Anterior translation of humeral head in glenohumeral joint: Comparison between limb dominance and gender using ultrasonography
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Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Thailand
Physiotherapy Program, School of Rehabilitation Sciences, Faculty of Allied Health Sciences, Universiti Kebangsaan Malaysia, Malaysia
Department of Radiology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
Department of Orthopaedics, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
Aatit Paungmali   

Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai 50200, Thailand. Tel.: +66 53949246; fax: +66 53946042.
Submission date: 2013-04-27
Acceptance date: 2013-09-18
Online publication date: 2013-09-20
Publication date: 2020-04-08
Pol. Ann. Med. 2013;20(2):89–94
The anterior translation of humeral head (ATHH) in glenoid cavity is one of the commonly evaluated measures to diagnose glenohumeral joint (GHJ) disorders. It is not clear that limb dominance and gender affect the ATHH in glenoid cavity. An understanding on such effects is important for clinicians to evaluate shoulder disorders.

This study compares the ATHH between gender and limb dominance among healthy individuals.

Material and methods:
A total of 20 participants (12 females and 8 males) with mean ± SD of 34 ± 5.4 years of age participated in this study. All of the participants reported no shoulder pain, shoulder injury over the past two years, and had full range of shoulder movements at the time of testing. Participants with a history of shoulder surgery and those involved in any forms of overhead sports were excluded. A real-time ultrasonography was used to measure the ATHH in GHJ during a force of 80 N applied to GHJ. Independent sample t-test and paired sample t-test were used to analyze the differences in ATHH between limb dominance and gender.

Results and discussion:
The mean ± SD of ATHH was 0.16 ± 0.08 cm and 0.13 ± 0.08 cm in dominant and non-dominant shoulder, respectively. There was no statistically significant difference in ATHH (t19 = 1.52, p = .14, 95% CI –0.01 to 0.07) between dominant and non-dominant shoulders. There was no significant difference in ATHH between male and female participants (t19 = 1.90, p = .97, 95% CI –0.08 to 0.84).

ATHH of GHJ did not differ among genders and limb dominance in healthy participants.

