Single-row and double-row shoulder suture techniques, combined with dynamic-static modeling, were employed for finite element analysis of the three-dimensional mechanics of the shoulder joint

Single-row and double-row shoulder suture techniques, combined with dynamic-static modeling, were employed for finite element analysis of the three-dimensional mechanics of the shoulder joint | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Single-row and double-row shoulder suture techniques, combined with dynamic-static modeling, were employed for finite element analysis of the three-dimensional mechanics of the shoulder joint Yan Wang, Di Yang, Kaiwei Zhang This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-3837786/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Objective: Analyzing the mechanical differences in shoulder cuff repair between single-row and double-row suture techniques from a three-dimensional biomechanical perspective. This study aims to guide the selection of the most suitable surgical approach based on preoperative conditions and recommend appropriate postoperative rehabilitation training. Methods: CT scan data of adult shoulder joints were imported into Mimics software for data extraction, reconstructing the geometric model of the shoulder joint. Subsequent repairs, noise reduction, and surface smoothing were performed using Geomagic Studio 2017. The model was then assembled in SolidWorks 2017, followed by meshing and boundary condition loading in ANSYS 17.0 for various computational analyses. Results: Single-row and double-row suture techniques exhibit different muscle recovery effects at various angles. Considering prevention of re-tearing, muscle adhesion, and varying degrees of rotator cuff injuries, different repair techniques and rehabilitation training angles should be taken into account. Conclusion: Double-row suture technique outperforms the single-row technique, mainly due to its larger contact area, providing effective postoperative assistance to human movement and demonstrating better overall effectiveness. However, depending on the specific injury context outlined in the study, the single-row suture technique may still be considered during surgery. Rotator cuff injury Single-row suture technique Double-row suture technique Three-dimensional finite element Figures Figure 1 Figure 2 Figure 3 Introduction The shoulder joint involves numerous muscles during its motion, including the rotator cuff (supraspinatus, infraspinatus, teres minor, subscapularis), deltoid, and trapezius [1-2] . Among these, injury to the supraspinatus is the most common cause of rotator cuff tears [3-4] . The two primary surgical methods for repairing the supraspinatus in clinical practice are Single-Row Suture Technique (SR) and Double-Row Suture Technique (DR). Currently, it is generally believed that the DR technique yields better outcomes than the SR technique [5] . While some studies have investigated the biomechanical differences in horizontal or vertical force couples under different surgical techniques, the author argues that considering only horizontal or vertical force couples is insufficient. Given the three-dimensional nature of the human body and its movements, it is inadequate to focus solely on individual muscles or muscle pairs. The shoulder joint involves a complex muscle group.To address this complexity, the author employed two modeling approaches: static and dynamic. A computer model of the adult shoulder joint was constructed. In the static modeling approach, commonly used by most researchers, a force was applied to the model, and the forces acting on various tendon tissues to maintain model equilibrium were examined. In the dynamic modeling approach, the humerus was treated as the primary moving part, simulating the abduction process of the shoulder joint under normal conditions, injury, and after single or double-row repairs. The biomechanical conditions of different muscles in the X, Y, and Z axes during the abduction process were studied in both static and dynamic modeling scenarios. 1. Data Source and Modeling Methods 1.1 Shoulder Joint Model Construction A female volunteer, aged 27, weighing 65kg, with no history of shoulder trauma, was selected for the study. Through formal hospital channels, the subject underwent spiral CT and MRI scans of the shoulder joint. DICOM format raw data was collected and imported into Mimics software for data extraction. The process involved obtaining three cross-sectional views and three-dimensional windows. Bone and soft tissue were separated, and the "Region Grow" function was employed to eliminate non-connected noise with the bone.Using "Split Mask," the small joint area was divided into two regions, separating each bone individually. Gaps were filled or excess portions removed. "Edit Mask" was used to paint or delete at each layer corresponding to the DICOM photos. The filled masks were individually processed through "Calculate part" to solidify and generate entities. The resulting entities were exported as STL files. The STL files were imported into Geomagic software to address specific issues. Through commands such as relaxation, removal of protrusions, and noise reduction, adjustments were made to the model's surface to retain its essential features. Subsequently, the feature removal command was applied, followed by manual fine-tuning. Finally, surface fitting was performed to create a solid file, which was saved in STP (Standard for the Exchange of Product model data) format. Using SolidWorks, open the STP 3D model file and save it as an SLDPRT format. Then, assemble all bones and muscles. Insert single-row and double-row screws into their respective positions based on the foundational single-row and double-row models. Establish a scapular plane defined by the acromion, inferior angle of the scapula, and superior angle of the scapula. In SolidWorks, select three points to create the plane and establish a rotation axis. The humerus will rotate around this axis at varying angles, perpendicular to the scapular plane and passing through the center of the humeral head. Utilize the SolidWorks split command to differentiate between tendon and muscle belly portions. Using the 'Check Interference' command, inspect for any intersections between model components. Save the model as an X-T file. Open Ansys Workbench and create a static analysis module. Import the X-T file into the static module. In the Workbench material library, generate the required materials using parameters obtained from previous literature, as illustrated in Figure 1, Tables 1, and 2. Assign these materials to the respective bones and muscles. Proceed by controlling the mesh division, utilizing tetrahedral meshing based on actual model features, and adjusting element quantities accordingly. Following material assignment, configure additional parameters such as fixed conditions, pressures, gravity, and data extraction points to meet the requirements of static and dynamic modeling. Note that these steps may require further adjustments depending on specific model characteristics and analysis objectives. 1.2 Contact Relationships in the Finite Element Model Except for the glenoid labrum joint set as non-separable, all other areas are bound. In both single-row and double-row scenarios, the contact between the supraspinatus muscle tendon and the humerus is set as non-separable. In both single-row and double-row scenarios, the contact between the supraspinatus muscle tendon and the humeral cartilage is set as non-separable. The contact between the humerus and humeral cartilage is set as bound in both single-row and double-row scenarios. The suturing of the supraspinatus muscle in both single-row and double-row configurations is achieved using a spring mechanism, with a stiffness of 1E+10 N/mm, ensuring a tight grasp effect by the screws on the supraspinatus muscle. 1.3 Static Modeling Loading The model is centered at the center of the humeral greater tubercle, with the X-axis in the horizontal direction, the Z-axis in the vertical direction, and the Y-axis perpendicular to the XZ plane. The humerus distal end is fixed, with its Z-axis in the scapular plane and forming a certain angle with the scapula's proximal end. Gravity is applied in the negative direction of the Z-axis of this coordinate system, with a magnitude of 9.841 m/s^2. The force is loaded at the upper end of the scapula, in the negative direction of the Z-axis of this coordinate system, with a magnitude of 50 N, as shown in Figure 2. 1.4 Dynamic Modeling Loading Gravity is applied in the negative direction of the Z-axis of this coordinate system, with a magnitude of 9.841 m/s^2. The scapula's proximal end is fixed, and the humerus is rotated around the Y-axis at angles of 15°, 30°, 45°, and 60°, as shown in Figure 3. 1.5 Model Validity Verification The model follows the fixation and loading methods from Yang Xiaoxia's [6] mechanical testing experiment on the acromioclavicular joint. A portion of nodes on the side where the scapula contacts the chest wall is fixed, and different levels of tensile forces are applied along the positive x-axis direction at the proximal end of the clavicle. Measurement points include: Point 1 at the midpoint of the outer end of the clavicle, Point 2 at the corresponding point on the acromion to the midpoint of the outer end of the clavicle, and Point 3 at the tip vertex of the coracoid process. Displacements of the marked points are measured, and the displacement curves are compared with the experimental structure. The overall trend is consistent with the experimental structure, indicating that this model exhibits certain linear characteristics due to its linear elastic material properties. Therefore, it is concluded that the model is effective and accurate. 2. Results 2.1 Static Reaction Force Analysis (Unit: N) Static extraction data is the reaction force on the muscle. According to the data in Table 2 and Table 3, it can be seen that: In the normal model, the forces on the Y and Z axes of the deltoid muscle continuously increase during shoulder abduction from 15° to 60°. The force on the X axis increases from 15° to 45° and then decreases. The results for the single-row model are essentially consistent with the normal model, and the results for the double-row model are also consistent with the normal model. The overall force in the single-row model is greater than that in the double-row model. In the normal model, the forces on the X, Y, and Z axes of the subscapularis muscle continuously decrease during shoulder abduction from 15° to 60°. The results for the single-row model are essentially consistent with the normal model, and the results for the double-row model are also consistent with the normal model. In the normal model, the forces on the X, Y, and Z axes of the teres minor muscle increase during shoulder abduction from 15° to 30°. From 30° to 45°, the X-axis and Y-axis forces decrease, while the Z-axis force increases. From 45° to 60°, the X-axis and Z-axis forces increase, and the Y-axis force decreases. The results for the single-row model are essentially consistent with the normal model, and the results for the double-row model are also consistent with the normal model. In the normal model, the forces on the X-axis of the infraspinatus muscle continuously increase during shoulder abduction from 15° to 60°. The Y-axis force increases from 15° to 45° and then decreases from 45° to 60°. The Z-axis force decreases from 15° to 30°, increases from 30° to 45°, and then decreases from 45° to 60°. The results for the single-row model are essentially consistent with the normal model, except for an increase in the Y-axis force from 45° to 60°. The results for the double-row model are essentially consistent with the normal model. In the normal model, the X-axis force of the supraspinatus muscle increases from 15° to 30°, decreases from 30°to 45°, and increases from 45° to 60° during shoulder abduction. The Y-axis force increases from 15° to 45° and decreases from 45° to 60°. The Z-axis force decreases from 15° to 30°, increases from 30° to 60°. In the single-row model, the X-axis force continuously increases from 15° to 60°. The Y-axis force decreases from 15° to 30°, increases from 30° to 45°, and decreases from 45° to 60°. The Z-axis force decreases from 15° to 30°, increases from 30° to 45°, and decreases from 45° to 60°. In the double-row model, the X-axis force increases from 15° to 45° and decreases from 45° to 60°. The Y-axis force decreases from 15° to 30°, increases from 30° to 60°. The Z-axis force increases from 15° to 30°, decreases from 30° to 45°, and increases from 45° to 60°. 2.2 Dynamic Reaction Force Analysis (Unit: N) The model takes the center of the humeral greater tubercle as the origin, with X as the horizontal direction, Z as the vertical direction, and the Y-axis perpendicular to the XZ plane. The humerus rotates around the Y-axis. (Equivalent = sum of individual muscle values, Resultant Force = square root of the sum of the squares of data along each axis) The dynamically extracted forces include the forces at the contact surfaces between each muscle and the humerus. Additionally, the overall force on the entire humerus was separately measured, indicating that there are no other influencing factors apart from the impact of individual muscles and cartilage on the humerus. Since the static model has already revealed the changes in force for each muscle, the dynamic analysis assesses whether the shoulder joint model tends towards overall dynamic balance. It also compares the force recovery between single-row and double-row surgeries. From the resultant forces of each muscle, it can be observed that during shoulder abduction from 15° to 60°, the forces along the X, Y, and Z axes all indicate that the single-row surgical model brings the shoulder joint closer to recovery resembling the normal model. Since the surgery only repairs the supraspinatus muscle, the dynamic analysis mainly focuses on the recovery of the supraspinatus muscle，according to the data in Tables 4 to 15, it can be concluded that: At 15° shoulder abduction, comparing the single-row and double-row with the normal model, both surgical methods show overall recovery effects. In the X-axis force, the single-row is closer to normal values. In the Y-axis force, the double-row is closer to normal values, and in the Z-axis force, the single-row is closer to normal values. At 30° shoulder abduction, comparing the single-row and double-row with the normal model, both surgical methods show overall recovery effects. In the X-axis force, the double-row is closer to normal values. In the Y-axis force, the double-row is closer to normal values. In the Z-axis force, the single-row is closer to normal values. At 45° shoulder abduction, comparing the single-row and double-row with the normal model, both surgical methods show overall recovery effects. In the X-axis force, the single-row is closer to normal values. In the Y-axis force, the double-row is closer to normal values. In the Z-axis force, the single-row is closer to normal values. At 60° shoulder abduction, comparing the single-row and double-row with the normal model, both surgical methods show overall recovery effects. In the X-axis force, the single-row is closer to normal values. In the Y-axis force, the single-row is closer to normal values. In the Z-axis force, the single-row is closer to normal values. Overall observation indicates that for the supraspinatus muscle, the single-row model shows better recovery in the force couple of the X-axis and Z-axis, while the double-row model shows better recovery in the force couple of the Y-axis. The rivet is only influenced by the supraspinatus muscle. Therefore, combining the force of the supraspinatus muscle with the force of the rivet, an analysis can be conducted to draw conclusions: At 15° shoulder abduction, comparing the forces of the supraspinatus muscle and rivet in the single and double-row models with the normal model's supraspinatus force, the force along the X-axis is closer to the normal value in the single-row model, along the Y-axis is closer in the single-row model, and along the Z-axis is closer in the double-row model. At 30° shoulder abduction, comparing the forces of the supraspinatus muscle and rivet in the single and double-row models with the normal model's supraspinatus force, the force along the X-axis is closer to the normal value in the single-row model, along the Y-axis is closer in the single-row model, and along the Z-axis is closer in the double-row model. At 45° shoulder abduction, comparing the forces of the supraspinatus muscle and rivet in the single and double-row models with the normal model's supraspinatus force, the force along the X-axis is closer to the normal value in the single-row model, along the Y-axis is closer in the single-row model, and along the Z-axis is closer in the single-row model. At 60° shoulder abduction, comparing the forces of the supraspinatus muscle and rivet in the single and double-row models with the normal model's supraspinatus force, the force along the X-axis is closer to the normal value in the single-row model, along the Y-axis is closer in the double-row model, and along the Z-axis is closer in the single-row model. 3. Discussion Shoulder impingement is a common condition causing shoulder pain and restricted mobility, accounting for over 60% of all shoulder pain cases. It predominantly affects athletes and the elderly, with supraspinatus tendon tears constituting more than 85% of shoulder impingement injuries. Mechanisms of injury include trauma, impact, vascular issues, and degeneration. Currently, arthroscopic repair, with Single-Row (SR) and Double-Row (DR) techniques as the primary surgical options, is the mainstay of treatment. Single-row suture involves securing the torn rotator cuff at the greater tuberosity of the humerus, demonstrating favorable clinical outcomes. This technique is suitable for patients with smaller or partially torn cuffs, and even for those with large cuff tears ranging from 3 to 5 cm, offering advantages such as simplicity and biomechanical stability. [7] However, single-row suture has limitations, with the screw fixing the cuff inadequately covering the footprint area on the greater tuberosity (less than 75%). This results in point contact between the repaired cuff and the bone surface, concentrating stress around the tuberosity and leading to suboptimal anatomical healing and a higher risk of re-tear postoperatively. [8] To address these limitations, the double-row technique has gained popularity. In this approach, an inner row of screws is fixed at the edge of the humeral head cartilage, while an outer row secures screws on the greater tuberosity. This technique ensures a cuff-to-bone contact area coverage exceeding 95%. [9] In comparison to the single-row technique, it reduces stress on the cuff-bone healing surface, increases contact area, and disperses stress on the torn cuff. This procedure is more conducive to anatomical healing, resulting in improved clinical outcomes and significantly increased patient satisfaction. [10] However, there is currently limited long-term research data comparing single-row and double-row arthroscopic shoulder repairs. While some studies have analyzed the outcomes of both techniques over a 10-year postoperative period, finding higher Western Ontario Rotator Cuff Index (WORC) scores in the double-row group, there were no significant differences in ASE scores, Constant scores, or strength. Therefore, the authors concluded that the original hypothesis suggesting better quality of life and functional outcomes with double-row suture compared to single-row suture was not strongly supported. [11] With the rapid development of digital medicine, the application of finite element analysis (FEA) in the field of shoulder joints has become increasingly prevalent. [12] Through computer simulation modeling and analysis under different loading conditions, FEA helps overcome the limitations of traditional biomechanics. Currently, researchers have incorporated finite element analysis into the study of shoulder joints, focusing on areas such as the mechanisms of rotator cuff tears and the surgical treatment of such tears. [13-14] In this experiment, under static conditions, the deltoid muscle exhibits changes during shoulder joint abduction from 15° to 60°. Due to the increased number of screws in the double-row surgery, the contact area between the muscle tendon and the humerus is enlarged. As a result, achieving results during movement requires less force, and postoperative rehabilitation training should involve moderate activation of the injured muscles. This helps prevent postoperative adhesions that could affect the body's functionality. Therefore, for patients with shoulder cuff injuries accompanied by deltoid muscle damage, it is recommended to increase shoulder abduction activities from 45° to 60° after both single-row and double-row surgeries.The subscapularis muscle, during shoulder joint abduction from 15° to 60°, exhibits higher forces in the double-row model compared to the single-row model. The forces in the normal, single-row, and double-row models are approximately similar at various angles and along the X, Y, and Z axes. Considering the limited impact of screw implantation on the subscapularis muscle, it is suggested that patients undergoing single or double-row surgeries increase shoulder abduction exercises from 30° to 45°, especially when there is concomitant subscapularis muscle injury.The infraspinatus muscle, in the process of shoulder abduction, shows similar force magnitudes in the normal, single-row, and double-row models at each angle and along each axis. Considering the minimal impact of screw implantation on the infraspinatus muscle, it is advised that patients undergoing single or double-row surgeries increase exercises involving shoulder abduction from 15° to 30°, particularly when there is accompanying infraspinatus muscle injury. After double-row surgery, the force in the Y-axis direction of the infraspinatus muscle becomes significantly smaller. Considering the potential impact of screw implantation on the forces exerted by the infraspinatus muscle in the Y-axis direction during shoulder joint movement [15] , the overall data indicates that there is a significant change in the overall force of the infraspinatus muscle after double-row surgery. To some extent, this suggests that the implantation of screws may increase the overall pressure on the infraspinatus muscle. For patients with shoulder cuff injuries accompanied by some degree of infraspinatus muscle damage, it is recommended that patients undergoing both single-row and double-row surgeries increase abduction exercises of the shoulder joint from 30° to 45°. However, if the patient has severe infraspinatus muscle tear along with shoulder cuff injury, it is more advisable to consider single-row surgery to avoid potential complications and secondary injuries during later-stage recovery [16] . Double-row surgery has a greater impact on the force in the Z-axis direction of the supraspinatus muscle, while single-row surgery has a greater impact on the force in the Y-axis direction of the supraspinatus muscle. Considering the overall force in the X-axis, it can be observed that the overall force of the supraspinatus muscle is relatively small after double-row surgery. This suggests that the screws may provide effective assistance, making shoulder abduction movements more efficient. Therefore, for patients with shoulder cuff injuries involving large or massive tears, priority should be given to double-row surgery. Conversely, for patients with mild tears, postoperative rehabilitation may include increased abduction exercises in the shoulder joint from 30° to 45°. Patients with large or massive tears may consider increasing abduction exercises from 15° to 30° [17] . Dynamic force data for the deltoid muscle: After double-row surgery, the deltoid muscle shows no significant difference in the X and Y axes compared to single-row data, but there is a noticeable difference in the Z-axis. This indicates that double-row surgery mainly provides assistance in the Z-axis mechanics. Overall, it can be observed that the overall force of the deltoid muscle is smaller after double-row surgery than after single-row surgery. This supports the suggestion that in cases of deltoid muscle injury accompanied by deltoid muscle damage, double-row surgery is recommended to avoid increased load on the deltoid muscle. Scapulohumeralis, Supraspinatus, and Infraspinatus Muscles: Upon observation, it is noted that double-row surgery plays a supporting role in all three directions (X, Y, Z), with forces being relatively smaller compared to the normal condition. Single-row surgery, on