position that both of the articular surfaces are in the maximum congruency status for a joint, resulting in the greatest mechanical stability for that joint
  • In the close-packed position, most ligaments and capsules surrounding to the joint are taut
  • example¡G for the glenohumeral joint the close-packed position is abduction of 90º and full external rotation
  • loose-packed position¡G all positions other than close-packed position
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    Established on 09/18/2002 and Last Updated 10/19/2008 © 2002-2008 Huei-Ming Chai, PT PhD           All Right Reserved