The authors wish to thank the Physiotherapists in the Musculoskeletal Outpatient Unit, Department of Physiotherapy, UKMMC, for their assistance and support to complete this study successfully.
Nothing to declare.
This study is supported by a research grant from Ministry of Higher Education, Government of Malaysia, Malaysia.
Adamo DE, Scotland S, Martin BJ. Upper limb kinesthetic asymmetries: gender and handedness effects. Neurosci Lett. 2012;16(2):188–192.
Akel I, Pekmezci M, Hayran M, Genc Y, Kocak O, Derman O, et al. Evaluation of shoulder balance in the normal adolescent population and its correlation with radiological parameters. Eur Spine J. 2008;17(3):348–354.
Baltaci G, Johnson R, Kohl 3rd H. Shoulder range of motion characteristics in collegiate baseball players. J Sports Med Phys Fitness. 2001;41(2):236–242.
Baltaci G, Tunay VB. Isokinetic performance at diagonal pattern and shoulder mobility in elite overhead athletes. Scand J Med Sci Sports. 2004;14(4):231–238.
Barnes CJ, Van Steyn SJ, Fischer RA. The effects of age, sex, and shoulder dominance on range of motion of the shoulder. J Shoulder Elbow Surg. 2001;10(3):242–246.
Borsa PA, Sauers EL, Herling DE. Glenohumeral stiffness response between men and women for anterior, posterior, and inferior translation. J Athl Train. 2002;37(3):240.
Borsa PA, Sauers EL, Herling DE. Patterns of glenohumeral joint laxity and stiffness in healthy men and women. Med Sci Sports Exerc. 2000;32(10):1685–1690.
Boyer KA, Beaupre GS, Andriacchi TP. Gender differences exist in the hip joint moments of healthy older walkers. J Biomech. 2008;41(16):3360–3365.
Bryde D, Jane Freure B, Jones L, Werstine M, Kathryn Briffa N. Reliability of palpation of humeral head position in asymptomatic shoulders. Man Ther. 2005;10(3):191–197.
Chung MJ, Wang MJJ. The effect of age and gender on joint range of motion of worker population in Taiwan. Int J Ind Ergonom. 2009;39(4):596–600.
Conte ALF, Marques AP, Casarotto RA, Amado-João SM. Handedness influences passive shoulder range of motion in nonathlete adult women. J Manipulative Physiol Ther. 2009;32(2):149–153.
Court-Payen M, Lee Krarup A, Skjoldbye B, Schwarz Lausten G. Real-time ultrasonography of anterior translation of shoulder: an anterior approach. Eur J Ultrasound. 1995;2(4):283–287.
Ellenbecker TS, Bailie DS, Mattalino AJ, Carfagno DG, Wolff MW, Brown SW, et al. Intrarater and interrater reliability of a manual technique to assess anterior humeral head translation of the glenohumeral joint. J Shoulder Elbow Surg. 2002;11(5):470–475.
Ellenbecker TS, Mattalino AJ, Elam E, Caplinger R. Quantification of anterior translation of the humeral head in the throwing shoulder manual assessment versus stress radiography. Am J Sports Med. 2000;28(2):161–167.
Ellenbecker TS, Roetert EP, Bailie DS, Davies GJ, Brown SW. Glenohumeral joint total rotation range of motion in elite tennis players and baseball pitchers. Med Sci Sports Exerc. 2002;34(12):2052–2056.
Emery R, Mullaji A. Glenohumeral joint instability in normal adolescents. Incidence and significance. J Bone Joint Surg Br. 1991;73(3):406–408.
Gozlan G, Bensoussan L, Coudreuse J, Fondarai J, Gremeaux V, Viton J, et al. Isokinetic dynamometer measurement of shoulder rotational strength in healthy elite athletes (swimming, volley- ball, tennis): comparison between dominant and nondominant shoulder. Ann Readapt Med Phys. 2006;49(1):8–15.
Hawkins RJ, Schutte JP, Janda DH, Huckell GH. Translation of the glenoihumeral joint with the patient under anesthesia. J Shoulder Elbow Surg. 1996;5(4):286–292.
Hsu AT, Chang JH, Chang CH. Determining the resting position of the glenohumeral joint: a cadaver study. J Orthop Sports Phys Ther. 2002;32(12):605–612.
Hurd WJ, Chmielewski TL, Axe MJ, Davis I, Snyder-Mackler L. Differences in normal and perturbed walking kinematics between male and female athletes. Clin Biomech. 2004;19(5):465–472.
Krarup AL, Court-Payen M, Skjoldbye B, Lausten GS. Ultrasonic measurement of the anterior translation in the shoulder joint. J Shoulder Elbow Surg. 1999;8(2):136–141.
Lin HT, Hsu AT, Chang GL, Chang Chien JR, An KN, Su FC. Determining the resting position of the glenohumeral joint in subjects who are healthy. Phys Ther. 2007;87(12):1669–1682.
Myers JB, Ju YY, Hwang JH, McMahon PJ, Rodosky MW, Lephart SM. Reflexive muscle activation alterations in shoulders with anterior glenohumeral instability. Am J Sports Med. 2004;32(4):1013–1021.
Nicolay CW, Walker AL. Grip strength and endurance: Influences of anthropometric variation, hand dominance, and gender. Int J Ind Ergonom. 2005;35(7):605–618.
Petersen P, Petrick M, Connor H, Conklin D. Grip strength and hand dominance: challenging the 10% rule. Am J Occup Ther. 1989;43(7):444–447.
Sauers EL, Borsa PA, Herling DE, Stanley RD. Instrumented measurement of glenohumeral joint laxity and its relationship to passive range of motion and generalized joint laxity. Am J Sports Med. 2001;29(2):143–150.
Tackett JJ, Ablove RH. Magnetic resonance imaging study of glenohumeral relationships between genders. J Shoulder Elbow Surg. 2011;20(8):1335–1339.
Taylor JD, Bandy WD. Intrarater reliability of the KT1000 arthrometer in determining anterior translation of the glenohumeral joint. Arch Phys Med Rehabil. 2005;86(4):826–829.
Tibone JE, Lee TQ, Csintalan RP, Dettling J, McMahon PJ. Quantitative assessment of glenohumeral translation. Clin Orthop Relat Res. 2002;400:93–97.
Voight ML, Hardin JA, Blackburn TA, Tippett S, Canner GC. The effects of muscle fatigue on and the relationship of arm dominance to shoulder proprioception. J Orthop Sports Phys Ther. 1996;23(6):348–352.
Won EJ, Johnson PW, Punnett L, Dennerlein JT. Upper extremity biomechanics in computer tasks differ by gender. J Electromyogr Kinesiol. 2009;19(3):428–436.
Yeap JS, McGregor AH, Humphries K, Wallace AL. Ultrasonic evaluation of anterior shoulder translation in normal shoulders. J Musculoskeletal Res. 2003;7(02):125–134.
Yoshizaki K, Hamada J, Tamai K, Sahara R, Fujiwara T, Fujimoto T. Analysis of the scapulohumeral rhythm and electromyography of the shoulder muscles during elevation and lowering: comparison of dominant and nondominant shoulders. J Shoulder Elbow Surg. 2009;18(5):756–763.