the other hand, is closer to the normal condition. Overall, it can be observed that double-row surgery provides good assistance. Therefore, in cases of deltoid muscle injury accompanied by damage to scapulohumeralis, supraspinatus, and infraspinatus muscles, it is advisable to opt for double-row surgery to avoid increased load on these muscles. However, if the patient has only deltoid muscle injury without accompanying damage to other tendons, single-row surgery should be considered for better recovery in the later stages and to prevent joint adhesions. The dynamic force data shows that there is a force of approximately 2.4N in the opposite direction on the Y-axis of the humerus. The reason for this is that the force extraction is based on the forces on the humerus, and the overall calculation does not take into account the weight of the humerus itself. Once the weight of the humerus is factored into the calculation, this weight manifests as a force of 2.4N in the positive direction of the Y-axis. Therefore, each muscle contributes to maintaining the biomechanical balance of the shoulder joint, and the overall model remains in an equilibrium state. According to the data analysis from four different angles, different repair methods have a certain impact on the force situation of the rotator cuff muscles. Both single-row and double-row surgeries have varying effects on different muscles at different angles. Therefore, it is advisable to consider adopting different surgical approaches based on the individual muscle conditions of patients in subsequent surgeries. Currently, double-row surgery is generally considered superior to single-row surgery in various studies [18] . The data also indicate that compared to single-row suturing, double-row suturing has a more pronounced effect on reducing the torque values of the shoulder joint, demonstrating that double-row suturing can more effectively restore the biomechanical function of the shoulder joint [19-21] . However, since the choice of surgery is not solely determined by the doctor and the cost of surgical materials has consistently constituted a significant portion of the surgical expenses, there are still many individuals opting for the less costly single-row suturing due to financial constraints. Therefore, in postoperative rehabilitation training following single-row surgery, it is recommended to consider exercise angles that are more suitable for recovery based on the patient's situation. This article investigates the three-dimensional biomechanical differences of various muscles during shoulder joint movement after single-row and double-row surgeries using static and dynamic three-dimensional finite element methods. From the results, it can be observed that both single-row and double-row surgeries have certain impacts on the biomechanics of various muscles around the shoulder joint. Considering the actual conditions of patients, this study provides references for selecting a more suitable surgical approach and determining rehabilitation training angles postoperatively to avoid re-tearing. Declarations Authors’ contributions KWZ and DY designed the experiment. YW conducted experiments. YW analyzed the data and drafted the manuscript. KWZ revised the manuscript. All authors read and approved the final submitted manuscript Funding The study was supported by Health Commission of Guizhou Province, Qian Weijian Letter (2020) 170 Availability of data and materials The datasets used and analyzed during the present study are not publicly available due to ethical reason but are available from the corresponding author upon reasonable request. Ethics approval and consent to participate The study was approved by the Ethics Committee of the First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine (approval number: k2021-007) and informed consent was taken from the patients. Consent for publication Informed consents were obtained from all patients for for publication of their clinical data and accompanying images. Competing interests The authors declare that they have no confict of interest. References Weber S, Chahal J. Management of Rotator Cuff Injuries. J Am Acad Orthop Surg. 2020; 28(5):193-201. http://doi.org/10.5435/JAAOS-D-19-00463 Reinholz AK,Till SE,Arguello AM,et al. Advances in the Treatment of Rotator Cuff Tears: Management of Rotator Cuff Tears in the Athlete. Clin Sports Med. 2023; 42(1):69-79. https://doi.org/10.1016/j.csm.2022.08.003 Sobhy MH, Khater AH, Hassan MR, et al. Do functional outcomes and cuff integrity correlate after single-versus double-row rotator cuff repair? A systematic review and meta-analysis study[J]. Eur J Orthop Surg Traumatol. 2018; 28(4):593-605. https://doi.org/10.1007/s00590-018-2145-7 Stengaard K, Hejbøl EK, Jensen PT, et al. Early-stage inflammation changes in supraspinatus muscle after rotator cuff tear. J Shoulder Elbow Surg. 2022; 31(7):1344-1356. https://doi.org/10.1016/j.jse.2021.12.046 Miller RM,Thunes JR,Musahl V,et al. A validated, subject-specific finite element model for predictions of rotator cuff tear propagation [J]. J Biomech Eng, 2019. http://doi.org/10.1115/1.4043872. Yang X,3D modeling and biomechanical analysis of the human acromioclavicular joint[D]. Shanghai Jiao Tong University,2012 Gu Z, Wu S, Yang Y, et al. Comparison of Arthroscopic Single-row and Double-row Repair for Rotator Cuff Injuries With Different Tear Sizes: A Systematic Review and Meta-analysis. Orthop J Sports Med. 2023; 11(8):23259671231180854. https://doi.org/10.1177/23259671231180854 Senna LF, Ramos MRF, Bergamaschi RF. Arthroscopic rotator cuff repair: single-row vs. double-row- clinical results after one to four years. Rev Bras Ortop. 2018; 53(4):448-453. https://doi.org/10.1016/j.rboe.2018.05.010 Li C, Zhang H, Bo X, et al. Arthroscopic release combined with singlerow fixation or double-row suture bridge fixation in patients with traumatic supraspinatus tear and adhesive capsulitis non-responsive to conservative management: a prospective randomized trial. Orthop Traumatol Surg Res. 2021;107(4):102828. https://doi.org/10.1016/j.otsr.2021.102828 Endo A, Hoogervorst P, Safranek C, et al. Linked double-row equivalent arthroscopic rotator cuff repair leads to significantly improved patient outcomes. Orthop J Sports Med. 2020; 8(7):23259671-20938311. https://doi.org/doi: 10.1177/2325967120938311. Lapner P, Li A, Pollock J W, et al. A Multicenter Randomized Controlled Trial Comparing Single-Row With Double-Row Fixation in Arthroscopic Rotator Cuff Repair: Long-Term Follow-up[J]. Randomized Controlled Trial Am J Sports Med. 2021; 49(11):3021-3029. https://doi.org/10.1177/03635465211029029 Yang Z, Xu G, Yang J, Lin X. Finite element study of the biomechanical effects on the rotator cuff under load. Front Bioeng Biotechnol. 2023; 11:1193376. https://doi.org/10.3389/fbioe.2023.1193376. Filardi V. Stress distribution in the humerus during elevation of the arm and external a Bduction [J]. Journal of orthopaedics. 2020;4(19):218-222. https://doi.org/10.1016/j.jor.2020.02.003 Islán Marcos M,Lechosa Urquijo E,Blaya Haro F,D'Amato R, Soriano Heras E, Juanes JA. Behavior under Load of A Human Shoulder: Finite Element Simulation and Analys is[J]. Journal of medical systems. 2019;43(5):132. https://doi.org/10.1007/s10916-019-1248-y Rossi LA, Rodeo SA, Chahla J, Ranalletta M. Current concepts in rotator cuff repair techniques: biomechanical, functional, and structural outcomes. Orthop J Sports Med. 2019;7(9):2325967119 868674. https://doi.org/10.1177/2325967119868674 Thomas K, Kendal J K, Ono Y, et al. The Role of Partial Rotator Cuff Repairs in Patients With Massive Irreparable Tears Without Arthritis[J]. Orthopedics, 2020, 43(1): E1-E7. https://doi.org/10.3928/01477447-20191031-05 Hohmann E, Konig A, Kat CJ, Glatt V, Tetsworth K, Keough N. Singleversus double-row repair for full-thickness rotator cuff tears using suture anchors. A systematic review and meta-analysis of basic biomechanical studies. Eur J Orthop Surg Traumatol. 2018; 28(5): 859-868. https://doi.org/10.1007/s00590-017-2114-6 Plachel F, Siegert P, Ruttershoff K, et al. Long-term results of arthroscopic rotator cuff repair: a follow-up study comparing single-row versus double-row fixation techniques. Am J Sports Med. 2020; 48(7):1568-1574. https://doi.org/10.1177/0363546520919120. Chen YZ, Li H, Qiao Y, et al. Double-row rotator cuff repairs lead to more intensive pain during the early postoperative period but have a lower risk of residual pain than single-row repairs. Knee Surg Sports Traumatol Arthrosc. 2019;27(10):3180-3187. https://doi.org/10.1007/s00167-019-05346-0 Turan K, Çabuk H, Köroğlu C, et al. Increased acromiohumeral distance in a double-row arthroscopic rotator cuff surgery compared to a single-row surgery after 12 months. J Orthop Surg Res. 2021; 16(1):385. https://doi.org/ 10.1186/s13018-021-02523-1. Kholinne E, Kwak JM, Sun Y, et al. The relationship between rotator cuff integrity and acromiohumeral distance following open and arthroscopic rotator cuff repair. SICOT J. 2021; 7:23. https://doi.org/10.1051/sicotj/2021012. Tables Table 1 - Material Properties of Each Component in the Shoulder Joint Model Material Name Elastic Modulus (MPa) Poisson's Ratio Density (kg/m^3) Bone 17000 0.28 1790 Cartilage 300 0.3 1150 muscle belly 1.08 0.49 1350 Tendon 1200 0.4 1350 surgical rivet 3800 0.28 7850 Ligament Number of Spring Units Stiffness Coefficient (N/mm) trochlear ligament 3 50 Coracoclavicular Ligament 4 100 coracohumeral ligament 4 50 glenohumeral ligament 4 50 Table 2 - Comparison of Reaction Forces at Various Abduction Angles (Unit: N) X Y Z Resultant Force Normal 15° Deltoid Muscle 1.1904 -0.66074 4.3718 4.5789 Subscapularis Muscle 3.9871 5.9835 -11.463 13.531 Teres Minor Muscle 0.54912 1.7762 -2.0888 2.7963 Infraspinatus Muscle 0.23123 -1.4226 -0.30472 1.4731 Supraspinatus Muscle -1.097 -7.2824 -1.2631 7.4721 Injured 15° Deltoid Muscle -2.6039 2.8027 -7.7768 8.6668 Subscapularis Muscle 4.4537 6.6147 -13.134 15.365 Teres Minor Muscle 0.66986 2.0898 -2.4214 3.2679 Infraspinatus Muscle 0.20335 -1.6007 -0.46788 1.68 Supraspinatus Muscle -5.32E-11 -1.74E-12 -1.91E-02 1.91E-02 Single-Row 15° Deltoid Muscle 1.6942 -1.0771 6.2158 6.532 Subscapularis Muscle 4.0283 6.0391 -11.453 13.56 Teres Minor Muscle 0.53401 1.7122 -2.0147 2.6974 Infraspinatus Muscle 0.24573 -1.6314 -0.21096 1.6632 Supraspinatus Muscle 2.2805 -5.3581 -4.7134 7.4917 Double-Row 15° Deltoid Muscle 0.91299 -0.76932 4.8232 4.9688 Subscapularis Muscle 4.6926 7.0657 -13.048 15.563 Teres Minor Muscle 0.57335 1.7328 -2.028 2.7284 Infraspinatus Muscle 0.39666 -2.0208 -3.37E-02 2.0596 Supraspinatus Muscle 2.3204 -1.9765 3.52E-02 3.0483 X Y Z Resultant Force Normal 30° Deltoid Muscle 1.2042 6.6149 8.7154 11.007 Subscapularis Muscle 3.3963 3.6214 -12.22 13.19 Teres Minor Muscle 0.56209 4.2609 -3.41 5.4863 Infraspinatus Muscle 0.30505 -2.5947 -6.36E-02 2.6134 Supraspinatus Muscle -1.0143 -17.896 0.62429 17.935 Injured 30° Deltoid Muscle -0.92437 -5.9362 14.044 15.275 Subscapularis Muscle 4.8776 5.1782 -16.852 18.292 Teres Minor Muscle 0.77057 5.9521 -4.6048 7.5647 Infraspinatus Muscle 0.46041 -3.515 -0.31574 3.559 Supraspinatus Muscle -2.83E-12 1.85E-10 -2.33E-05 2.33E-05 Single-Row 30° Deltoid Muscle -0.28402 -2.3624 7.4519 7.8226 Subscapularis Muscle 3.5818 3.8269 -12.752 13.787 Teres Minor Muscle 0.58688 4.4463 -3.5814 5.7394 Infraspinatus Muscle 0.30693 -2.754 -0.11798 2.7735 Supraspinatus Muscle 4.4521 0.93837 3.4548 5.7129 Double-Row 30° Deltoid Muscle 0.78625 -1.4526 8.2316 8.3957 Subscapularis Muscle 3.7932 4.0422 -12.88 14.022 Teres Minor Muscle 0.55863 4.2875 -3.4467 5.5294 Infraspinatus Muscle 0.39596 -2.935 4.01E-02 2.9618 Supraspinatus Muscle 5.4702 -1.5724 0.65567 5.7293 X Y Z Resultant Force Normal 45° Deltoid Muscle 5.4161 16.525 11.653 20.933 Subscapularis Muscle 2.4025 -0.67017 -8.196 8.5671 Teres Minor Muscle -0.2081 3.5979 -5.2118 6.3365 Infraspinatus Muscle 0.44791 -4.0786 -0.2719 4.1121 Supraspinatus Muscle -0.52651 -23.879 0.80256 23.899 Injured 45° Deltoid Muscle 6.9968 20.213 18.667 28.39 Subscapularis Muscle 3.1378 -0.66771 -10.242 10.733 Teres Minor Muscle -0.23979 4.3986 -6.6747 7.9973 Infraspinatus Muscle 0.70188 -4.9726 -0.61374 5.0592 Supraspinatus Muscle 3.09E-11 -2.78E-11 -1.58E-02 1.58E-02 Single-Row 45° Deltoid Muscle 5.6954 17.354 14.448 23.288 Subscapularis Muscle 2.4573 -0.67415 -8.3365 8.7172 Teres Minor Muscle -0.21092 3.6521 -5.3138 6.4512 Infraspinatus Muscle 0.45628 -4.2124 -0.27573 4.246 Supraspinatus Muscle -6.5251 -3.0806 8.8696 11.434 Double-Row 45° Deltoid Muscle 6.4114 15.712 15.009 22.655 Subscapularis Muscle 2.4437 -0.66066 -8.3414 8.7171 Teres Minor Muscle -0.20993 3.6577 -5.3112 6.4522 Infraspinatus Muscle 0.44012 -4.1968 -2.88E-01 4.2297 Supraspinatus Muscle -6.453 3.5308 4.76E+00 8.7604 X Y Z Resultant Force Normal 60° Deltoid Muscle 2.471 34.832 16.823 38.761 Subscapularis Muscle 1.814 0.18456 -7.6856 7.8989 Teres Minor Muscle -1.2843 -0.60522 -5.5298 5.7091 Infraspinatus Muscle 1.961 -2.7436 1.19E+00 3.5752 Supraspinatus Muscle -0.72215 -17.201 1.888 17.32 Injured 60° Deltoid Muscle 0.95373 42.188 24.874 48.984 Subscapularis Muscle 3.241 1.0022 -10.35 10.892 Teres Minor Muscle -1.4524 -0.78449 -7.3204 7.5042 Infraspinatus Muscle 3.6074 -5.3198 1.783 6.6703 Supraspinatus Muscle -1.47E-11 2.01E-11 -2.57E-05 2.57E-05 Single-Row 60° Deltoid Muscle 4.4534 36.047 16.665 39.962 Subscapularis Muscle 1.6767 1.47E-02 -7.1026 7.2978 Teres Minor Muscle -1.2291 -0.38905 -5.6272 5.773 Infraspinatus Muscle 1.9212 -3.1278 0.77627 3.7519 Supraspinatus Muscle 9.5104 -1.2374 0.63516 9.6116 Double-Row 60° Deltoid Muscle 1.5114 35.75 15.421 38.964 Subscapularis Muscle 2.5853 0.88354 -8.417 8.8493 Teres Minor Muscle -1.1181 -0.4792 -5.5461 5.678 Infraspinatus Muscle 2.6195 -3.8754 1.29E+00 4.8512 Supraspinatus Muscle 0.87057 -6.3216 -2.4997 6.8534 Table 3 - Overall Comparison of Static Analysis Reaction Forces (Unit: N) Deltoid Muscle Subscapularis Muscle Teres Minor Muscle Infraspinatus Muscle Supraspinatus Muscle Normal 15° 4.5789 13.531 2.7963 1.4731 7.4721 Injured 15° 8.6668 15.365 3.2679 1.68 1.91E-02 Single-Row 15° 6.532 13.56 2.6974 1.6632 7.4917 Double-Row 15° 4.9688 15.563 2.7284 2.0596 3.0483 Normal 30° 11.007 13.19 5.4863 2.6134 17.935 Injured 30° 15.275 18.292 7.5647 3.559 2.33E-05 Single-Row 30° 7.8226 13.787 5.7394 2.7735 5.7129 Double-Row 30° 8.3957 14.022 5.5294 2.9618 5.7293 Normal 45° 20.933 8.5671 6.3365 4.1121 23.899 Injured 45° 28.39 10.733 7.9973 5.0592 1.58E-02 Single-Row 45° 23.288 8.7172 6.4512 4.246 11.434 Double-Row 45° 22.655 8.7171 6.4522 4.2297 8.7604 Normal 60° 38.761 7.8989 5.7091 3.5752 17.32 Injured 60° 48.984 10.892 7.5042 6.6703 2.57E-05 Single-Row 60° 39.962 7.2978 5.773 3.7519 9.6116 Double-Row 60° 38.964 8.8493 5.678 4.8512 6.8534 Table 4 - Reaction Force Parameters of the Humerus at 15° Abduction in the Normal Model X Y Z Resultant Force Deltoid Muscle 19.017 -8.68E-02 -6.1359 19.983 Subscapularis Muscle 215.21 67.486 -16.261 226.13 Teres Minor Muscle 17.41 0.14652 -7.1208 18.81 Infraspinatus Muscle 105.72 -23.394 -22.513 110.6 Supraspinatus Muscle -8.4158 -1.46E-02 -7.892 11.537 Cartilage -348.95 -44.137 57.561 356.41 Equivalent -0.0088 7.20E-05 -2.3617 743.47 humerus 0.000006465 6.85E-06 -2.3619 2.3619 Table 5 - Reaction Force Parameters of the Humerus at 30° Abduction in the Normal Model X Y Z Resultant Force Deltoid Muscle 36.438 -4.0361 -16.438 40.178 Subscapularis Muscle 444.86 136.78 -31.038 466.44 Teres Minor Muscle 35.581 0.14302 -14.697 38.497 Infraspinatus Muscle 230.83 -50.818 -49.953 241.58 Supraspinatus Muscle -16.386 -0.56529 -15.269 22.404 Cartilage -731.32 -81.503 125.03 746.39 Equivalent 0.003 0.00063 -2.365 1555.489 humerus 0.000016375 0.000019296 -2.362 2.362 Table 6 - Reaction Force Parameters of the Humerus at 45° Abduction in the Normal Model X Y Z Resultant Force Deltoid Muscle 53.367 -1.552 -16.242 55.806 Subscapularis Muscle 122.43 7.9331 -7.9406 122.94 Teres Minor Muscle 32.233 0.26524 -10.726 33.972 Infraspinatus Muscle -46.547 5.3342 10.511 48.017 Supraspinatus Muscle -7.9651 -5.8153 -23.887 25.843 Cartilage -153.51 -6.1652 45.923 160.36 Equivalent 0.0079 4.00E-05 -2.3616 446.938 humerus 4.14E-06 0.000015811 -2.362 2.362 Table 7 - Reaction Force Parameters of the Humerus at 60° Abduction in the Normal Model X Y Z Resultant Force Deltoid Muscle 71.421 -1.637 -20.427 74.303 Subscapularis Muscle 165.95 12.969 -9.2597 166.71 Teres Minor Muscle 42.766 0.38356 -14.073 45.023 Infraspinatus Muscle -61.916 7.2093 14.693 64.043 Supraspinatus Muscle -11.244 -7.8956 -32.979 35.726 Cartilage -206.97 -11.029 59.683 215.69 Equivalent 0.007 0.00026 -2.3627 601.495 humerus 0.000025666 0.000083672 -2.3618 2.3618 Table 8 - Reaction Force Parameters of the Humerus at 15° Abduction in the Single-Row Model X Y Z Resultant Force Deltoid Muscle 19.007 2.7123 -9.41 21.382 Subscapularis Muscle 151.12 45.015 -10.628 158.04 Teres Minor Muscle 13.877 -0.60397 -6.0593 15.154 Infraspinatus Muscle 77.783 -17.232 -16.494 81.358 Supraspinatus Muscle -7.9661 -4.8369 7.2287 11.794 Cartilage -237.38 -30.119 37.158 242.15 Surgical Rivet -16.446 5.0644 -4.1516 17.702 Equivalent -0.0051 -0.00017 -2.3562 547.58 humerus -4.73E-06 -0.000010764 -2.3562 2.3562 Table 9 - Reaction Force Parameters of the Humerus at 30° Abduction in the Single-Row Model X Y Z Resultant Force Deltoid Muscle 36.53 4.2705 -27.667 46.024 Subscapularis Muscle 310.55 93.515 -25.43 325.32 Teres Minor Muscle 29.363 -1.3384 -13.165 32.207 Infraspinatus Muscle 180.78 -39.576 -38.284 188.98 Supraspinatus Muscle -18.236 -8.0062 13.24 23.915 Cartilage -509.32 -57.226 94.709 521.21 Surgical Rivet -29.67 8.3618 -5.7583 31.359 Equivalent -0.003 0.0007 -2.3553 1169.015 humerus -9.61E-06 -1.30E-06 -2.3562 2.3562 Table 10 - Reaction Force Parameters of the Humerus at 45° Abduction in the Single-Row Model X Y Z Resultant Force Deltoid Muscle 55.649 9.291 -21.232 60.282 Subscapularis Muscle 123.27 29.234 6.048 126.84 Teres Minor Muscle 27.519 -0.91643 -11.394 29.799 Infraspinatus Muscle -67.764 10.215 16.282 70.437 Supraspinatus Muscle -3.22E-08 -2.73E-08 -3.64E-08 5.58E-08 Cartilage -125.25 -51.348 9.9514 135.74 Surgical Rivet -13.423 3.5239 -2.0111 14.023 Equivalent 1.00E-03 5.30E-04 -2.355700036 437.1210001 humerus 1.43E-05 1.52E-01 -2.356 2.356 Table 11 - Reaction Force Parameters of the Humerus at 60° Abduction in the Single-Row Model X Y Z Resultant Force Deltoid Muscle 63.527 -3.7101 -49.788 80.798 Subscapularis Muscle 167.99 31.972 29.539 173.54 Teres Minor Muscle 37.308 -1.465 -16.1 40.66 Infraspinatus Muscle -113.03 17.457 22.131 116.5 Supraspinatus Muscle -1.22E-07 -5.32E-09 7.35E-09 1.22E-07 Cartilage -137.99 -49.085 14.89 147.21 Surgical Rivet -17.803 4.8309 -3.0277 18.694 Equivalent 0.001999878 -0.000200005 -2.355699993 577.4020001 humerus -0.000010444 -0.000019501 -2.356 2.356 Table 12 - Reaction Force Parameters of the Humerus at 15° Abduction in the Double-Row Model X Y Z Resultant Force Deltoid Muscle 19.052 2.8849 -5.5276 20.046 Subscapularis Muscle 52.202 12.5 1.1786 53.691 Teres Minor Muscle 10.059 -0.37566 -4.1585 10.891 Infraspinatus Muscle -12.746 1.55 3.1261 13.215 Supraspinatus Muscle -7.8558 -2.3415 11.171 13.856 Cartilage -40.361 -17.55 2.5651 44.086 Surgical Rivet -20.197 3.0838 -10.723 23.074 Equivalent 0.1532 -0.24846 -2.3683 178.859 humerus 0.1517 -0.24882 -2.3685 2.3864 Table 13 - Reaction Force Parameters of the Humerus at 30° Abduction in the Double-Row Model X Y Z Resultant Force Deltoid Muscle 38.781 5.6079 -10.981 40.694 Subscapularis Muscle 106.08 25.001 4.2482 109.07 Teres Minor Muscle 19.853 -0.7385 -8.1924 21.489 Infraspinatus Muscle -27.106 3.5897 7.109 28.252 Supraspinatus Muscle -17.478 -5.023 21.735 28.339 Cartilage -82.237 -35.067 3.1738 89.458 Surgical Rivet -37.588 6.1225 -19.479 42.776 Equivalent 0.305 -0.5074 -2.3864 360.078 humerus 0.30851 -0.50712 -2.3867 2.4594 Table 14 - Reaction Force Parameters of the Humerus at 45° Abduction in the Double-Row Model X Y Z Resultant Force Deltoid Muscle 57.543 7.4426 -18.284 60.835 Subscapularis Muscle 158.83 29.683 2.9656 161.6 Teres Minor Muscle 29.938 -1.1455 -12.414 32.43 Infraspinatus Muscle -34.427 4.1595 9.8787 36.057 Supraspinatus Muscle -26.097 -7.4031 29.6 40.15 Cartilage -136.89 -43.878 11.634 144.22 Surgical Rivet -48.595 10.269 -25.846 55.991 Equivalent 0.302 -0.8725 -2.4657 531.283 humerus 0.29966 -0.87285 -2.4654 2.6325 Table 15 - Reaction Force Parameters of the Humerus at 60° Abduction in the Double-Row Model X Y Z Resultant Force Deltoid Muscle 76.504 9.476 -23.723 80.656 Subscapularis Muscle 212.37 44.056 5.3794 216.96 Teres Minor Muscle 39.443 -1.4972 -16.317 42.711 Infraspinatus Muscle -53.816 7.4534 15.546 56.51 Supraspinatus Muscle -30.815 -17.887 40.133 53.667 Cartilage -175 -64.42 9.6629 186.73 Surgical Rivet -68.287 21.647 -33.185 78.949 Equivalent 0.399 -1.1718 -2.5037 716.183 humerus 0.40139 -1.1716 -2.5031 2.7927 Additional Declarations No competing interests reported. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-3837786","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":266171005,"identity":"0f5d3c0f-0fa2-4ac8-bad5-a632cba4f8c1","order_by":0,"name":"Yan Wang","email":"","orcid":"","institution":"Guizhou University of Traditional Chinese Medicine","correspondingAuthor":false,"prefix":"","firstName":"Yan","middleName":"","lastName":"Wang","suffix":""},{"id":266171006,"identity":"86e37c98-4e17-405e-be52-4badd06eda4c","order_by":1,"name":"Di Yang","email":"","orcid":"","institution":"Guizhou University of Traditional Chinese Medicine","correspondingAuthor":false,"prefix":"","firstName":"Di","middleName":"","lastName":"Yang","suffix":""},{"id":266171007,"identity":"4540372c-1281-44cd-b1ae-32038165d9e1","order_by":2,"name":"Kaiwei Zhang","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA0ElEQVRIiWNgGAWjYDACHgaGAx//1cgxsDM2EK2F8eAMtmPGDMwkaGE+zMPGnNjATKy75HvOGBzm4WFL729mbpPm3cEgzy92AL8Wxt4eg4NzJGRyZxxmBGo5w2A4c3YCfi3M/LwbDrwxYMttAGtpY0gwuE1ACxtIC08Cc7o80Vp4eHs3HOQ5wJxgQLQWCZ7zHw7ObDhmuPEwY7Pl3DYJwn6R70lL/vCxoUZe7nj7wxtv22zk+aUJaEEGLBJAW4lXDgLMH0hTPwpGwSgYBSMFAAARI0DA+mhQ9AAAAABJRU5ErkJggg==","orcid":"","institution":"Guizhou University of Traditional Chinese Medicine","correspondingAuthor":true,"prefix":"","firstName":"Kaiwei","middleName":"","lastName":"Zhang","suffix":""}],"badges":[],"createdAt":"2024-01-05 16:59:15","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-3837786/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-3837786/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":49436821,"identity":"0b1ef5aa-50af-4aa2-a55b-2fa6bbd79e6d","added_by":"auto","created_at":"2024-01-10 20:11:58","extension":"jpg","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":735411,"visible":true,"origin":"","legend":"\u003cp\u003eProcess diagram for establishing shoulder joint model\u003c/p\u003e","description":"","filename":"floatimage1.jpg","url":"https://assets-eu.researchsquare.com/files/rs-3837786/v1/87b5fde17070fcafbcf44cfc.jpg"},{"id":49435666,"identity":"8a3d91b8-77f0-4ad5-acc5-bf4265a244c5","added_by":"auto","created_at":"2024-01-10 20:03:58","extension":"jpg","order_by":2,"title":"Figure 2","display":"","copyAsset":false,"role":"figure","size":249199,"visible":true,"origin":"","legend":"\u003cp\u003eStatic modeling loading process\u003c/p\u003e","description":"","filename":"floatimage2.jpg","url":"https://assets-eu.researchsquare.com/files/rs-3837786/v1/72d3b6283fa61f810a0f0493.jpg"},{"id":49435665,"identity":"0e10b41e-69a7-4cc3-b1d7-d37c88f5b1bf","added_by":"auto","created_at":"2024-01-10 20:03:58","extension":"jpg","order_by":3,"title":"Figure 3","display":"","copyAsset":false,"role":"figure","size":227937,"visible":true,"origin":"","legend":"\u003cp\u003eDynamic modeling loading process\u003c/p\u003e","description":"","filename":"floatimage3.jpg","url":"https://assets-eu.researchsquare.com/files/rs-3837786/v1/d3642f17fa1a7aa835d8f853.jpg"},{"id":53330408,"identity":"acf5b36e-0c4d-44c1-9d75-1836c114f1c3","added_by":"auto","created_at":"2024-03-24 10:07:44","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":487564,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-3837786/v1/29ed6769-8422-4808-be18-d4f0e030bc28.