The shoulder is a complex joint with many structures located in a small area. The purpose of this paper is to first analyze the shoulder joint mechanics and allow for a more complete understanding of this structure. The anatomical features are defined, including muscles, tendons and ligaments, their attachments and innervations. These structures are often predisposed to injury or pathology.
The second part of this paper introduced a new treatment concept: Closed Kinetic Chain Exercises of the shoulder joint. Closed kinetic chain exercises are defined, including the purpose and rationale behind this new treatment. Closed kinetic chain exercises add variability and versatility to shoulder rehabilitation. It is important to understand that not every patient will be able to perform these exercises, as they are relatively aggressive. Using closed kinetic chain exercises in conjunction with established protocols related to shoulder pathology, however, appear to be ideal in permitting the patient or athlete to return to full function