Abstract
The rotator interval is important in shoulder stability and movement. The rotator interval is enclosed in the triangular area bordered by the subscapularis anteroinferiorly, supraspinatus posterosuperiorly, and the coracoid process medially. The rotator interval contains the long head of the biceps tendon, coracohumeral ligament, superior glenohumeral ligament (SGHL), and the middle glenohumeral ligament (MGHL).
The rotator interval contains multiple static stabilizers of the shoulder, and its integrity is important for anterior and inferior stability of the shoulder, especially when the shoulder is adducted. Furthermore, external rotation of the shoulder is altered with rotator interval pathology.
For surgical intervention to have success, an intimate understanding of the rotator interval structures is necessary.
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References
Burkhart SS, Esch JC et al (1993) The rotator crescent and rotator cable: an anatomic description of the shoulder’s “suspension bridge”. Arthroscopy 9(6):611–616
Felli L, Biglieni L et al (2012) Functional study of glenohumeral ligaments. J Orthop Sci 17(5):634–637
Ferrari DA (1990) Capsular ligaments of the shoulder. Anatomical and functional study of the anterior superior capsule. Am J Sports Med 18(1):20–24
Gartsman GM, Roddey TS et al (2000) Arthroscopic treatment of anterior-inferior glenohumeral instability. Two to five-year follow-up. J Bone Joint Surg Am 82-A(7):991–1003
Gaskill TR, Braun S et al (2011a) Multimedia article. The rotator interval: pathology and management. Arthroscopy 27(4):556–567
Gaskill TR, Taylor DC et al (2011b) Management of multidirectional instability of the shoulder. J Am Acad Orthop Surg 19(12):758–767
Gibb TD, Sidles JA et al (1991) The effect of capsular venting on glenohumeral laxity. Clin Orthop Relat Res 268:120–127
Habermeyer P, Magosch P et al (2004) Anterosuperior impingement of the shoulder as a result of pulley lesions: a prospective arthroscopic study. J Shoulder Elbow Surg 13(1):5–12
Jost B, Koch PP et al (2000) Anatomy and functional aspects of the rotator interval. J Shoulder Elbow Surg 9(4):336–341
Kask K, Poldoja E et al (2010) Anatomy of the superior glenohumeral ligament. J Shoulder Elbow Surg 19(6):908–916
Kolts I, Busch LC et al (2002) Macroscopical anatomy of the so-called “rotator interval”. A cadaver study on 19 shoulder joints. Ann Anat 184(1):9–14
Levine WN, Arroyo JS et al (2000) Open revision stabilization surgery for recurrent anterior glenohumeral instability. Am J Sports Med 28(2):156–160
Morag Y, Bedi A et al (2012) The rotator interval and long head biceps tendon: anatomy, function, pathology, and magnetic resonance imaging. Magn Reson Imaging Clin N Am 20(2):229–259, x
Neer CS 2nd, Satterlee CC et al (1992) The anatomy and potential effects of contracture of the coracohumeral ligament. Clin Orthop Relat Res 280:182–185
Ozsoy MH, Bayramoglu A et al (2008) Rotator interval dimensions in different shoulder arthroscopy positions: a cadaveric study. J Shoulder Elbow Surg 17(4):624–630
Pagnani MJ, Deng XH et al (1996) Role of the long head of the biceps brachii in glenohumeral stability: a biomechanical study in cadavera. J Shoulder Elbow Surg 5(4):255–262
Plancher KD, Johnston JC et al (2005) The dimensions of the rotator interval. J Shoulder Elbow Surg 14(6):620–625
Pouliart N, Gagey OJ (2005) The arthroscopic view of the glenohumeral ligaments compared with anatomy: fold or fact? J Shoulder Elbow Surg 14(3):324–328
Provencher MT, Mologne TS et al (2009) The use of rotator interval closure in the arthroscopic treatment of posterior shoulder instability. Arthroscopy 25(1):109–110, author reply 110–1
Robinson CM, Seah KT et al (2012) Frozen shoulder. J Bone Joint Surg Br 94(1):1–9
Rowe CR, Zarins B et al (1984) Recurrent anterior dislocation of the shoulder after surgical repair. Apparent causes of failure and treatment. J Bone Joint Surg Am 66(2):159–168
Steinbeck J, Liljenqvist U et al (1998) The anatomy of the glenohumeral ligamentous complex and its contribution to anterior shoulder stability. J Shoulder Elbow Surg 7(2):122–126
Warner JJ, Deng X et al (1993) Superoinferior translation in the intact and vented glenohumeral joint. J Shoulder Elbow Surg 2(2):99–105
Werner A, Mueller T et al (2000) The stabilizing sling for the long head of the biceps tendon in the rotator cuff interval. A histoanatomic study. Am J Sports Med 28(1):28–31
Wilson WR, Magnussen RA et al (2012) Variability of the capsular anatomy in the rotator interval region of the shoulder. J Shoulder Elbow Surg 22(6):856–861
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Eggers, J., Cil, A. (2015). Shoulder Anatomy and Biomechanics of the Rotator Interval. In: Doral, M.N., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36569-0_10
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DOI: https://doi.org/10.1007/978-3-642-36569-0_10
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