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Single-row and double-row shoulder suture techniques, combined with dynamic-static modeling, were employed for finite element analysis of the three-dimensional mechanics of the shoulder joint","fulltext":[{"header":"Introduction","content":"\u003cp\u003eThe shoulder joint involves numerous muscles during its motion, including the rotator cuff (supraspinatus, infraspinatus, teres minor, subscapularis), deltoid, and trapezius\u003csup\u003e[1-2]\u003c/sup\u003e. Among these, injury to the supraspinatus is the most common cause of rotator cuff tears\u003csup\u003e[3-4]\u003c/sup\u003e. The two primary surgical methods for repairing the supraspinatus in clinical practice are Single-Row Suture Technique (SR) and Double-Row Suture Technique (DR). Currently, it is generally believed that the DR technique yields better outcomes than the SR technique\u003csup\u003e[5]\u003c/sup\u003e. While some studies have investigated the biomechanical differences in horizontal or vertical force couples under different surgical techniques, the author argues that considering only horizontal or vertical force couples is insufficient. Given the three-dimensional nature of the human body and its movements, it is inadequate to focus solely on individual muscles or muscle pairs. The shoulder joint involves a complex muscle group.To address this complexity, the author employed two modeling approaches: static and dynamic. A computer model of the adult shoulder joint was constructed. In the static modeling approach, commonly used by most researchers, a force was applied to the model, and the forces acting on various tendon tissues to maintain model equilibrium were examined. In the dynamic modeling approach, the humerus was treated as the primary moving part, simulating the abduction process of the shoulder joint under normal conditions, injury, and after single or double-row repairs. The biomechanical conditions of different muscles in the X, Y, and Z axes during the abduction process were studied in both static and dynamic modeling scenarios.\u003c/p\u003e"},{"header":"1. Data Source and Modeling Methods","content":"\u003cp\u003e\u003cstrong\u003e1.1 Shoulder Joint Model Construction\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eA female volunteer, aged 27, weighing 65kg, with no history of shoulder trauma, was selected for the study. Through formal hospital channels, the subject underwent spiral CT and MRI scans of the shoulder joint. DICOM format raw data was collected and imported into Mimics software for data extraction. The process involved obtaining three cross-sectional views and three-dimensional windows. Bone and soft tissue were separated, and the \u0026quot;Region Grow\u0026quot; function was employed to eliminate non-connected noise with the bone.Using \u0026quot;Split Mask,\u0026quot; the small joint area was divided into two regions, separating each bone individually. Gaps were filled or excess portions removed. \u0026quot;Edit Mask\u0026quot; was used to paint or delete at each layer corresponding to the DICOM photos. The filled masks were individually processed through \u0026quot;Calculate part\u0026quot; to solidify and generate entities. The resulting entities were exported as STL files.\u003c/p\u003e\n\u003cp\u003eThe STL files were imported into Geomagic software to address specific issues. Through commands such as relaxation, removal of protrusions, and noise reduction, adjustments were made to the model\u0026apos;s surface to retain its essential features. Subsequently, the feature removal command was applied, followed by manual fine-tuning. Finally, surface fitting was performed to create a solid file, which was saved in STP (Standard for the Exchange of Product model data) format.\u003c/p\u003e\n\u003cp\u003eUsing SolidWorks, open the STP 3D model file and save it as an SLDPRT format. Then, assemble all bones and muscles. Insert single-row and double-row screws into their respective positions based on the foundational single-row and double-row models. Establish a scapular plane defined by the acromion, inferior angle of the scapula, and superior angle of the scapula. In SolidWorks, select three points to create the plane and establish a rotation axis. The humerus will rotate around this axis at varying angles, perpendicular to the scapular plane and passing through the center of the humeral head. Utilize the SolidWorks split command to differentiate between tendon and muscle belly portions. Using the \u0026apos;Check Interference\u0026apos; command, inspect for any intersections between model components. Save the model as an X-T file.\u003c/p\u003e\n\u003cp\u003eOpen Ansys Workbench and create a static analysis module. Import the X-T file into the static module. In the Workbench material library, generate the required materials using parameters obtained from previous literature, as illustrated in Figure 1, Tables 1, and 2. Assign these materials to the respective bones and muscles. Proceed by controlling the mesh division, utilizing tetrahedral meshing based on actual model features, and adjusting element quantities accordingly. Following material assignment, configure additional parameters such as fixed conditions, pressures, gravity, and data extraction points to meet the requirements of static and dynamic modeling. Note that these steps may require further adjustments depending on specific model characteristics and analysis objectives.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e1.2 Contact Relationships in the Finite Element Model\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eExcept for the glenoid labrum joint set as non-separable, all other areas are bound. In both single-row and double-row scenarios, the contact between the supraspinatus muscle tendon and the humerus is set as non-separable. In both single-row and double-row scenarios, the contact between the supraspinatus muscle tendon and the humeral cartilage is set as non-separable. The contact between the humerus and humeral cartilage is set as bound in both single-row and double-row scenarios. The suturing of the supraspinatus muscle in both single-row and double-row configurations is achieved using a spring mechanism, with a stiffness of 1E+10 N/mm, ensuring a tight grasp effect by the screws on the supraspinatus muscle.\u003c/p\u003e\n\u003cp\u003e1.3 Static Modeling Loading\u003c/p\u003e\n\u003cp\u003eThe model is centered at the center of the humeral greater tubercle, with the X-axis in the horizontal direction, the Z-axis in the vertical direction, and the Y-axis perpendicular to the XZ plane. The humerus distal end is fixed, with its Z-axis in the scapular plane and forming a certain angle with the scapula\u0026apos;s proximal end. Gravity is applied in the negative direction of the Z-axis of this coordinate system, with a magnitude of 9.841 m/s^2. The force is loaded at the upper end of the scapula, in the negative direction of the Z-axis of this coordinate system, with a magnitude of 50 N, as shown in Figure 2.\u003c/p\u003e\n\u003cp\u003e1.4 Dynamic Modeling Loading\u003c/p\u003e\n\u003cp\u003eGravity is applied in the negative direction of the Z-axis of this coordinate system, with a magnitude of 9.841 m/s^2. The scapula\u0026apos;s proximal end is fixed, and the humerus is rotated around the Y-axis at angles of 15\u0026deg;, 30\u0026deg;, 45\u0026deg;, and 60\u0026deg;, as shown in Figure 3.\u003c/p\u003e\n\u003cp\u003e1.5 Model Validity Verification\u003c/p\u003e\n\u003cp\u003eThe model follows the fixation and loading methods from Yang Xiaoxia\u0026apos;s \u003csup\u003e[6]\u003c/sup\u003e mechanical testing experiment on the acromioclavicular joint. A portion of nodes on the side where the scapula contacts the chest wall is fixed, and different levels of tensile forces are applied along the positive x-axis direction at the proximal end of the clavicle. Measurement points include: Point 1 at the midpoint of the outer end of the clavicle, Point 2 at the corresponding point on the acromion to the midpoint of the outer end of the clavicle, and Point 3 at the tip vertex of the coracoid process. Displacements of the marked points are measured, and the displacement curves are compared with the experimental structure. The overall trend is consistent with the experimental structure, indicating that this model exhibits certain linear characteristics due to its linear elastic material properties. Therefore, it is concluded that the model is effective and accurate.\u003c/p\u003e"},{"header":"2. Results","content":"\u003cp\u003e2.1 Static Reaction Force Analysis (Unit: N)\u003c/p\u003e\n\u003cp\u003eStatic extraction data is the reaction force on the muscle. According to the data in Table 2 and Table 3, it can be seen that:\u003c/p\u003e\n\u003cp\u003eIn the normal model, the forces on the Y and Z axes of the deltoid muscle continuously increase during shoulder abduction from 15\u0026deg; to 60\u0026deg;. The force on the X axis increases from 15\u0026deg; to 45\u0026deg; and then decreases. The results for the single-row model are essentially consistent with the normal model, and the results for the double-row model are also consistent with the normal model. The overall force in the single-row model is greater than that in the double-row model.\u003c/p\u003e\n\u003cp\u003eIn the normal model, the forces on the X, Y, and Z axes of the subscapularis muscle continuously decrease during shoulder abduction from 15\u0026deg; to 60\u0026deg;. The results for the single-row model are essentially consistent with the normal model, and the results for the double-row model are also consistent with the normal model.\u003c/p\u003e\n\u003cp\u003eIn the normal model, the forces on the X, Y, and Z axes of the teres minor muscle increase during shoulder abduction from 15\u0026deg; to 30\u0026deg;. From 30\u0026deg; to 45\u0026deg;, the X-axis and Y-axis forces decrease, while the Z-axis force increases. From 45\u0026deg; to 60\u0026deg;, the X-axis and Z-axis forces increase, and the Y-axis force decreases. The results for the single-row model are essentially consistent with the normal model, and the results for the double-row model are also consistent with the normal model.\u003c/p\u003e\n\u003cp\u003eIn the normal model, the forces on the X-axis of the infraspinatus muscle continuously increase during shoulder abduction from 15\u0026deg; to 60\u0026deg;. The Y-axis force increases from 15\u0026deg; to 45\u0026deg; and then decreases from 45\u0026deg; to 60\u0026deg;. The Z-axis force decreases from 15\u0026deg; to 30\u0026deg;, increases from 30\u0026deg; to 45\u0026deg;, and then decreases from 45\u0026deg; to 60\u0026deg;. The results for the single-row model are essentially consistent with the normal model, except for an increase in the Y-axis force from 45\u0026deg; to 60\u0026deg;. The results for the double-row model are essentially consistent with the normal model.\u003c/p\u003e\n\u003cp\u003eIn the normal model, the X-axis force of the supraspinatus muscle increases from 15\u0026deg; to 30\u0026deg;, decreases from 30\u0026deg;to 45\u0026deg;, and increases from 45\u0026deg; to 60\u0026deg; during shoulder abduction. The Y-axis force increases from 15\u0026deg; to 45\u0026deg; and decreases from 45\u0026deg; to 60\u0026deg;. The Z-axis force decreases from 15\u0026deg; to 30\u0026deg;, increases from 30\u0026deg; to 60\u0026deg;. In the single-row model, the X-axis force continuously increases from 15\u0026deg; to 60\u0026deg;. The Y-axis force decreases from 15\u0026deg; to 30\u0026deg;, increases from 30\u0026deg; to 45\u0026deg;, and decreases from 45\u0026deg; to 60\u0026deg;. The Z-axis force decreases from 15\u0026deg; to 30\u0026deg;, increases from 30\u0026deg; to 45\u0026deg;, and decreases from 45\u0026deg; to 60\u0026deg;. In the double-row model, the X-axis force increases from 15\u0026deg; to 45\u0026deg; and decreases from 45\u0026deg; to 60\u0026deg;. The Y-axis force decreases from 15\u0026deg; to 30\u0026deg;, increases from 30\u0026deg; to 60\u0026deg;. The Z-axis force increases from 15\u0026deg; to 30\u0026deg;, decreases from 30\u0026deg; to 45\u0026deg;, and increases from 45\u0026deg; to 60\u0026deg;.\u003c/p\u003e\n\u003cp\u003e2.2 Dynamic Reaction Force Analysis (Unit: N)\u003c/p\u003e\n\u003cp\u003eThe model takes the center of the humeral greater tubercle as the origin, with X as the horizontal direction, Z as the vertical direction, and the Y-axis perpendicular to the XZ plane. The humerus rotates around the Y-axis. (Equivalent = sum of individual muscle values, Resultant Force = square root of the sum of the squares of data along each axis)\u003c/p\u003e\n\u003cp\u003eThe dynamically extracted forces include the forces at the contact surfaces between each muscle and the humerus. Additionally, the overall force on the entire humerus was separately measured, indicating that there are no other influencing factors apart from the impact of individual muscles and cartilage on the humerus. Since the static model has already revealed the changes in force for each muscle, the dynamic analysis assesses whether the shoulder joint model tends towards overall dynamic balance. It also compares the force recovery between single-row and double-row surgeries. From the resultant forces of each muscle, it can be observed that during shoulder abduction from 15\u0026deg; to 60\u0026deg;, the forces along the X, Y, and Z axes\u0026nbsp;all indicate that the single-row surgical model brings the shoulder joint closer to recovery resembling the normal model.\u003c/p\u003e\n\u003cp\u003eSince the surgery only repairs the supraspinatus muscle, the dynamic analysis mainly focuses on the recovery of the supraspinatus muscle，according to the data in Tables 4 to 15, it can be concluded that:\u003c/p\u003e\n\u003cp\u003eAt 15\u0026deg; shoulder abduction, comparing the single-row and double-row with the normal model, both surgical methods show overall recovery effects. In the X-axis force, the single-row is closer to normal values. In the Y-axis force, the double-row is closer to normal values, and in the Z-axis force, the single-row is closer to normal values.\u003c/p\u003e\n\u003cp\u003eAt 30\u0026deg; shoulder abduction, comparing the single-row and double-row with the normal model, both surgical methods show overall recovery effects. In the X-axis force, the double-row is closer to normal values. In the Y-axis force, the double-row is closer to normal values. In the Z-axis force, the single-row is closer to normal values.\u003c/p\u003e\n\u003cp\u003eAt 45\u0026deg; shoulder abduction, comparing the single-row and double-row with the normal model, both surgical methods show overall recovery effects. In the X-axis force, the single-row is closer to normal values. In the Y-axis force, the double-row is closer to normal values. In the Z-axis force, the single-row is closer to normal values.\u003c/p\u003e\n\u003cp\u003eAt 60\u0026deg; shoulder abduction, comparing the single-row and double-row with the normal model, both surgical methods show overall recovery effects. In the X-axis force, the single-row is closer to normal values. In the Y-axis force, the single-row is closer to normal values. In the Z-axis force, the single-row is closer to normal values.\u003c/p\u003e\n\u003cp\u003eOverall observation indicates that for the supraspinatus muscle, the single-row model shows better recovery in the force couple of the X-axis and Z-axis, while the double-row model shows better recovery in the force couple of the Y-axis.\u003c/p\u003e\n\u003cp\u003eThe rivet is only influenced by the supraspinatus muscle. Therefore, combining the force of the supraspinatus muscle with the force of the rivet, an analysis can be conducted to draw conclusions:\u003c/p\u003e\n\u003cp\u003eAt 15\u0026deg; shoulder abduction, comparing the forces of the supraspinatus muscle and rivet in the single and double-row models with the normal model\u0026apos;s supraspinatus force, the force along the X-axis is closer to the normal value in the single-row model, along the Y-axis is closer in the single-row model, and along the Z-axis is closer in the double-row model.\u003c/p\u003e\n\u003cp\u003eAt 30\u0026deg; shoulder abduction, comparing the forces of the supraspinatus muscle and rivet in the single and double-row models with the normal model\u0026apos;s supraspinatus force, the force along the X-axis is closer to the normal value in the single-row model, along the Y-axis is closer in the single-row model, and along the Z-axis is closer in the double-row model.\u003c/p\u003e\n\u003cp\u003eAt 45\u0026deg; shoulder abduction, comparing the forces of the supraspinatus muscle and rivet in the single and double-row models with the normal model\u0026apos;s supraspinatus force, the force along the X-axis is closer to the normal value in the single-row model, along the Y-axis is closer in the single-row model, and along the Z-axis is closer in the single-row model.\u003c/p\u003e\n\u003cp\u003eAt 60\u0026deg; shoulder abduction, comparing the forces of the supraspinatus muscle and rivet in the single and double-row models with the normal model\u0026apos;s supraspinatus force, the force along the X-axis is closer to the normal value in the single-row model, along the Y-axis is closer in the double-row model, and along the Z-axis is closer in the single-row model.\u003c/p\u003e"},{"header":"3. Discussion","content":"\u003cp\u003eShoulder impingement is a common condition causing shoulder pain and restricted mobility, accounting for over 60% of all shoulder pain cases. It predominantly affects athletes and the elderly, with supraspinatus tendon tears constituting more than 85% of shoulder impingement injuries. Mechanisms of injury include trauma, impact, vascular issues, and degeneration. Currently, arthroscopic repair, with Single-Row (SR) and Double-Row (DR) techniques as the primary surgical options, is the mainstay of treatment. Single-row suture involves securing the torn rotator cuff at the greater tuberosity of the humerus, demonstrating favorable clinical outcomes. This technique is suitable for patients with smaller or partially torn cuffs, and even for those with large cuff tears ranging from 3 to 5 cm, offering advantages such as simplicity and biomechanical stability.\u003csup\u003e[7]\u003c/sup\u003e However, single-row suture has limitations, with the screw fixing the cuff inadequately covering the footprint area on the greater tuberosity (less than 75%). This results in point contact between the repaired cuff and the bone surface, concentrating stress around the tuberosity and leading to suboptimal anatomical healing and a higher risk of re-tear postoperatively.\u003csup\u003e[8]\u003c/sup\u003e To address these limitations, the double-row technique has gained popularity. In this approach, an inner row of screws is fixed at the edge of the humeral head cartilage, while an outer row secures screws on the greater tuberosity. This technique ensures a cuff-to-bone contact area coverage exceeding 95%.\u003csup\u003e[9]\u003c/sup\u003e In comparison to the single-row technique, it reduces stress on the cuff-bone healing surface, increases contact area, and disperses stress on the torn cuff. This procedure is more conducive to anatomical healing, resulting in improved clinical outcomes and significantly increased patient satisfaction.\u003csup\u003e[10]\u003c/sup\u003e However, there is currently limited long-term research data comparing single-row and double-row arthroscopic shoulder repairs. While some studies have analyzed the outcomes of both techniques over a 10-year postoperative period, finding higher Western Ontario Rotator Cuff Index (WORC) scores in the double-row group, there were no significant differences in ASE scores, Constant scores, or strength. Therefore, the authors concluded that the original hypothesis suggesting better quality of life and functional outcomes with double-row suture compared to single-row suture was not strongly supported.\u003csup\u003e[11]\u003c/sup\u003e\u003c/p\u003e\n\u003cp\u003eWith the rapid development of digital medicine, the application of finite element analysis (FEA) in the field of shoulder joints has become increasingly prevalent.\u003csup\u003e[12]\u003c/sup\u003e Through computer simulation modeling and analysis under different loading conditions, FEA helps overcome the limitations of traditional biomechanics. Currently, researchers have incorporated finite element analysis into the study of shoulder joints, focusing on areas such as the mechanisms of rotator cuff tears and the surgical treatment of such tears.\u003csup\u003e[13-14]\u003c/sup\u003e\u003c/p\u003e\n\u003cp\u003eIn this experiment, under static conditions, the deltoid muscle exhibits changes during shoulder joint abduction from 15\u0026deg; to 60\u0026deg;. Due to the increased number of screws in the double-row surgery, the contact area between the muscle tendon and the humerus is enlarged. As a result, achieving results during movement requires less force, and postoperative rehabilitation training should involve moderate activation of the injured muscles. This helps prevent postoperative adhesions that could affect the body\u0026apos;s functionality. Therefore, for patients with shoulder cuff injuries accompanied by deltoid muscle damage, it is recommended to increase shoulder abduction activities from 45\u0026deg; to 60\u0026deg; after both single-row and double-row surgeries.The subscapularis muscle, during shoulder joint abduction from 15\u0026deg; to 60\u0026deg;, exhibits higher forces in the double-row model compared to the single-row model. The forces in the normal, single-row, and double-row models are approximately similar at various angles and along the X, Y, and Z axes. Considering the limited impact of screw implantation on the subscapularis muscle, it is suggested that patients undergoing single or double-row surgeries increase shoulder abduction exercises from 30\u0026deg; to 45\u0026deg;, especially when there is concomitant subscapularis muscle injury.The infraspinatus muscle, in the process of shoulder abduction, shows similar force magnitudes in the normal, single-row, and double-row models at each angle and along each axis. Considering the minimal impact of screw implantation on the infraspinatus muscle, it is advised that patients undergoing single or double-row surgeries increase exercises involving shoulder abduction from 15\u0026deg; to 30\u0026deg;, particularly when there is accompanying infraspinatus muscle injury.\u003c/p\u003e\n\u003cp\u003eAfter double-row surgery, the force in the Y-axis direction of the infraspinatus muscle becomes significantly smaller. Considering the potential impact of screw implantation on the forces exerted by the infraspinatus muscle in the Y-axis direction during shoulder joint movement\u003csup\u003e\u0026nbsp;[15]\u003c/sup\u003e, the overall data indicates that there is a significant change in the overall force of the infraspinatus muscle after double-row surgery. To some extent, this suggests that the implantation of screws may increase the overall pressure on the infraspinatus muscle. For patients with shoulder cuff injuries accompanied by some degree of infraspinatus muscle damage, it is recommended that patients undergoing both single-row and double-row surgeries increase abduction exercises of the shoulder joint from 30\u0026deg; to 45\u0026deg;. However, if the patient has severe infraspinatus muscle tear along with shoulder cuff injury, it is more advisable to consider single-row surgery to avoid potential complications and secondary injuries during later-stage recovery\u003csup\u003e\u0026nbsp;[16]\u003c/sup\u003e.\u003c/p\u003e\n\u003cp\u003eDouble-row surgery has a greater impact on the force in the Z-axis direction of the supraspinatus muscle, while single-row surgery has a greater impact on the force in the Y-axis direction of the supraspinatus muscle. Considering the overall force in the X-axis, it can be observed that the overall force of the supraspinatus muscle is relatively small after double-row surgery. This suggests that the screws may provide effective assistance, making shoulder abduction movements more efficient. Therefore, for patients with shoulder cuff injuries involving large or massive tears, priority should be given to double-row surgery. Conversely, for patients with mild tears, postoperative rehabilitation may include increased abduction exercises in the shoulder joint from 30\u0026deg; to 45\u0026deg;. Patients with large or massive tears may consider increasing abduction exercises from 15\u0026deg; to 30\u0026deg; \u003csup\u003e[17]\u003c/sup\u003e.\u003c/p\u003e\n\u003cp\u003eDynamic force data for the deltoid muscle: After double-row surgery, the deltoid muscle shows no significant difference in the X and Y axes compared to single-row data, but there is a noticeable difference in the Z-axis. This indicates that double-row surgery mainly provides assistance in the Z-axis mechanics. Overall, it can be observed that the overall force of the deltoid muscle is smaller after double-row surgery than after single-row surgery. This supports the suggestion that in cases of deltoid muscle injury accompanied by deltoid muscle damage, double-row surgery is recommended to avoid increased load on the deltoid muscle.