Abstract
Rotator interval (RI) is an important anatomical entity with a significant role in shoulder stability. Rotator interval refers to the interspace between the supraspinatus and subscapularis tendons through which courses the long head of biceps tendon. Coracohumeral and superior glenohumeral ligaments are also located in this area.
Clinical and biomechanical studies indicated that the rotator interval has importance in the stability and biomechanics of shoulder functions by controlling the anteroinferior translation and also the external rotation of the adducted shoulder. RI is a dynamic structure of which dimensions vary with shoulder movements.
Surgical treatment of the RI is suggested in instability procedures. There is agreement that rotator interval closure decreases translation of the shoulder in anterior and inferior directions. However, its effect on the posterior translation is questionable.
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References
Boardman, N.D., Debski, R.E., Warner, J.P., et al.: Tensile properties of the superior glenohumeral and coracohumeral ligaments. J. Shoulder Elbow Surg. 5, 249–254 (1996)
Field, L.D., Warren, R.F., O’Brien, S.J., Altchek, D.W., Wickiewicz, T.L.: Isolated closure of rotator interval defects for shoulder instability. Am. J. Sports Med. 23, 557–563 (1995)
Gartsman, G.M., Roddey, T.S., Hammerman, S.M.: Arthroscopic treatment of anterior-inferior glenohumeral instability. Two to five-year follow-up. J. Bone Joint Surg. Am. 82, 991–1003 (2000)
Harryman II, D.T., Sidles, J.A., Harris, S.L., Matsen III, F.A.: The role of the rotator interval capsule in passive motion and stability of the shoulder. J. Bone Joint Surg. Am. 74, 53–66 (1992)
Hunt, S.A., Kwon, Y.W., Zuckerman, J.D.: The rotator interval: anatomy, pathology, and strategies for treatment. J. Am. Acad. Orthop. Surg. 15, 218–227 (2007)
Itoi, E., Berglund, L.J., Grabowski, J.J., et al.: Superior-inferior stability of the shoulder: role of the coracohumeral ligament and the rotator interval capsule. Mayo Clin. Proc. 73, 508–515 (1998)
Jost, B., Koch, P.P., Gerber, C.: Anatomy and functional aspects of the rotator interval. J. Shoulder Elbow Surg. 9, 336–341 (2000)
Kim, K.C., Rhee, K.J., Shin, H.D., Kim, Y.M.: Estimating the dimensions of the rotator interval with use of magnetic resonance arthrography. J. Bone Joint Surg. Am. 89, 2450–2455 (2007)
Mologne, T.S., Zhao, K., Hongo, M., Romeo, A.A., An, K.N., Provencher, M.T.: The addition of rotator interval closure after arthroscopic repair of either anterior or posterior shoulder instability: effect on glenohumeral translation and range of motion. Am. J. Sports Med. 36, 1123–1131 (2008)
Neer II, C.S.: Displaced proximal humerus fractures: I. Classification and evaluation. J. Bone Joint Surg. Am. 52, 1077–1089 (1970)
Nobuhara, K., Ikeda, H.: Rotator interval lesion. Clin. Orthop. Relat. Res. 223, 44–50 (1987)
Nottage, W.: Rotator interval lesions: physical exam, imaging, arthroscopic findings, and repair. Tech. Shoulder Elbow Surg. 4, 175–184 (2003)
Ozsoy, M.H., Bayramoglu, A., Demiryurek, D., et al.: Rotator interval dimensions in different shoulder arthroscopy positions: a cadaveric study. J. Shoulder Elbow Surg. 17, 624–630 (2008)
Plancher, K.D., Johnston, J.C., Peterson, R.K., Hawkins, R.J.: The dimensions of the rotator interval. J. Shoulder Elbow Surg. 14, 620–625 (2005)
Plausinis, D., Bravman, J.T., Heywood, C., et al.: Arthroscopic rotator interval closure: effect of sutures on glenohumeral motion and anterior-posterior translation. Am. J. Sports Med. 34, 1656–1661 (2006)
Provencher, M.T., Saldua, N.S.: The rotator interval of the shoulder: anatomy, biomechanics, and repair techniques. Oper. Tech. Orthop. 18, 9–22 (2008)
Rowe, C.R., Zarins, B.: Recurrent transient subluxation of the shoulder. J. Bone Joint Surg. Am. 63, 863–872 (1981)
Warner, J.J., Deng, X.H., Warren, R.F., Torzilli, P.A.: Static capsuloligamentous restraints to superior-inferior translation of the glenohumeral joint. Am. J. Sports Med. 20, 675–685 (1992)
Wolf, R.S., Zheng, N., Iero, J., Weichel, D.: The effects of thermal capsulorrhaphy and rotator interval closure on multidirectional laxity in the glenohumeral joint: a cadaveric biomechanical study. Arthroscopy 20, 1044–1049 (2004)
Yamamoto, N., Itoi, E., Tuoheti, Y., et al.: Effect of rotator interval closure on glenohumeral stability and motion: a cadaveric study. J. Shoulder Elbow Surg. 15, 750–758 (2006)
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Özsoy, M.H., Bayramoğlu, A. (2012). Rotator Interval. In: Doral, M. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-15630-4_11
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DOI: https://doi.org/10.1007/978-3-642-15630-4_11
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