Rotator cuff tear is one of the typical muscle disorders of the shoulder, which is believed to modify forces of the shoulder muscles. Such modification in muscle force, however, has yet to be clarified. Then, its detailed analysis is strongly required in clinic. The purpose of this study is to estimate the muscle forces of the shoulder with and without rotator cuff tear by means of a musculoskeletal model of the shoulder. The model consists of three different components as fellow: 1) bone models including humerus, scapula and clavicle; 2) muscle models simulating eight different shoulder muscles; and 3) a 6-degree-of-freedom motion model of the abduction of the upper arm within the scapular plane. We prepared eight different abnormal shoulder models with infraspinatus and/or supraspinatus tears and a normal shoulder model without tears. Consequently, muscle forces of the anterior and intermediate portions of the deltoid increased, while that of the subscapularis decreased in the shoulder models including a lot of tears, resulting in the decrease of the impedance about the glenohumeral joint. These simulation results coincided well with clinical observations.
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