\u003c/p\u003e\n\u003cp\u003eScapulohumeralis, Supraspinatus, and Infraspinatus Muscles: Upon observation, it is noted that double-row surgery plays a supporting role in all three directions (X, Y, Z), with forces being relatively smaller compared to the normal condition. Single-row surgery, on the other hand, is closer to the normal condition. Overall, it can be observed that double-row surgery provides good assistance. Therefore, in cases of deltoid muscle injury accompanied by damage to scapulohumeralis, supraspinatus, and infraspinatus muscles, it is advisable to opt for double-row surgery to avoid increased load on these muscles. However, if the patient has only deltoid muscle injury without accompanying damage to other tendons, single-row surgery should be considered for better recovery in the later stages and to prevent joint adhesions.\u003c/p\u003e\n\u003cp\u003eThe dynamic force data shows that there is a force of approximately 2.4N in the opposite direction on the Y-axis of the humerus. The reason for this is that the force extraction is based on the forces on the humerus, and the overall calculation does not take into account the weight of the humerus itself. Once the weight of the humerus is factored into the calculation, this weight manifests as a force of 2.4N in the positive direction of the Y-axis. Therefore, each muscle contributes to maintaining the biomechanical balance of the shoulder joint, and the overall model remains in an equilibrium state.\u003c/p\u003e\n\u003cp\u003eAccording to the data analysis from four different angles, different repair methods have a certain impact on the force situation of the rotator cuff muscles. Both single-row and double-row surgeries have varying effects on different muscles at different angles. Therefore, it is advisable to consider adopting different surgical approaches based on the individual muscle conditions of patients in subsequent surgeries. Currently, double-row surgery is generally considered superior to single-row surgery in various studies\u003csup\u003e[18]\u003c/sup\u003e. The data also indicate that compared to single-row suturing, double-row suturing has a more pronounced effect on reducing the torque values of the shoulder joint, demonstrating that double-row suturing can more effectively restore the biomechanical function of the shoulder joint\u003csup\u003e[19-21]\u003c/sup\u003e. However, since the choice of surgery is not solely determined by the doctor and the cost of surgical materials has consistently constituted a significant portion of the surgical expenses, there are still many individuals opting for the less costly single-row suturing due to financial constraints. Therefore, in postoperative rehabilitation training following single-row surgery, it is recommended to consider exercise angles that are more suitable for recovery based on the patient\u0026apos;s situation.\u003c/p\u003e\n\u003cp\u003eThis article investigates the three-dimensional biomechanical differences of various muscles during shoulder joint movement after single-row and double-row surgeries using static and dynamic three-dimensional finite element methods. From the results, it can be observed that both single-row and double-row surgeries have certain impacts on the biomechanics of various muscles around the shoulder joint. Considering the actual conditions of patients, this study provides references for selecting a more suitable surgical approach and determining rehabilitation training angles postoperatively to avoid re-tearing.\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eAuthors\u0026rsquo; contributions\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eKWZ and DY designed the experiment. YW conducted experiments. YW analyzed the data and drafted the manuscript. KWZ revised the manuscript. All authors read and approved the final submitted manuscript\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFunding\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe study was supported by Health Commission of Guizhou Province, Qian Weijian Letter (2020) 170\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAvailability of data and materials\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe datasets used and analyzed during the present study are not publicly\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eavailable due to ethical reason but are available from the corresponding\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eauthor upon reasonable request.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eEthics approval and consent to participate\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe study was approved by the Ethics Committee of the First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine (approval number: k2021-007) and informed consent was taken from the patients.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConsent for publication\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eInformed consents were obtained from all patients for for publication of their clinical data and accompanying images.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCompeting interests\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors declare that they have no confict of interest.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eWeber S, Chahal J. Management of Rotator Cuff Injuries. J Am Acad Orthop Surg. 2020; 28(5):193-201. http://doi.org/10.5435/JAAOS-D-19-00463\u003c/li\u003e\n\u003cli\u003eReinholz AK,Till SE,Arguello AM,et al. Advances in the Treatment of Rotator Cuff Tears: Management of Rotator Cuff Tears in the Athlete. Clin Sports Med. 2023; 42(1):69-79. https://doi.org/10.1016/j.csm.2022.08.003\u003c/li\u003e\n\u003cli\u003eSobhy MH, Khater AH, Hassan MR, et al. Do functional outcomes and cuff integrity correlate after single-versus double-row rotator cuff repair? A systematic review and meta-analysis study[J]. Eur J Orthop Surg Traumatol. 2018; 28(4):593-605. https://doi.org/10.1007/s00590-018-2145-7\u003c/li\u003e\n\u003cli\u003eStengaard K, Hejb\u0026oslash;l EK, Jensen PT, et al. Early-stage inflammation changes in supraspinatus muscle after rotator cuff tear. J Shoulder Elbow Surg. 2022; 31(7):1344-1356. https://doi.org/10.1016/j.jse.2021.12.046\u003c/li\u003e\n\u003cli\u003eMiller RM,Thunes JR,Musahl V,et al. A validated, subject-specific finite element model for predictions of rotator cuff tear propagation [J]. J Biomech Eng, 2019. http://doi.org/10.1115/1.4043872.\u003c/li\u003e\n\u003cli\u003eYang X,3D modeling and biomechanical analysis of the human acromioclavicular joint[D]. Shanghai Jiao Tong University,2012\u003c/li\u003e\n\u003cli\u003eGu Z, Wu S, Yang Y, et al. Comparison of Arthroscopic Single-row and Double-row Repair for Rotator Cuff Injuries With Different Tear Sizes: A Systematic Review and Meta-analysis. Orthop J Sports Med. 2023; 11(8):23259671231180854. https://doi.org/10.1177/23259671231180854\u003c/li\u003e\n\u003cli\u003eSenna LF, Ramos MRF, Bergamaschi RF. Arthroscopic rotator cuff repair: single-row vs. double-row- clinical results after one to four years. Rev Bras Ortop. 2018; 53(4):448-453. https://doi.org/10.1016/j.rboe.2018.05.010\u003c/li\u003e\n\u003cli\u003eLi C, Zhang H, Bo X, et al. Arthroscopic release combined with singlerow fixation or double-row suture bridge fixation in patients with traumatic supraspinatus tear and adhesive capsulitis non-responsive to conservative management: a prospective randomized trial. Orthop Traumatol Surg Res. 2021;107(4):102828. https://doi.org/10.1016/j.otsr.2021.102828\u003c/li\u003e\n\u003cli\u003eEndo A, Hoogervorst P, Safranek C, et al. Linked double-row equivalent arthroscopic rotator cuff repair leads to significantly improved patient outcomes. Orthop J Sports Med. 2020; 8(7):23259671-20938311. https://doi.org/doi: 10.1177/2325967120938311. \u003c/li\u003e\n\u003cli\u003eLapner P, Li A, Pollock J W, et al. A Multicenter Randomized Controlled Trial Comparing Single-Row With Double-Row Fixation in Arthroscopic Rotator Cuff Repair: Long-Term Follow-up[J]. Randomized Controlled Trial Am J Sports Med. 2021; 49(11):3021-3029. https://doi.org/10.1177/03635465211029029\u003c/li\u003e\n\u003cli\u003eYang Z, Xu G, Yang J, Lin X. Finite element study of the biomechanical effects on the rotator cuff under load. Front Bioeng Biotechnol. 2023; 11:1193376. https://doi.org/10.3389/fbioe.2023.1193376. \u003c/li\u003e\n\u003cli\u003eFilardi V. Stress distribution in the humerus during elevation of the arm and external a Bduction [J]. Journal of orthopaedics. 2020;4(19):218-222. https://doi.org/10.1016/j.jor.2020.02.003\u003c/li\u003e\n\u003cli\u003eIsl\u0026aacute;n Marcos M,Lechosa Urquijo E,Blaya Haro F,D\u0026apos;Amato R, Soriano Heras E, Juanes JA. Behavior under Load of A Human Shoulder: Finite Element Simulation and Analys is[J]. Journal of medical systems. 2019;43(5):132. https://doi.org/10.1007/s10916-019-1248-y\u003c/li\u003e\n\u003cli\u003eRossi LA, Rodeo SA, Chahla J, Ranalletta M. Current concepts in rotator cuff repair techniques: biomechanical, functional, and structural outcomes. Orthop J Sports Med. 2019;7(9):2325967119 868674. https://doi.org/10.1177/2325967119868674\u003c/li\u003e\n\u003cli\u003eThomas K, Kendal J K, Ono Y, et al. The Role of Partial Rotator Cuff Repairs in Patients With Massive Irreparable Tears Without Arthritis[J]. Orthopedics, 2020, 43(1): E1-E7. https://doi.org/10.3928/01477447-20191031-05\u003c/li\u003e\n\u003cli\u003eHohmann E, Konig A, Kat CJ, Glatt V, Tetsworth K, Keough N. Singleversus double-row repair for full-thickness rotator cuff tears using suture anchors. A systematic review and meta-analysis of basic biomechanical studies. Eur J Orthop Surg Traumatol. 2018; 28(5): 859-868. https://doi.org/10.1007/s00590-017-2114-6\u003c/li\u003e\n\u003cli\u003ePlachel F, Siegert P, Ruttershoff K, et al. Long-term results of arthroscopic rotator cuff repair: a follow-up study comparing single-row versus double-row fixation techniques. Am J Sports Med. 2020; 48(7):1568-1574. https://doi.org/10.1177/0363546520919120. \u003c/li\u003e\n\u003cli\u003eChen YZ, Li H, Qiao Y, et al. Double-row rotator cuff repairs lead to more intensive pain during the early postoperative period but have a lower risk of residual pain than single-row repairs. Knee Surg Sports Traumatol Arthrosc. 2019;27(10):3180-3187. https://doi.org/10.1007/s00167-019-05346-0\u003c/li\u003e\n\u003cli\u003eTuran K, \u0026Ccedil;abuk H, K\u0026ouml;roğlu C, et al. Increased acromiohumeral distance in a double-row arthroscopic rotator cuff surgery compared to a single-row surgery after 12 months. J Orthop Surg Res. 2021; 16(1):385. https://doi.org/ 10.1186/s13018-021-02523-1.\u003c/li\u003e\n\u003cli\u003eKholinne E, Kwak JM, Sun Y, et al. The relationship between rotator cuff integrity and acromiohumeral distance following open and arthroscopic rotator cuff repair. SICOT J. 2021; 7:23. https://doi.org/10.1051/sicotj/2021012.\u003c/li\u003e\n\u003c/ol\u003e"},{"header":"Tables","content":"\u003cp\u003eTable 1 -\u0026nbsp;Material Properties of Each Component in the Shoulder Joint Model\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"553\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"24.593128390596746%\"\u003e\n \u003cp\u003eMaterial Name\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.401446654611213%\"\u003e\n \u003cp\u003eElastic Modulus (MPa)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.965641952983724%\"\u003e\n \u003cp\u003ePoisson\u0026apos;s Ratio\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.039783001808317%\"\u003e\n \u003cp\u003eDensity (kg/m^3)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"24.593128390596746%\"\u003e\n \u003cp\u003eBone\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.401446654611213%\"\u003e\n \u003cp\u003e17000\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.965641952983724%\"\u003e\n \u003cp\u003e0.28\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.039783001808317%\"\u003e\n \u003cp\u003e1790\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"24.593128390596746%\"\u003e\n \u003cp\u003eCartilage\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.401446654611213%\"\u003e\n \u003cp\u003e300\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.965641952983724%\"\u003e\n \u003cp\u003e0.3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.039783001808317%\"\u003e\n \u003cp\u003e1150\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"24.593128390596746%\"\u003e\n \u003cp\u003emuscle belly\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.401446654611213%\"\u003e\n \u003cp\u003e1.08\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.965641952983724%\"\u003e\n \u003cp\u003e0.49\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.039783001808317%\"\u003e\n \u003cp\u003e1350\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"24.593128390596746%\"\u003e\n \u003cp\u003eTendon\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.401446654611213%\"\u003e\n \u003cp\u003e1200\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.965641952983724%\"\u003e\n \u003cp\u003e0.4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.039783001808317%\"\u003e\n \u003cp\u003e1350\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"24.593128390596746%\"\u003e\n \u003cp\u003esurgical rivet\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.401446654611213%\"\u003e\n \u003cp\u003e3800\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.965641952983724%\"\u003e\n \u003cp\u003e0.28\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.039783001808317%\"\u003e\n \u003cp\u003e7850\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.89189189189189%\"\u003e\n \u003cp\u003eLigament\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"32.972972972972975%\"\u003e\n \u003cp\u003eNumber of Spring Units\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"35.13513513513514%\"\u003e\n \u003cp\u003eStiffness Coefficient (N/mm)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.89189189189189%\"\u003e\n \u003cp\u003etrochlear ligament\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"32.972972972972975%\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"35.13513513513514%\"\u003e\n \u003cp\u003e50\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.89189189189189%\"\u003e\n \u003cp\u003eCoracoclavicular Ligament\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"32.972972972972975%\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"35.13513513513514%\"\u003e\n \u003cp\u003e100\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.89189189189189%\"\u003e\n \u003cp\u003ecoracohumeral ligament\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"32.972972972972975%\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"35.13513513513514%\"\u003e\n \u003cp\u003e50\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.89189189189189%\"\u003e\n \u003cp\u003eglenohumeral ligament\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"32.972972972972975%\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"35.13513513513514%\"\u003e\n \u003cp\u003e50\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eTable 2 - Comparison of Reaction Forces at Various Abduction Angles (Unit: N)\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"99%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"18.367346938775512%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.53061224489796%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\"\u003e\n \u003cp\u003eX\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\"\u003e\n \u003cp\u003eY\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\"\u003e\n \u003cp\u003eZ\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.367346938775512%\"\u003e\n \u003cp\u003eResultant Force\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"18.367346938775512%\" rowspan=\"5\"\u003e\n \u003cp\u003eNormal 15\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.53061224489796%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\"\u003e\n \u003cp\u003e1.1904\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\"\u003e\n \u003cp\u003e-0.66074\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\"\u003e\n \u003cp\u003e4.3718\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.367346938775512%\"\u003e\n \u003cp\u003e4.5789\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"32.5%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e3.9871\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e5.9835\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-11.463\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.5%\"\u003e\n \u003cp\u003e13.531\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"32.5%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e0.54912\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e1.7762\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-2.0888\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.5%\"\u003e\n \u003cp\u003e2.7963\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"32.5%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e0.23123\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-1.4226\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-0.30472\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.5%\"\u003e\n \u003cp\u003e1.4731\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"32.5%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-1.097\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-7.2824\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-1.2631\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.5%\"\u003e\n \u003cp\u003e7.4721\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"18.367346938775512%\" rowspan=\"5\"\u003e\n \u003cp\u003eInjured 15\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.53061224489796%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\"\u003e\n \u003cp\u003e-2.6039\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\"\u003e\n \u003cp\u003e2.8027\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\"\u003e\n \u003cp\u003e-7.7768\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.367346938775512%\"\u003e\n \u003cp\u003e8.6668\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"32.5%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e4.4537\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e6.6147\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-13.134\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.5%\"\u003e\n \u003cp\u003e15.365\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"32.5%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e0.66986\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e2.0898\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-2.4214\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.5%\"\u003e\n \u003cp\u003e3.2679\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"32.5%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e0.20335\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-1.6007\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-0.46788\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.5%\"\u003e\n \u003cp\u003e1.68\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"32.5%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-5.32E-11\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-1.74E-12\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-1.91E-02\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.5%\"\u003e\n \u003cp\u003e1.91E-02\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"18.367346938775512%\" rowspan=\"5\"\u003e\n \u003cp\u003eSingle-Row 15\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.53061224489796%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\"\u003e\n \u003cp\u003e1.6942\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\"\u003e\n \u003cp\u003e-1.0771\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\"\u003e\n \u003cp\u003e6.2158\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.367346938775512%\"\u003e\n \u003cp\u003e6.532\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"32.5%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e4.0283\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e6.0391\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-11.453\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.5%\"\u003e\n \u003cp\u003e13.56\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"32.5%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e0.53401\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e1.7122\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-2.0147\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.5%\"\u003e\n \u003cp\u003e2.6974\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"32.5%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e0.24573\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-1.6314\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-0.21096\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.5%\"\u003e\n \u003cp\u003e1.6632\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"32.5%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e2.2805\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-5.3581\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-4.7134\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.5%\"\u003e\n \u003cp\u003e7.4917\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"18.367346938775512%\" rowspan=\"5\"\u003e\n \u003cp\u003eDouble-Row 15\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"26.53061224489796%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\"\u003e\n \u003cp\u003e0.91299\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\"\u003e\n \u003cp\u003e-0.76932\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\"\u003e\n \u003cp\u003e4.8232\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.367346938775512%\"\u003e\n \u003cp\u003e4.9688\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"32.5%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e4.6926\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e7.0657\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-13.048\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.5%\"\u003e\n \u003cp\u003e15.563\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"32.5%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e0.57335\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e1.7328\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-2.028\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.5%\"\u003e\n \u003cp\u003e2.7284\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"32.5%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e0.39666\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-2.0208\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-3.37E-02\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.5%\"\u003e\n \u003cp\u003e2.0596\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"32.5%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e2.3204\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e-1.9765\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15%\"\u003e\n \u003cp\u003e3.52E-02\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.5%\"\u003e\n \u003cp\u003e3.0483\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"100%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.54225352112676%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"25%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.32394366197183%\"\u003e\n \u003cp\u003eX\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.795774647887324%\"\u003e\n \u003cp\u003eY\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.732394366197184%\"\u003e\n \u003cp\u003eZ\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.6056338028169%\"\u003e\n \u003cp\u003eResultant Force\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.54225352112676%\" rowspan=\"5\"\u003e\n \u003cp\u003eNormal 30\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"25%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.32394366197183%\"\u003e\n \u003cp\u003e1.2042\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.795774647887324%\"\u003e\n \u003cp\u003e6.6149\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.732394366197184%\"\u003e\n \u003cp\u003e8.7154\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.6056338028169%\"\u003e\n \u003cp\u003e11.007\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.072210065645514%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.317286652078774%\"\u003e\n \u003cp\u003e3.3963\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.660831509846828%\"\u003e\n \u003cp\u003e3.6214\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.067833698030636%\"\u003e\n \u003cp\u003e-12.22\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.88183807439825%\"\u003e\n \u003cp\u003e13.19\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.072210065645514%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.317286652078774%\"\u003e\n \u003cp\u003e0.56209\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.660831509846828%\"\u003e\n \u003cp\u003e4.2609\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.067833698030636%\"\u003e\n \u003cp\u003e-3.41\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.88183807439825%\"\u003e\n \u003cp\u003e5.4863\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.072210065645514%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.317286652078774%\"\u003e\n \u003cp\u003e0.30505\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.660831509846828%\"\u003e\n \u003cp\u003e-2.5947\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.067833698030636%\"\u003e\n \u003cp\u003e-6.36E-02\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.88183807439825%\"\u003e\n \u003cp\u003e2.6134\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.072210065645514%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.317286652078774%\"\u003e\n \u003cp\u003e-1.0143\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.660831509846828%\"\u003e\n \u003cp\u003e-17.896\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.067833698030636%\"\u003e\n \u003cp\u003e0.62429\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.88183807439825%\"\u003e\n \u003cp\u003e17.935\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.54225352112676%\" rowspan=\"5\"\u003e\n \u003cp\u003eInjured 30\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"25%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.32394366197183%\"\u003e\n \u003cp\u003e-0.92437\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.795774647887324%\"\u003e\n \u003cp\u003e-5.9362\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.732394366197184%\"\u003e\n \u003cp\u003e14.044\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.6056338028169%\"\u003e\n \u003cp\u003e15.275\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.072210065645514%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.317286652078774%\"\u003e\n \u003cp\u003e4.8776\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.660831509846828%\"\u003e\n \u003cp\u003e5.1782\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.067833698030636%\"\u003e\n \u003cp\u003e-16.852\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.88183807439825%\"\u003e\n \u003cp\u003e18.292\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.072210065645514%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.317286652078774%\"\u003e\n \u003cp\u003e0.77057\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.660831509846828%\"\u003e\n \u003cp\u003e5.9521\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.067833698030636%\"\u003e\n \u003cp\u003e-4.6048\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.88183807439825%\"\u003e\n \u003cp\u003e7.5647\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.072210065645514%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.317286652078774%\"\u003e\n \u003cp\u003e0.46041\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.660831509846828%\"\u003e\n \u003cp\u003e-3.515\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.067833698030636%\"\u003e\n \u003cp\u003e-0.31574\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.88183807439825%\"\u003e\n \u003cp\u003e3.559\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.072210065645514%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.317286652078774%\"\u003e\n \u003cp\u003e-2.83E-12\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.660831509846828%\"\u003e\n \u003cp\u003e1.85E-10\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.067833698030636%\"\u003e\n \u003cp\u003e-2.33E-05\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.88183807439825%\"\u003e\n \u003cp\u003e2.33E-05\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.54225352112676%\" rowspan=\"5\"\u003e\n \u003cp\u003eSingle-Row 30\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"25%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.32394366197183%\"\u003e\n \u003cp\u003e-0.28402\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.795774647887324%\"\u003e\n \u003cp\u003e-2.3624\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.732394366197184%\"\u003e\n \u003cp\u003e7.4519\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.6056338028169%\"\u003e\n \u003cp\u003e7.8226\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.072210065645514%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.317286652078774%\"\u003e\n \u003cp\u003e3.5818\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.660831509846828%\"\u003e\n \u003cp\u003e3.8269\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.067833698030636%\"\u003e\n \u003cp\u003e-12.752\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.88183807439825%\"\u003e\n \u003cp\u003e13.787\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.072210065645514%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.317286652078774%\"\u003e\n \u003cp\u003e0.58688\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.660831509846828%\"\u003e\n \u003cp\u003e4.4463\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.067833698030636%\"\u003e\n \u003cp\u003e-3.5814\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.88183807439825%\"\u003e\n \u003cp\u003e5.7394\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.072210065645514%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.317286652078774%\"\u003e\n \u003cp\u003e0.30693\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.660831509846828%\"\u003e\n \u003cp\u003e-2.754\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.067833698030636%\"\u003e\n \u003cp\u003e-0.11798\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.88183807439825%\"\u003e\n \u003cp\u003e2.7735\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.072210065645514%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.317286652078774%\"\u003e\n \u003cp\u003e4.4521\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.660831509846828%\"\u003e\n \u003cp\u003e0.93837\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.067833698030636%\"\u003e\n \u003cp\u003e3.4548\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.88183807439825%\"\u003e\n \u003cp\u003e5.7129\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.54225352112676%\" rowspan=\"5\"\u003e\n \u003cp\u003eDouble-Row 30\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"25%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.32394366197183%\"\u003e\n \u003cp\u003e0.78625\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.795774647887324%\"\u003e\n \u003cp\u003e-1.4526\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.732394366197184%\"\u003e\n \u003cp\u003e8.2316\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.6056338028169%\"\u003e\n \u003cp\u003e8.3957\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.072210065645514%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.317286652078774%\"\u003e\n \u003cp\u003e3.7932\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.660831509846828%\"\u003e\n \u003cp\u003e4.0422\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.067833698030636%\"\u003e\n \u003cp\u003e-12.88\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.88183807439825%\"\u003e\n \u003cp\u003e14.022\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.072210065645514%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.317286652078774%\"\u003e\n \u003cp\u003e0.55863\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.660831509846828%\"\u003e\n \u003cp\u003e4.2875\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.067833698030636%\"\u003e\n \u003cp\u003e-3.4467\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.88183807439825%\"\u003e\n \u003cp\u003e5.5294\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.072210065645514%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.317286652078774%\"\u003e\n \u003cp\u003e0.39596\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.660831509846828%\"\u003e\n \u003cp\u003e-2.935\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.067833698030636%\"\u003e\n \u003cp\u003e4.01E-02\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.88183807439825%\"\u003e\n \u003cp\u003e2.9618\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.072210065645514%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.317286652078774%\"\u003e\n \u003cp\u003e5.4702\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.660831509846828%\"\u003e\n \u003cp\u003e-1.5724\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.067833698030636%\"\u003e\n \u003cp\u003e0.65567\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.88183807439825%\"\u003e\n \u003cp\u003e5.7293\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"100%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"18.98066783831283%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"25.483304042179263%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.599297012302285%\"\u003e\n \u003cp\u003eX\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.35676625659051%\"\u003e\n \u003cp\u003eY\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.653778558875219%\"\u003e\n \u003cp\u003eZ\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.926186291739896%\"\u003e\n \u003cp\u003eResultant Force\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"18.98066783831283%\" rowspan=\"5\"\u003e\n \u003cp\u003eNormal 45\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"25.483304042179263%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.599297012302285%\"\u003e\n \u003cp\u003e5.4161\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.35676625659051%\"\u003e\n \u003cp\u003e16.525\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.653778558875219%\"\u003e\n \u003cp\u003e11.653\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.926186291739896%\"\u003e\n \u003cp\u003e20.933\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.453362255965292%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.316702819956616%\"\u003e\n \u003cp\u003e2.4025\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.485900216919738%\"\u003e\n \u003cp\u003e-0.67017\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.61822125813449%\"\u003e\n \u003cp\u003e-8.196\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.125813449023862%\"\u003e\n \u003cp\u003e8.5671\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.453362255965292%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.316702819956616%\"\u003e\n \u003cp\u003e-0.2081\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.485900216919738%\"\u003e\n \u003cp\u003e3.5979\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.61822125813449%\"\u003e\n \u003cp\u003e-5.2118\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.125813449023862%\"\u003e\n \u003cp\u003e6.3365\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.453362255965292%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.316702819956616%\"\u003e\n \u003cp\u003e0.44791\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.485900216919738%\"\u003e\n \u003cp\u003e-4.0786\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.61822125813449%\"\u003e\n \u003cp\u003e-0.2719\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.125813449023862%\"\u003e\n \u003cp\u003e4.1121\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.453362255965292%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.316702819956616%\"\u003e\n \u003cp\u003e-0.52651\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.485900216919738%\"\u003e\n \u003cp\u003e-23.879\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.61822125813449%\"\u003e\n \u003cp\u003e0.80256\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.125813449023862%\"\u003e\n \u003cp\u003e23.899\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"18.98066783831283%\" rowspan=\"5\"\u003e\n \u003cp\u003eInjured 45\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"25.483304042179263%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.599297012302285%\"\u003e\n \u003cp\u003e6.9968\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.35676625659051%\"\u003e\n \u003cp\u003e20.213\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.653778558875219%\"\u003e\n \u003cp\u003e18.667\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.926186291739896%\"\u003e\n \u003cp\u003e28.39\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.453362255965292%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.316702819956616%\"\u003e\n \u003cp\u003e3.1378\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.485900216919738%\"\u003e\n \u003cp\u003e-0.66771\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.61822125813449%\"\u003e\n \u003cp\u003e-10.242\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.125813449023862%\"\u003e\n \u003cp\u003e10.733\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.453362255965292%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.316702819956616%\"\u003e\n \u003cp\u003e-0.23979\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.485900216919738%\"\u003e\n \u003cp\u003e4.3986\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.61822125813449%\"\u003e\n \u003cp\u003e-6.6747\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.125813449023862%\"\u003e\n \u003cp\u003e7.9973\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.453362255965292%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.316702819956616%\"\u003e\n \u003cp\u003e0.70188\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.485900216919738%\"\u003e\n \u003cp\u003e-4.9726\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.61822125813449%\"\u003e\n \u003cp\u003e-0.61374\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.125813449023862%\"\u003e\n \u003cp\u003e5.0592\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.453362255965292%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.316702819956616%\"\u003e\n \u003cp\u003e3.09E-11\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.485900216919738%\"\u003e\n \u003cp\u003e-2.78E-11\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.61822125813449%\"\u003e\n \u003cp\u003e-1.58E-02\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.125813449023862%\"\u003e\n \u003cp\u003e1.58E-02\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"18.98066783831283%\" rowspan=\"5\"\u003e\n \u003cp\u003eSingle-Row 45\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"25.483304042179263%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.599297012302285%\"\u003e\n \u003cp\u003e5.6954\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.35676625659051%\"\u003e\n \u003cp\u003e17.354\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.653778558875219%\"\u003e\n \u003cp\u003e14.448\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.926186291739896%\"\u003e\n \u003cp\u003e23.288\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.453362255965292%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.316702819956616%\"\u003e\n \u003cp\u003e2.4573\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.485900216919738%\"\u003e\n \u003cp\u003e-0.67415\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.61822125813449%\"\u003e\n \u003cp\u003e-8.3365\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.125813449023862%\"\u003e\n \u003cp\u003e8.7172\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.453362255965292%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.316702819956616%\"\u003e\n \u003cp\u003e-0.21092\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.485900216919738%\"\u003e\n \u003cp\u003e3.6521\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.61822125813449%\"\u003e\n \u003cp\u003e-5.3138\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.125813449023862%\"\u003e\n \u003cp\u003e6.4512\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.453362255965292%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.316702819956616%\"\u003e\n \u003cp\u003e0.45628\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.485900216919738%\"\u003e\n \u003cp\u003e-4.2124\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.61822125813449%\"\u003e\n \u003cp\u003e-0.27573\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.125813449023862%\"\u003e\n \u003cp\u003e4.246\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.453362255965292%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.316702819956616%\"\u003e\n \u003cp\u003e-6.5251\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.485900216919738%\"\u003e\n \u003cp\u003e-3.0806\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.61822125813449%\"\u003e\n \u003cp\u003e8.8696\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.125813449023862%\"\u003e\n \u003cp\u003e11.434\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"18.98066783831283%\" rowspan=\"5\"\u003e\n \u003cp\u003eDouble-Row 45\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"25.483304042179263%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.599297012302285%\"\u003e\n \u003cp\u003e6.4114\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.35676625659051%\"\u003e\n \u003cp\u003e15.712\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.653778558875219%\"\u003e\n \u003cp\u003e15.009\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.926186291739896%\"\u003e\n \u003cp\u003e22.655\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.453362255965292%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.316702819956616%\"\u003e\n \u003cp\u003e2.4437\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.485900216919738%\"\u003e\n \u003cp\u003e-0.66066\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.61822125813449%\"\u003e\n \u003cp\u003e-8.3414\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.125813449023862%\"\u003e\n \u003cp\u003e8.7171\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.453362255965292%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.316702819956616%\"\u003e\n \u003cp\u003e-0.20993\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.485900216919738%\"\u003e\n \u003cp\u003e3.6577\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.61822125813449%\"\u003e\n \u003cp\u003e-5.3112\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.125813449023862%\"\u003e\n \u003cp\u003e6.4522\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.453362255965292%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.316702819956616%\"\u003e\n \u003cp\u003e0.44012\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.485900216919738%\"\u003e\n \u003cp\u003e-4.1968\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.61822125813449%\"\u003e\n \u003cp\u003e-2.88E-01\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.125813449023862%\"\u003e\n \u003cp\u003e4.2297\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.453362255965292%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.316702819956616%\"\u003e\n \u003cp\u003e-6.453\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.485900216919738%\"\u003e\n \u003cp\u003e3.5308\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.61822125813449%\"\u003e\n \u003cp\u003e4.76E+00\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.125813449023862%\"\u003e\n \u003cp\u003e8.7604\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"100%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.507908611599298%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"24.956063268892795%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.35676625659051%\"\u003e\n \u003cp\u003eX\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.599297012302285%\"\u003e\n \u003cp\u003eY\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.126537785588752%\"\u003e\n \u003cp\u003eZ\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.45342706502636%\"\u003e\n \u003cp\u003eResultant Force\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.507908611599298%\" rowspan=\"5\"\u003e\n \u003cp\u003eNormal 60\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"24.956063268892795%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.35676625659051%\"\u003e\n \u003cp\u003e2.471\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.599297012302285%\"\u003e\n \u003cp\u003e34.832\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.126537785588752%\"\u003e\n \u003cp\u003e16.823\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.45342706502636%\"\u003e\n \u003cp\u003e38.761\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.004366812227076%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.593886462882097%\"\u003e\n \u003cp\u003e1.814\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.410480349344978%\"\u003e\n \u003cp\u003e0.18456\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.065502183406114%\"\u003e\n \u003cp\u003e-7.6856\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.925764192139738%\"\u003e\n \u003cp\u003e7.8989\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.004366812227076%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.593886462882097%\"\u003e\n \u003cp\u003e-1.2843\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.410480349344978%\"\u003e\n \u003cp\u003e-0.60522\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.065502183406114%\"\u003e\n \u003cp\u003e-5.5298\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.925764192139738%\"\u003e\n \u003cp\u003e5.7091\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.004366812227076%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.593886462882097%\"\u003e\n \u003cp\u003e1.961\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.410480349344978%\"\u003e\n \u003cp\u003e-2.7436\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.065502183406114%\"\u003e\n \u003cp\u003e1.19E+00\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.925764192139738%\"\u003e\n \u003cp\u003e3.5752\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.004366812227076%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.593886462882097%\"\u003e\n \u003cp\u003e-0.72215\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.410480349344978%\"\u003e\n \u003cp\u003e-17.201\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.065502183406114%\"\u003e\n \u003cp\u003e1.888\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.925764192139738%\"\u003e\n \u003cp\u003e17.32\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.507908611599298%\" rowspan=\"5\"\u003e\n \u003cp\u003eInjured 60\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"24.956063268892795%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.35676625659051%\"\u003e\n \u003cp\u003e0.95373\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.599297012302285%\"\u003e\n \u003cp\u003e42.188\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.126537785588752%\"\u003e\n \u003cp\u003e24.874\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.45342706502636%\"\u003e\n \u003cp\u003e48.984\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.004366812227076%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.593886462882097%\"\u003e\n \u003cp\u003e3.241\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.410480349344978%\"\u003e\n \u003cp\u003e1.0022\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.065502183406114%\"\u003e\n \u003cp\u003e-10.35\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.925764192139738%\"\u003e\n \u003cp\u003e10.892\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.004366812227076%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.593886462882097%\"\u003e\n \u003cp\u003e-1.4524\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.410480349344978%\"\u003e\n \u003cp\u003e-0.78449\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.065502183406114%\"\u003e\n \u003cp\u003e-7.3204\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.925764192139738%\"\u003e\n \u003cp\u003e7.5042\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.004366812227076%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.593886462882097%\"\u003e\n \u003cp\u003e3.6074\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.410480349344978%\"\u003e\n \u003cp\u003e-5.3198\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.065502183406114%\"\u003e\n \u003cp\u003e1.783\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.925764192139738%\"\u003e\n \u003cp\u003e6.6703\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.004366812227076%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.593886462882097%\"\u003e\n \u003cp\u003e-1.47E-11\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.410480349344978%\"\u003e\n \u003cp\u003e2.01E-11\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.065502183406114%\"\u003e\n \u003cp\u003e-2.57E-05\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.925764192139738%\"\u003e\n \u003cp\u003e2.57E-05\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.507908611599298%\" rowspan=\"5\"\u003e\n \u003cp\u003eSingle-Row 60\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"24.956063268892795%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.35676625659051%\"\u003e\n \u003cp\u003e4.4534\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.599297012302285%\"\u003e\n \u003cp\u003e36.047\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.126537785588752%\"\u003e\n \u003cp\u003e16.665\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.45342706502636%\"\u003e\n \u003cp\u003e39.962\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.004366812227076%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.593886462882097%\"\u003e\n \u003cp\u003e1.6767\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.410480349344978%\"\u003e\n \u003cp\u003e1.47E-02\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.065502183406114%\"\u003e\n \u003cp\u003e-7.1026\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.925764192139738%\"\u003e\n \u003cp\u003e7.2978\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.004366812227076%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.593886462882097%\"\u003e\n \u003cp\u003e-1.2291\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.410480349344978%\"\u003e\n \u003cp\u003e-0.38905\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.065502183406114%\"\u003e\n \u003cp\u003e-5.6272\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.925764192139738%\"\u003e\n \u003cp\u003e5.773\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.004366812227076%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.593886462882097%\"\u003e\n \u003cp\u003e1.9212\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.410480349344978%\"\u003e\n \u003cp\u003e-3.1278\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.065502183406114%\"\u003e\n \u003cp\u003e0.77627\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.925764192139738%\"\u003e\n \u003cp\u003e3.7519\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.004366812227076%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.593886462882097%\"\u003e\n \u003cp\u003e9.5104\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.410480349344978%\"\u003e\n \u003cp\u003e-1.2374\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.065502183406114%\"\u003e\n \u003cp\u003e0.63516\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.925764192139738%\"\u003e\n \u003cp\u003e9.6116\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.507908611599298%\" rowspan=\"5\"\u003e\n \u003cp\u003eDouble-Row 60\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"24.956063268892795%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.35676625659051%\"\u003e\n \u003cp\u003e1.5114\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.599297012302285%\"\u003e\n \u003cp\u003e35.75\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.126537785588752%\"\u003e\n \u003cp\u003e15.421\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"18.45342706502636%\"\u003e\n \u003cp\u003e38.964\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.004366812227076%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.593886462882097%\"\u003e\n \u003cp\u003e2.5853\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.410480349344978%\"\u003e\n \u003cp\u003e0.88354\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.065502183406114%\"\u003e\n \u003cp\u003e-8.417\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.925764192139738%\"\u003e\n \u003cp\u003e8.8493\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.004366812227076%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.593886462882097%\"\u003e\n \u003cp\u003e-1.1181\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.410480349344978%\"\u003e\n \u003cp\u003e-0.4792\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.065502183406114%\"\u003e\n \u003cp\u003e-5.5461\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.925764192139738%\"\u003e\n \u003cp\u003e5.678\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.004366812227076%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.593886462882097%\"\u003e\n \u003cp\u003e2.6195\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.410480349344978%\"\u003e\n \u003cp\u003e-3.8754\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.065502183406114%\"\u003e\n \u003cp\u003e1.29E+00\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.925764192139738%\"\u003e\n \u003cp\u003e4.8512\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"31.004366812227076%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.593886462882097%\"\u003e\n \u003cp\u003e0.87057\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.410480349344978%\"\u003e\n \u003cp\u003e-6.3216\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.065502183406114%\"\u003e\n \u003cp\u003e-2.4997\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.925764192139738%\"\u003e\n \u003cp\u003e6.8534\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eTable 3 - Overall Comparison of Static Analysis Reaction Forces (Unit: N)\u003c/p\u003e\n\u003ctable border=\"0\" cellspacing=\"0\" cellpadding=\"0\" width=\"99%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.19191919191919%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.141414141414142%\"\u003e\n \u003cp\u003eDeltoid\u0026nbsp;\u003cbr\u003e\u0026nbsp;Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003eSubscapularis\u0026nbsp;\u003cbr\u003e\u0026nbsp;Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003eTeres Minor\u0026nbsp;\u003cbr\u003e\u0026nbsp;Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003eInfraspinatus\u0026nbsp;\u003cbr\u003e\u0026nbsp;Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003eSupraspinatus\u0026nbsp;\u003cbr\u003e\u0026nbsp;Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.19191919191919%\"\u003e\n \u003cp\u003eNormal 15\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.141414141414142%\"\u003e\n \u003cp\u003e4.5789\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e13.531\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e2.7963\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e1.4731\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e7.4721\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.19191919191919%\"\u003e\n \u003cp\u003eInjured 15\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.141414141414142%\"\u003e\n \u003cp\u003e8.6668\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e15.365\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e3.2679\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e1.68\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e1.91E-02\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.19191919191919%\"\u003e\n \u003cp\u003eSingle-Row 15\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.141414141414142%\"\u003e\n \u003cp\u003e6.532\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e13.56\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e2.6974\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e1.6632\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e7.4917\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.19191919191919%\"\u003e\n \u003cp\u003eDouble-Row 15\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.141414141414142%\"\u003e\n \u003cp\u003e4.9688\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e15.563\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e2.7284\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e2.0596\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e3.0483\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.19191919191919%\"\u003e\n \u003cp\u003eNormal 30\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.141414141414142%\"\u003e\n \u003cp\u003e11.007\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e13.19\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e5.4863\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e2.6134\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e17.935\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.19191919191919%\"\u003e\n \u003cp\u003eInjured 30\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.141414141414142%\"\u003e\n \u003cp\u003e15.275\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e18.292\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e7.5647\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e3.559\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e2.33E-05\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.19191919191919%\"\u003e\n \u003cp\u003eSingle-Row 30\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.141414141414142%\"\u003e\n \u003cp\u003e7.8226\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e13.787\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e5.7394\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e2.7735\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e5.7129\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.19191919191919%\"\u003e\n \u003cp\u003eDouble-Row 30\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.141414141414142%\"\u003e\n \u003cp\u003e8.3957\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e14.022\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e5.5294\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e2.9618\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e5.7293\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.19191919191919%\"\u003e\n \u003cp\u003eNormal 45\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.141414141414142%\"\u003e\n \u003cp\u003e20.933\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e8.5671\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e6.3365\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e4.1121\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e23.899\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.19191919191919%\"\u003e\n \u003cp\u003eInjured 45\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.141414141414142%\"\u003e\n \u003cp\u003e28.39\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e10.733\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e7.9973\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e5.0592\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e1.58E-02\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.19191919191919%\"\u003e\n \u003cp\u003eSingle-Row 45\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.141414141414142%\"\u003e\n \u003cp\u003e23.288\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e8.7172\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e6.4512\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e4.246\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e11.434\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.19191919191919%\"\u003e\n \u003cp\u003eDouble-Row 45\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.141414141414142%\"\u003e\n \u003cp\u003e22.655\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e8.7171\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e6.4522\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e4.2297\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e8.7604\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.19191919191919%\"\u003e\n \u003cp\u003eNormal 60\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.141414141414142%\"\u003e\n \u003cp\u003e38.761\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e7.8989\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e5.7091\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e3.5752\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e17.32\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.19191919191919%\"\u003e\n \u003cp\u003eInjured 60\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.141414141414142%\"\u003e\n \u003cp\u003e48.984\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e10.892\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e7.5042\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e6.6703\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e2.57E-05\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.19191919191919%\"\u003e\n \u003cp\u003eSingle-Row 60\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.141414141414142%\"\u003e\n \u003cp\u003e39.962\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e7.2978\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e5.773\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e3.7519\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e9.6116\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.19191919191919%\"\u003e\n \u003cp\u003eDouble-Row 60\u0026deg;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.141414141414142%\"\u003e\n \u003cp\u003e38.964\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e8.8493\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e5.678\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.161616161616163%\"\u003e\n \u003cp\u003e4.8512\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.171717171717173%\"\u003e\n \u003cp\u003e6.8534\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cbr\u003e\u003c/p\u003e\n\u003cp\u003eTable 4 - Reaction Force Parameters of the Humerus at 15\u0026deg; Abduction in the Normal Model\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"99%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.056338028169016%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.197183098591548%\"\u003e\n \u003cp\u003eX\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.718309859154928%\"\u003e\n \u003cp\u003eY\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.316901408450704%\"\u003e\n \u003cp\u003eZ\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.711267605633804%\"\u003e\n \u003cp\u003eResultant Force\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.056338028169016%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.197183098591548%\"\u003e\n \u003cp\u003e19.017\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.718309859154928%\"\u003e\n \u003cp\u003e-8.68E-02\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.316901408450704%\"\u003e\n \u003cp\u003e-6.1359\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.711267605633804%\"\u003e\n \u003cp\u003e19.983\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.056338028169016%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.197183098591548%\"\u003e\n \u003cp\u003e215.21\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.718309859154928%\"\u003e\n \u003cp\u003e67.486\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.316901408450704%\"\u003e\n \u003cp\u003e-16.261\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.711267605633804%\"\u003e\n \u003cp\u003e226.13\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.056338028169016%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.197183098591548%\"\u003e\n \u003cp\u003e17.41\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.718309859154928%\"\u003e\n \u003cp\u003e0.14652\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.316901408450704%\"\u003e\n \u003cp\u003e-7.1208\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.711267605633804%\"\u003e\n \u003cp\u003e18.81\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.056338028169016%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.197183098591548%\"\u003e\n \u003cp\u003e105.72\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.718309859154928%\"\u003e\n \u003cp\u003e-23.394\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.316901408450704%\"\u003e\n \u003cp\u003e-22.513\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.711267605633804%\"\u003e\n \u003cp\u003e110.6\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.056338028169016%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.197183098591548%\"\u003e\n \u003cp\u003e-8.4158\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.718309859154928%\"\u003e\n \u003cp\u003e-1.46E-02\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.316901408450704%\"\u003e\n \u003cp\u003e-7.892\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.711267605633804%\"\u003e\n \u003cp\u003e11.537\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.056338028169016%\"\u003e\n \u003cp\u003eCartilage\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.197183098591548%\"\u003e\n \u003cp\u003e-348.95\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.718309859154928%\"\u003e\n \u003cp\u003e-44.137\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.316901408450704%\"\u003e\n \u003cp\u003e57.561\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.711267605633804%\"\u003e\n \u003cp\u003e356.41\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.056338028169016%\"\u003e\n \u003cp\u003eEquivalent\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.197183098591548%\"\u003e\n \u003cp\u003e-0.0088\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.718309859154928%\"\u003e\n \u003cp\u003e7.20E-05\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.316901408450704%\"\u003e\n \u003cp\u003e-2.3617\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.711267605633804%\"\u003e\n \u003cp\u003e743.47\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.056338028169016%\"\u003e\n \u003cp\u003ehumerus\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.197183098591548%\"\u003e\n \u003cp\u003e0.000006465\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.718309859154928%\"\u003e\n \u003cp\u003e6.85E-06\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.316901408450704%\"\u003e\n \u003cp\u003e-2.3619\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.711267605633804%\"\u003e\n \u003cp\u003e2.3619\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eTable 5 - Reaction Force Parameters of the Humerus at 30\u0026deg; Abduction in the Normal Model\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"100%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.925925925925927%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.873015873015873%\"\u003e\n \u003cp\u003eX\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.458553791887127%\"\u003e\n \u003cp\u003eY\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.991181657848324%\"\u003e\n \u003cp\u003eZ\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.75132275132275%\"\u003e\n \u003cp\u003eResultant Force\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.925925925925927%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.873015873015873%\"\u003e\n \u003cp\u003e36.438\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.458553791887127%\"\u003e\n \u003cp\u003e-4.0361\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.991181657848324%\"\u003e\n \u003cp\u003e-16.438\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.75132275132275%\"\u003e\n \u003cp\u003e40.178\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.925925925925927%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.873015873015873%\"\u003e\n \u003cp\u003e444.86\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.458553791887127%\"\u003e\n \u003cp\u003e136.78\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.991181657848324%\"\u003e\n \u003cp\u003e-31.038\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.75132275132275%\"\u003e\n \u003cp\u003e466.44\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.925925925925927%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.873015873015873%\"\u003e\n \u003cp\u003e35.581\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.458553791887127%\"\u003e\n \u003cp\u003e0.14302\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.991181657848324%\"\u003e\n \u003cp\u003e-14.697\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.75132275132275%\"\u003e\n \u003cp\u003e38.497\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.925925925925927%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.873015873015873%\"\u003e\n \u003cp\u003e230.83\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.458553791887127%\"\u003e\n \u003cp\u003e-50.818\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.991181657848324%\"\u003e\n \u003cp\u003e-49.953\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.75132275132275%\"\u003e\n \u003cp\u003e241.58\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.925925925925927%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.873015873015873%\"\u003e\n \u003cp\u003e-16.386\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.458553791887127%\"\u003e\n \u003cp\u003e-0.56529\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.991181657848324%\"\u003e\n \u003cp\u003e-15.269\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.75132275132275%\"\u003e\n \u003cp\u003e22.404\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.925925925925927%\"\u003e\n \u003cp\u003eCartilage\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.873015873015873%\"\u003e\n \u003cp\u003e-731.32\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.458553791887127%\"\u003e\n \u003cp\u003e-81.503\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.991181657848324%\"\u003e\n \u003cp\u003e125.03\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.75132275132275%\"\u003e\n \u003cp\u003e746.39\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.925925925925927%\"\u003e\n \u003cp\u003eEquivalent\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.873015873015873%\"\u003e\n \u003cp\u003e0.003\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.458553791887127%\"\u003e\n \u003cp\u003e0.00063\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.991181657848324%\"\u003e\n \u003cp\u003e-2.365\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.75132275132275%\"\u003e\n \u003cp\u003e1555.489\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.925925925925927%\"\u003e\n \u003cp\u003ehumerus\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.873015873015873%\"\u003e\n \u003cp\u003e0.000016375\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.458553791887127%\"\u003e\n \u003cp\u003e0.000019296\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.991181657848324%\"\u003e\n \u003cp\u003e-2.362\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.75132275132275%\"\u003e\n \u003cp\u003e2.362\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eTable 6 - Reaction Force Parameters of the Humerus at 45\u0026deg; Abduction in the Normal Model\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"99%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.749559082892418%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.638447971781305%\"\u003e\n \u003cp\u003eX\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.634920634920636%\"\u003e\n \u003cp\u003eY\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.049382716049383%\"\u003e\n \u003cp\u003eZ\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.92768959435626%\"\u003e\n \u003cp\u003eResultant Force\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.749559082892418%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.638447971781305%\"\u003e\n \u003cp\u003e53.367\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.634920634920636%\"\u003e\n \u003cp\u003e-1.552\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.049382716049383%\"\u003e\n \u003cp\u003e-16.242\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.92768959435626%\"\u003e\n \u003cp\u003e55.806\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.749559082892418%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.638447971781305%\"\u003e\n \u003cp\u003e122.43\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.634920634920636%\"\u003e\n \u003cp\u003e7.9331\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.049382716049383%\"\u003e\n \u003cp\u003e-7.9406\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.92768959435626%\"\u003e\n \u003cp\u003e122.94\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.749559082892418%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.638447971781305%\"\u003e\n \u003cp\u003e32.233\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.634920634920636%\"\u003e\n \u003cp\u003e0.26524\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.049382716049383%\"\u003e\n \u003cp\u003e-10.726\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.92768959435626%\"\u003e\n \u003cp\u003e33.972\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.749559082892418%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.638447971781305%\"\u003e\n \u003cp\u003e-46.547\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.634920634920636%\"\u003e\n \u003cp\u003e5.3342\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.049382716049383%\"\u003e\n \u003cp\u003e10.511\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.92768959435626%\"\u003e\n \u003cp\u003e48.017\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.749559082892418%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.638447971781305%\"\u003e\n \u003cp\u003e-7.9651\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.634920634920636%\"\u003e\n \u003cp\u003e-5.8153\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.049382716049383%\"\u003e\n \u003cp\u003e-23.887\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.92768959435626%\"\u003e\n \u003cp\u003e25.843\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.749559082892418%\"\u003e\n \u003cp\u003eCartilage\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.638447971781305%\"\u003e\n \u003cp\u003e-153.51\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.634920634920636%\"\u003e\n \u003cp\u003e-6.1652\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.049382716049383%\"\u003e\n \u003cp\u003e45.923\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.92768959435626%\"\u003e\n \u003cp\u003e160.36\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.749559082892418%\"\u003e\n \u003cp\u003eEquivalent\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.638447971781305%\"\u003e\n \u003cp\u003e0.0079\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.634920634920636%\"\u003e\n \u003cp\u003e4.00E-05\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.049382716049383%\"\u003e\n \u003cp\u003e-2.3616\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.92768959435626%\"\u003e\n \u003cp\u003e446.938\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.749559082892418%\"\u003e\n \u003cp\u003ehumerus\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.638447971781305%\"\u003e\n \u003cp\u003e4.14E-06\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.634920634920636%\"\u003e\n \u003cp\u003e0.000015811\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.049382716049383%\"\u003e\n \u003cp\u003e-2.362\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.92768959435626%\"\u003e\n \u003cp\u003e2.362\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eTable 7 - Reaction Force Parameters of the Humerus at 60\u0026deg; Abduction in the Normal Model\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"100%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.573192239858905%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.225749559082892%\"\u003e\n \u003cp\u003eX\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.458553791887127%\"\u003e\n \u003cp\u003eY\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.991181657848324%\"\u003e\n \u003cp\u003eZ\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.75132275132275%\"\u003e\n \u003cp\u003eResultant Force\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.573192239858905%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.225749559082892%\"\u003e\n \u003cp\u003e71.421\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.458553791887127%\"\u003e\n \u003cp\u003e-1.637\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.991181657848324%\"\u003e\n \u003cp\u003e-20.427\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.75132275132275%\"\u003e\n \u003cp\u003e74.303\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.573192239858905%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.225749559082892%\"\u003e\n \u003cp\u003e165.95\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.458553791887127%\"\u003e\n \u003cp\u003e12.969\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.991181657848324%\"\u003e\n \u003cp\u003e-9.2597\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.75132275132275%\"\u003e\n \u003cp\u003e166.71\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.573192239858905%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.225749559082892%\"\u003e\n \u003cp\u003e42.766\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.458553791887127%\"\u003e\n \u003cp\u003e0.38356\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.991181657848324%\"\u003e\n \u003cp\u003e-14.073\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.75132275132275%\"\u003e\n \u003cp\u003e45.023\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.573192239858905%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.225749559082892%\"\u003e\n \u003cp\u003e-61.916\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.458553791887127%\"\u003e\n \u003cp\u003e7.2093\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.991181657848324%\"\u003e\n \u003cp\u003e14.693\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.75132275132275%\"\u003e\n \u003cp\u003e64.043\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.573192239858905%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.225749559082892%\"\u003e\n \u003cp\u003e-11.244\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.458553791887127%\"\u003e\n \u003cp\u003e-7.8956\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.991181657848324%\"\u003e\n \u003cp\u003e-32.979\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.75132275132275%\"\u003e\n \u003cp\u003e35.726\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.573192239858905%\"\u003e\n \u003cp\u003eCartilage\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.225749559082892%\"\u003e\n \u003cp\u003e-206.97\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.458553791887127%\"\u003e\n \u003cp\u003e-11.029\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.991181657848324%\"\u003e\n \u003cp\u003e59.683\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.75132275132275%\"\u003e\n \u003cp\u003e215.69\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.573192239858905%\"\u003e\n \u003cp\u003eEquivalent\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.225749559082892%\"\u003e\n \u003cp\u003e0.007\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.458553791887127%\"\u003e\n \u003cp\u003e0.00026\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.991181657848324%\"\u003e\n \u003cp\u003e-2.3627\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.75132275132275%\"\u003e\n \u003cp\u003e601.495\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.573192239858905%\"\u003e\n \u003cp\u003ehumerus\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"16.225749559082892%\"\u003e\n \u003cp\u003e0.000025666\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.458553791887127%\"\u003e\n \u003cp\u003e0.000083672\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.991181657848324%\"\u003e\n \u003cp\u003e-2.3618\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.75132275132275%\"\u003e\n \u003cp\u003e2.3618\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eTable 8 - Reaction Force Parameters of the Humerus at 15\u0026deg; Abduction in the Single-Row Model\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"100%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.704225352112676%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.845070422535212%\"\u003e\n \u003cp\u003eX\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.246478873239436%\"\u003e\n \u003cp\u003eY\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.788732394366198%\"\u003e\n \u003cp\u003eZ\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.41549295774648%\"\u003e\n \u003cp\u003eResultant Force\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.704225352112676%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.845070422535212%\"\u003e\n \u003cp\u003e19.007\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.246478873239436%\"\u003e\n \u003cp\u003e2.7123\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.788732394366198%\"\u003e\n \u003cp\u003e-9.41\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.41549295774648%\"\u003e\n \u003cp\u003e21.382\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.704225352112676%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.845070422535212%\"\u003e\n \u003cp\u003e151.12\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.246478873239436%\"\u003e\n \u003cp\u003e45.015\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.788732394366198%\"\u003e\n \u003cp\u003e-10.628\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.41549295774648%\"\u003e\n \u003cp\u003e158.04\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.704225352112676%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.845070422535212%\"\u003e\n \u003cp\u003e13.877\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.246478873239436%\"\u003e\n \u003cp\u003e-0.60397\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.788732394366198%\"\u003e\n \u003cp\u003e-6.0593\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.41549295774648%\"\u003e\n \u003cp\u003e15.154\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.704225352112676%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.845070422535212%\"\u003e\n \u003cp\u003e77.783\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.246478873239436%\"\u003e\n \u003cp\u003e-17.232\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.788732394366198%\"\u003e\n \u003cp\u003e-16.494\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.41549295774648%\"\u003e\n \u003cp\u003e81.358\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.704225352112676%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.845070422535212%\"\u003e\n \u003cp\u003e-7.9661\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.246478873239436%\"\u003e\n \u003cp\u003e-4.8369\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.788732394366198%\"\u003e\n \u003cp\u003e7.2287\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.41549295774648%\"\u003e\n \u003cp\u003e11.794\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.704225352112676%\"\u003e\n \u003cp\u003eCartilage\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.845070422535212%\"\u003e\n \u003cp\u003e-237.38\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.246478873239436%\"\u003e\n \u003cp\u003e-30.119\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.788732394366198%\"\u003e\n \u003cp\u003e37.158\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.41549295774648%\"\u003e\n \u003cp\u003e242.15\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.704225352112676%\"\u003e\n \u003cp\u003eSurgical Rivet\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.845070422535212%\"\u003e\n \u003cp\u003e-16.446\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.246478873239436%\"\u003e\n \u003cp\u003e5.0644\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.788732394366198%\"\u003e\n \u003cp\u003e-4.1516\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.41549295774648%\"\u003e\n \u003cp\u003e17.702\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.704225352112676%\"\u003e\n \u003cp\u003eEquivalent\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.845070422535212%\"\u003e\n \u003cp\u003e-0.0051\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.246478873239436%\"\u003e\n \u003cp\u003e-0.00017\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.788732394366198%\"\u003e\n \u003cp\u003e-2.3562\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.41549295774648%\"\u003e\n \u003cp\u003e547.58\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.704225352112676%\"\u003e\n \u003cp\u003ehumerus\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.845070422535212%\"\u003e\n \u003cp\u003e-4.73E-06\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.246478873239436%\"\u003e\n \u003cp\u003e-0.000010764\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.788732394366198%\"\u003e\n \u003cp\u003e-2.3562\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"23.41549295774648%\"\u003e\n \u003cp\u003e2.3562\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eTable 9 - Reaction Force Parameters of the Humerus at 30\u0026deg; Abduction in the Single-Row Model\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"99%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.278659611992946%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.343915343915343%\"\u003e\n \u003cp\u003eX\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.576719576719576%\"\u003e\n \u003cp\u003eY\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.873015873015873%\"\u003e\n \u003cp\u003eZ\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.92768959435626%\"\u003e\n \u003cp\u003eResultant Force\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.278659611992946%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.343915343915343%\"\u003e\n \u003cp\u003e36.53\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.576719576719576%\"\u003e\n \u003cp\u003e4.2705\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.873015873015873%\"\u003e\n \u003cp\u003e-27.667\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.92768959435626%\"\u003e\n \u003cp\u003e46.024\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.278659611992946%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.343915343915343%\"\u003e\n \u003cp\u003e310.55\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.576719576719576%\"\u003e\n \u003cp\u003e93.515\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.873015873015873%\"\u003e\n \u003cp\u003e-25.43\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.92768959435626%\"\u003e\n \u003cp\u003e325.32\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.278659611992946%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.343915343915343%\"\u003e\n \u003cp\u003e29.363\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.576719576719576%\"\u003e\n \u003cp\u003e-1.3384\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.873015873015873%\"\u003e\n \u003cp\u003e-13.165\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.92768959435626%\"\u003e\n \u003cp\u003e32.207\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.278659611992946%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.343915343915343%\"\u003e\n \u003cp\u003e180.78\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.576719576719576%\"\u003e\n \u003cp\u003e-39.576\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.873015873015873%\"\u003e\n \u003cp\u003e-38.284\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.92768959435626%\"\u003e\n \u003cp\u003e188.98\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.278659611992946%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.343915343915343%\"\u003e\n \u003cp\u003e-18.236\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.576719576719576%\"\u003e\n \u003cp\u003e-8.0062\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.873015873015873%\"\u003e\n \u003cp\u003e13.24\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.92768959435626%\"\u003e\n \u003cp\u003e23.915\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.278659611992946%\"\u003e\n \u003cp\u003eCartilage\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.343915343915343%\"\u003e\n \u003cp\u003e-509.32\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.576719576719576%\"\u003e\n \u003cp\u003e-57.226\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.873015873015873%\"\u003e\n \u003cp\u003e94.709\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.92768959435626%\"\u003e\n \u003cp\u003e521.21\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.278659611992946%\"\u003e\n \u003cp\u003eSurgical Rivet\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.343915343915343%\"\u003e\n \u003cp\u003e-29.67\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.576719576719576%\"\u003e\n \u003cp\u003e8.3618\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.873015873015873%\"\u003e\n \u003cp\u003e-5.7583\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.92768959435626%\"\u003e\n \u003cp\u003e31.359\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.278659611992946%\"\u003e\n \u003cp\u003eEquivalent\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.343915343915343%\"\u003e\n \u003cp\u003e-0.003\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.576719576719576%\"\u003e\n \u003cp\u003e0.0007\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.873015873015873%\"\u003e\n \u003cp\u003e-2.3553\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.92768959435626%\"\u003e\n \u003cp\u003e1169.015\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.278659611992946%\"\u003e\n \u003cp\u003ehumerus\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.343915343915343%\"\u003e\n \u003cp\u003e-9.61E-06\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"19.576719576719576%\"\u003e\n \u003cp\u003e-1.30E-06\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.873015873015873%\"\u003e\n \u003cp\u003e-2.3562\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"22.92768959435626%\"\u003e\n \u003cp\u003e2.3562\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eTable 10 - Reaction Force Parameters of the Humerus at 45\u0026deg; Abduction in the Single-Row Model\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"571\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.04895104895105%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.86013986013986%\"\u003e\n \u003cp\u003eX\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.27972027972028%\"\u003e\n \u003cp\u003eY\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.132867132867133%\"\u003e\n \u003cp\u003eZ\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.678321678321677%\"\u003e\n \u003cp\u003eResultant Force\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.04895104895105%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.86013986013986%\"\u003e\n \u003cp\u003e55.649\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.27972027972028%\"\u003e\n \u003cp\u003e9.291\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.132867132867133%\"\u003e\n \u003cp\u003e-21.232\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.678321678321677%\"\u003e\n \u003cp\u003e60.282\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.04895104895105%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.86013986013986%\"\u003e\n \u003cp\u003e123.27\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.27972027972028%\"\u003e\n \u003cp\u003e29.234\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.132867132867133%\"\u003e\n \u003cp\u003e6.048\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.678321678321677%\"\u003e\n \u003cp\u003e126.84\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.04895104895105%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.86013986013986%\"\u003e\n \u003cp\u003e27.519\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.27972027972028%\"\u003e\n \u003cp\u003e-0.91643\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.132867132867133%\"\u003e\n \u003cp\u003e-11.394\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.678321678321677%\"\u003e\n \u003cp\u003e29.799\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.04895104895105%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.86013986013986%\"\u003e\n \u003cp\u003e-67.764\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.27972027972028%\"\u003e\n \u003cp\u003e10.215\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.132867132867133%\"\u003e\n \u003cp\u003e16.282\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.678321678321677%\"\u003e\n \u003cp\u003e70.437\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.04895104895105%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.86013986013986%\"\u003e\n \u003cp\u003e-3.22E-08\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.27972027972028%\"\u003e\n \u003cp\u003e-2.73E-08\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.132867132867133%\"\u003e\n \u003cp\u003e-3.64E-08\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.678321678321677%\"\u003e\n \u003cp\u003e5.58E-08\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.04895104895105%\"\u003e\n \u003cp\u003eCartilage\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.86013986013986%\"\u003e\n \u003cp\u003e-125.25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.27972027972028%\"\u003e\n \u003cp\u003e-51.348\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.132867132867133%\"\u003e\n \u003cp\u003e9.9514\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.678321678321677%\"\u003e\n \u003cp\u003e135.74\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.04895104895105%\"\u003e\n \u003cp\u003eSurgical Rivet\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.86013986013986%\"\u003e\n \u003cp\u003e-13.423\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.27972027972028%\"\u003e\n \u003cp\u003e3.5239\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.132867132867133%\"\u003e\n \u003cp\u003e-2.0111\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.678321678321677%\"\u003e\n \u003cp\u003e14.023\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.04895104895105%\"\u003e\n \u003cp\u003eEquivalent\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.86013986013986%\"\u003e\n \u003cp\u003e1.00E-03\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.27972027972028%\"\u003e\n \u003cp\u003e5.30E-04\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.132867132867133%\"\u003e\n \u003cp\u003e-2.355700036\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.678321678321677%\"\u003e\n \u003cp\u003e437.1210001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.04895104895105%\"\u003e\n \u003cp\u003ehumerus\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.86013986013986%\"\u003e\n \u003cp\u003e1.43E-05\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.27972027972028%\"\u003e\n \u003cp\u003e1.52E-01\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.132867132867133%\"\u003e\n \u003cp\u003e-2.356\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.678321678321677%\"\u003e\n \u003cp\u003e2.356\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eTable 11 - Reaction Force Parameters of the Humerus at 60\u0026deg; Abduction in the Single-Row Model\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"574\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.00349040139616%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.834205933682373%\"\u003e\n \u003cp\u003eX\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.418848167539267%\"\u003e\n \u003cp\u003eY\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.102966841186735%\"\u003e\n \u003cp\u003eZ\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.640488656195462%\"\u003e\n \u003cp\u003eResultant Force\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.00349040139616%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.834205933682373%\"\u003e\n \u003cp\u003e63.527\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.418848167539267%\"\u003e\n \u003cp\u003e-3.7101\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.102966841186735%\"\u003e\n \u003cp\u003e-49.788\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.640488656195462%\"\u003e\n \u003cp\u003e80.798\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.00349040139616%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.834205933682373%\"\u003e\n \u003cp\u003e167.99\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.418848167539267%\"\u003e\n \u003cp\u003e31.972\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.102966841186735%\"\u003e\n \u003cp\u003e29.539\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.640488656195462%\"\u003e\n \u003cp\u003e173.54\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.00349040139616%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.834205933682373%\"\u003e\n \u003cp\u003e37.308\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.418848167539267%\"\u003e\n \u003cp\u003e-1.465\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.102966841186735%\"\u003e\n \u003cp\u003e-16.1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.640488656195462%\"\u003e\n \u003cp\u003e40.66\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.00349040139616%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.834205933682373%\"\u003e\n \u003cp\u003e-113.03\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.418848167539267%\"\u003e\n \u003cp\u003e17.457\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.102966841186735%\"\u003e\n \u003cp\u003e22.131\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.640488656195462%\"\u003e\n \u003cp\u003e116.5\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.00349040139616%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.834205933682373%\"\u003e\n \u003cp\u003e-1.22E-07\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.418848167539267%\"\u003e\n \u003cp\u003e-5.32E-09\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.102966841186735%\"\u003e\n \u003cp\u003e7.35E-09\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.640488656195462%\"\u003e\n \u003cp\u003e1.22E-07\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.00349040139616%\"\u003e\n \u003cp\u003eCartilage\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.834205933682373%\"\u003e\n \u003cp\u003e-137.99\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.418848167539267%\"\u003e\n \u003cp\u003e-49.085\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.102966841186735%\"\u003e\n \u003cp\u003e14.89\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.640488656195462%\"\u003e\n \u003cp\u003e147.21\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.00349040139616%\"\u003e\n \u003cp\u003eSurgical Rivet\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.834205933682373%\"\u003e\n \u003cp\u003e-17.803\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.418848167539267%\"\u003e\n \u003cp\u003e4.8309\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.102966841186735%\"\u003e\n \u003cp\u003e-3.0277\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.640488656195462%\"\u003e\n \u003cp\u003e18.694\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.00349040139616%\"\u003e\n \u003cp\u003eEquivalent\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.834205933682373%\"\u003e\n \u003cp\u003e0.001999878\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.418848167539267%\"\u003e\n \u003cp\u003e-0.000200005\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.102966841186735%\"\u003e\n \u003cp\u003e-2.355699993\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.640488656195462%\"\u003e\n \u003cp\u003e577.4020001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"26.00349040139616%\"\u003e\n \u003cp\u003ehumerus\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.834205933682373%\"\u003e\n \u003cp\u003e-0.000010444\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.418848167539267%\"\u003e\n \u003cp\u003e-0.000019501\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.102966841186735%\"\u003e\n \u003cp\u003e-2.356\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.640488656195462%\"\u003e\n \u003cp\u003e2.356\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eTable 12 - Reaction Force Parameters of the Humerus at 15\u0026deg; Abduction in the Double-Row Model\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"577\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.77854671280277%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.051903114186851%\"\u003e\n \u003cp\u003eX\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.242214532871973%\"\u003e\n \u003cp\u003eY\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.301038062283737%\"\u003e\n \u003cp\u003eZ\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.62629757785467%\"\u003e\n \u003cp\u003eResultant Force\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.77854671280277%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.051903114186851%\"\u003e\n \u003cp\u003e19.052\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.242214532871973%\"\u003e\n \u003cp\u003e2.8849\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.301038062283737%\"\u003e\n \u003cp\u003e-5.5276\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.62629757785467%\"\u003e\n \u003cp\u003e20.046\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.77854671280277%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.051903114186851%\"\u003e\n \u003cp\u003e52.202\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.242214532871973%\"\u003e\n \u003cp\u003e12.5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.301038062283737%\"\u003e\n \u003cp\u003e1.1786\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.62629757785467%\"\u003e\n \u003cp\u003e53.691\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.77854671280277%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.051903114186851%\"\u003e\n \u003cp\u003e10.059\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.242214532871973%\"\u003e\n \u003cp\u003e-0.37566\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.301038062283737%\"\u003e\n \u003cp\u003e-4.1585\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.62629757785467%\"\u003e\n \u003cp\u003e10.891\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.77854671280277%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.051903114186851%\"\u003e\n \u003cp\u003e-12.746\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.242214532871973%\"\u003e\n \u003cp\u003e1.55\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.301038062283737%\"\u003e\n \u003cp\u003e3.1261\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.62629757785467%\"\u003e\n \u003cp\u003e13.215\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.77854671280277%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.051903114186851%\"\u003e\n \u003cp\u003e-7.8558\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.242214532871973%\"\u003e\n \u003cp\u003e-2.3415\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.301038062283737%\"\u003e\n \u003cp\u003e11.171\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.62629757785467%\"\u003e\n \u003cp\u003e13.856\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.77854671280277%\"\u003e\n \u003cp\u003eCartilage\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.051903114186851%\"\u003e\n \u003cp\u003e-40.361\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.242214532871973%\"\u003e\n \u003cp\u003e-17.55\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.301038062283737%\"\u003e\n \u003cp\u003e2.5651\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.62629757785467%\"\u003e\n \u003cp\u003e44.086\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.77854671280277%\"\u003e\n \u003cp\u003eSurgical Rivet\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.051903114186851%\"\u003e\n \u003cp\u003e-20.197\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.242214532871973%\"\u003e\n \u003cp\u003e3.0838\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.301038062283737%\"\u003e\n \u003cp\u003e-10.723\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.62629757785467%\"\u003e\n \u003cp\u003e23.074\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.77854671280277%\"\u003e\n \u003cp\u003eEquivalent\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.051903114186851%\"\u003e\n \u003cp\u003e0.1532\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.242214532871973%\"\u003e\n \u003cp\u003e-0.24846\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.301038062283737%\"\u003e\n \u003cp\u003e-2.3683\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.62629757785467%\"\u003e\n \u003cp\u003e178.859\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.77854671280277%\"\u003e\n \u003cp\u003ehumerus\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.051903114186851%\"\u003e\n \u003cp\u003e0.1517\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.242214532871973%\"\u003e\n \u003cp\u003e-0.24882\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.301038062283737%\"\u003e\n \u003cp\u003e-2.3685\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.62629757785467%\"\u003e\n \u003cp\u003e2.3864\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eTable 13 - Reaction Force Parameters of the Humerus at 30\u0026deg; Abduction in the Double-Row Model\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"576\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.34722222222222%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.45138888888889%\"\u003e\n \u003cp\u003eX\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.48611111111111%\"\u003e\n \u003cp\u003eY\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.53472222222222%\"\u003e\n \u003cp\u003eZ\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.180555555555557%\"\u003e\n \u003cp\u003eResultant Force\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.34722222222222%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.45138888888889%\"\u003e\n \u003cp\u003e38.781\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.48611111111111%\"\u003e\n \u003cp\u003e5.6079\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.53472222222222%\"\u003e\n \u003cp\u003e-10.981\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.180555555555557%\"\u003e\n \u003cp\u003e40.694\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.34722222222222%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.45138888888889%\"\u003e\n \u003cp\u003e106.08\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.48611111111111%\"\u003e\n \u003cp\u003e25.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.53472222222222%\"\u003e\n \u003cp\u003e4.2482\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.180555555555557%\"\u003e\n \u003cp\u003e109.07\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.34722222222222%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.45138888888889%\"\u003e\n \u003cp\u003e19.853\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.48611111111111%\"\u003e\n \u003cp\u003e-0.7385\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.53472222222222%\"\u003e\n \u003cp\u003e-8.1924\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.180555555555557%\"\u003e\n \u003cp\u003e21.489\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.34722222222222%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.45138888888889%\"\u003e\n \u003cp\u003e-27.106\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.48611111111111%\"\u003e\n \u003cp\u003e3.5897\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.53472222222222%\"\u003e\n \u003cp\u003e7.109\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.180555555555557%\"\u003e\n \u003cp\u003e28.252\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.34722222222222%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.45138888888889%\"\u003e\n \u003cp\u003e-17.478\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.48611111111111%\"\u003e\n \u003cp\u003e-5.023\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.53472222222222%\"\u003e\n \u003cp\u003e21.735\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.180555555555557%\"\u003e\n \u003cp\u003e28.339\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.34722222222222%\"\u003e\n \u003cp\u003eCartilage\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.45138888888889%\"\u003e\n \u003cp\u003e-82.237\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.48611111111111%\"\u003e\n \u003cp\u003e-35.067\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.53472222222222%\"\u003e\n \u003cp\u003e3.1738\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.180555555555557%\"\u003e\n \u003cp\u003e89.458\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.34722222222222%\"\u003e\n \u003cp\u003eSurgical Rivet\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.45138888888889%\"\u003e\n \u003cp\u003e-37.588\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.48611111111111%\"\u003e\n \u003cp\u003e6.1225\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.53472222222222%\"\u003e\n \u003cp\u003e-19.479\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.180555555555557%\"\u003e\n \u003cp\u003e42.776\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.34722222222222%\"\u003e\n \u003cp\u003eEquivalent\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.45138888888889%\"\u003e\n \u003cp\u003e0.305\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.48611111111111%\"\u003e\n \u003cp\u003e-0.5074\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.53472222222222%\"\u003e\n \u003cp\u003e-2.3864\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.180555555555557%\"\u003e\n \u003cp\u003e360.078\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.34722222222222%\"\u003e\n \u003cp\u003ehumerus\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.45138888888889%\"\u003e\n \u003cp\u003e0.30851\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.48611111111111%\"\u003e\n \u003cp\u003e-0.50712\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.53472222222222%\"\u003e\n \u003cp\u003e-2.3867\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.180555555555557%\"\u003e\n \u003cp\u003e2.4594\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eTable 14 - Reaction Force Parameters of the Humerus at 45\u0026deg; Abduction in the Double-Row Model\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"576\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.12998266897747%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.59792027729636%\"\u003e\n \u003cp\u003eX\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.623916811091853%\"\u003e\n \u003cp\u003eY\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.677642980935875%\"\u003e\n \u003cp\u003eZ\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.97053726169844%\"\u003e\n \u003cp\u003eResultant Force\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.12998266897747%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.59792027729636%\"\u003e\n \u003cp\u003e57.543\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.623916811091853%\"\u003e\n \u003cp\u003e7.4426\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.677642980935875%\"\u003e\n \u003cp\u003e-18.284\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.97053726169844%\"\u003e\n \u003cp\u003e60.835\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.12998266897747%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.59792027729636%\"\u003e\n \u003cp\u003e158.83\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.623916811091853%\"\u003e\n \u003cp\u003e29.683\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.677642980935875%\"\u003e\n \u003cp\u003e2.9656\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.97053726169844%\"\u003e\n \u003cp\u003e161.6\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.12998266897747%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.59792027729636%\"\u003e\n \u003cp\u003e29.938\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.623916811091853%\"\u003e\n \u003cp\u003e-1.1455\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.677642980935875%\"\u003e\n \u003cp\u003e-12.414\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.97053726169844%\"\u003e\n \u003cp\u003e32.43\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.12998266897747%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.59792027729636%\"\u003e\n \u003cp\u003e-34.427\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.623916811091853%\"\u003e\n \u003cp\u003e4.1595\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.677642980935875%\"\u003e\n \u003cp\u003e9.8787\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.97053726169844%\"\u003e\n \u003cp\u003e36.057\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.12998266897747%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.59792027729636%\"\u003e\n \u003cp\u003e-26.097\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.623916811091853%\"\u003e\n \u003cp\u003e-7.4031\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.677642980935875%\"\u003e\n \u003cp\u003e29.6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.97053726169844%\"\u003e\n \u003cp\u003e40.15\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.12998266897747%\"\u003e\n \u003cp\u003eCartilage\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.59792027729636%\"\u003e\n \u003cp\u003e-136.89\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.623916811091853%\"\u003e\n \u003cp\u003e-43.878\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.677642980935875%\"\u003e\n \u003cp\u003e11.634\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.97053726169844%\"\u003e\n \u003cp\u003e144.22\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.12998266897747%\"\u003e\n \u003cp\u003eSurgical Rivet\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.59792027729636%\"\u003e\n \u003cp\u003e-48.595\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.623916811091853%\"\u003e\n \u003cp\u003e10.269\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.677642980935875%\"\u003e\n \u003cp\u003e-25.846\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.97053726169844%\"\u003e\n \u003cp\u003e55.991\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.12998266897747%\"\u003e\n \u003cp\u003eEquivalent\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.59792027729636%\"\u003e\n \u003cp\u003e0.302\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.623916811091853%\"\u003e\n \u003cp\u003e-0.8725\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.677642980935875%\"\u003e\n \u003cp\u003e-2.4657\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.97053726169844%\"\u003e\n \u003cp\u003e531.283\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.12998266897747%\"\u003e\n \u003cp\u003ehumerus\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.59792027729636%\"\u003e\n \u003cp\u003e0.29966\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.623916811091853%\"\u003e\n \u003cp\u003e-0.87285\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.677642980935875%\"\u003e\n \u003cp\u003e-2.4654\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.97053726169844%\"\u003e\n \u003cp\u003e2.6325\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eTable 15 - Reaction Force Parameters of the Humerus at 60\u0026deg; Abduction in the Double-Row Model\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"579\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.043177892918827%\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.716753022452504%\"\u003e\n \u003cp\u003eX\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.552677029360968%\"\u003e\n \u003cp\u003eY\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.443868739205527%\"\u003e\n \u003cp\u003eZ\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.243523316062177%\"\u003e\n \u003cp\u003eResultant Force\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.043177892918827%\"\u003e\n \u003cp\u003eDeltoid Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.716753022452504%\"\u003e\n \u003cp\u003e76.504\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.552677029360968%\"\u003e\n \u003cp\u003e9.476\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.443868739205527%\"\u003e\n \u003cp\u003e-23.723\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.243523316062177%\"\u003e\n \u003cp\u003e80.656\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.043177892918827%\"\u003e\n \u003cp\u003eSubscapularis Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.716753022452504%\"\u003e\n \u003cp\u003e212.37\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.552677029360968%\"\u003e\n \u003cp\u003e44.056\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.443868739205527%\"\u003e\n \u003cp\u003e5.3794\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.243523316062177%\"\u003e\n \u003cp\u003e216.96\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.043177892918827%\"\u003e\n \u003cp\u003eTeres Minor Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.716753022452504%\"\u003e\n \u003cp\u003e39.443\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.552677029360968%\"\u003e\n \u003cp\u003e-1.4972\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.443868739205527%\"\u003e\n \u003cp\u003e-16.317\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.243523316062177%\"\u003e\n \u003cp\u003e42.711\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.043177892918827%\"\u003e\n \u003cp\u003eInfraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.716753022452504%\"\u003e\n \u003cp\u003e-53.816\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.552677029360968%\"\u003e\n \u003cp\u003e7.4534\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.443868739205527%\"\u003e\n \u003cp\u003e15.546\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.243523316062177%\"\u003e\n \u003cp\u003e56.51\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.043177892918827%\"\u003e\n \u003cp\u003eSupraspinatus Muscle\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.716753022452504%\"\u003e\n \u003cp\u003e-30.815\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.552677029360968%\"\u003e\n \u003cp\u003e-17.887\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.443868739205527%\"\u003e\n \u003cp\u003e40.133\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.243523316062177%\"\u003e\n \u003cp\u003e53.667\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.043177892918827%\"\u003e\n \u003cp\u003eCartilage\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.716753022452504%\"\u003e\n \u003cp\u003e-175\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.552677029360968%\"\u003e\n \u003cp\u003e-64.42\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.443868739205527%\"\u003e\n \u003cp\u003e9.6629\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.243523316062177%\"\u003e\n \u003cp\u003e186.73\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.043177892918827%\"\u003e\n \u003cp\u003eSurgical Rivet\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.716753022452504%\"\u003e\n \u003cp\u003e-68.287\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.552677029360968%\"\u003e\n \u003cp\u003e21.647\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.443868739205527%\"\u003e\n \u003cp\u003e-33.185\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.243523316062177%\"\u003e\n \u003cp\u003e78.949\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.043177892918827%\"\u003e\n \u003cp\u003eEquivalent\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.716753022452504%\"\u003e\n \u003cp\u003e0.399\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.552677029360968%\"\u003e\n \u003cp\u003e-1.1718\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.443868739205527%\"\u003e\n \u003cp\u003e-2.5037\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.243523316062177%\"\u003e\n \u003cp\u003e716.183\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"25.043177892918827%\"\u003e\n \u003cp\u003ehumerus\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.716753022452504%\"\u003e\n \u003cp\u003e0.40139\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"20.552677029360968%\"\u003e\n \u003cp\u003e-1.1716\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.443868739205527%\"\u003e\n \u003cp\u003e-2.5031\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.243523316062177%\"\u003e\n \u003cp\u003e2.7927\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Rotator cuff injury, Single-row suture technique, Double-row suture technique, Three-dimensional finite element","lastPublishedDoi":"10.21203/rs.3.rs-3837786/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-3837786/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eObjective:\u003c/strong\u003e Analyzing the mechanical differences in shoulder cuff repair between single-row and double-row suture techniques from a three-dimensional biomechanical perspective. This study aims to guide the selection of the most suitable surgical approach based on preoperative conditions and recommend appropriate postoperative rehabilitation training.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods:\u003c/strong\u003e CT scan data of adult shoulder joints were imported into Mimics software for data extraction, reconstructing the geometric model of the shoulder joint. Subsequent repairs, noise reduction, and surface smoothing were performed using Geomagic Studio 2017. The model was then assembled in SolidWorks 2017, followed by meshing and boundary condition loading in ANSYS 17.0 for various computational analyses.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults:\u003c/strong\u003e Single-row and double-row suture techniques exhibit different muscle recovery effects at various angles. Considering prevention of re-tearing, muscle adhesion, and varying degrees of rotator cuff injuries, different repair techniques and rehabilitation training angles should be taken into account.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion:\u003c/strong\u003e Double-row suture technique outperforms the single-row technique, mainly due to its larger contact area, providing effective postoperative assistance to human movement and demonstrating better overall effectiveness. However, depending on the specific injury context outlined in the study, the single-row suture technique may still be considered during surgery.\u003c/p\u003e","manuscriptTitle":"Single-row and double-row shoulder suture techniques, combined with dynamic-static modeling, were employed for finite element analysis of the three-dimensional mechanics of the shoulder joint","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-01-10 20:03:53","doi":"10.21203/rs.3.rs-3837786/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"ac2f01cb-e129-4d5c-9576-caa4d13c97d1","owner":[],"postedDate":"January 10th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2024-03-24T09:59:36+00:00","versionOfRecord":[],"versionCreatedAt":"2024-01-10 20:03:53","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-3837786","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-3837786","identity":"rs-3837786","version":["v1"]},"buildId":"qtupq5eGEP_6zYnWcrvyt","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}