Cadaveric Shoulder Simulator


The centrepiece of our program is the development of a state-of-the-art cadaveric shoulder simulator, purposefully engineered to replicate the complex biomechanics and functionality of the human shoulder joint.

This six-degree-of-freedom, eight-muscle-actuated in-vitro cadaveric shoulder simulator can generate muscle-driven shoulder motion in a cadaveric arm, allowing for the investigation of orthopaedic pathologies and their surgical treatments in an isolated laboratory setup.

A major breakthrough with this simulator was retaining both the deltoid and rotator cuff muscle origins/insertions such that the muscle wrapping about the shoulder is intact, a world first for cadaveric shoulder simulators. Our shoulder simulator is the only one of its kind in the world presently, that actually moves the arm like a normal human shoulder.

The simulator generates active motion by pulling on the eight major muscle groups that are integral to shoulder function, using robotic actuators. With unprecedented precision and accuracy, this simulator faithfully mimics the dynamic range of motion, muscle activation patterns, and load-bearing capabilities of the shoulder, allowing us to gain unparalleled insights into its functioning.

This sophisticated simulator has gained worldwide recognition and is revolutionising our understanding of shoulder biomechanics by helping to improve shoulder replacement prosthesis design, enhancing surgical planning and accurate intraoperative execution to improve patient outcomes. This research program represents a pioneering approach to understanding and improving patient health, driven by innovative, coherent, and independent research.

Worldwide recognition

Key Features

Specimen-specific , 3D printed scapular and humeral mounts

Eight linear actuators to simulate muscle function:

Rotator cuff, Deltoid (anterior, middle, and posterior), Teres Minor

Muscle force measurement

Scapulohumeral rhythm

Kinematic tracking

David Axford and Robert Potra are the two minds behind this best in class cadaveric shoulder simulator. The development started in May 2019 and first pilot test were run in June 2020.

Ever since, the development and fine-tuning work continued and multiple industry studies are being undertaken using the simulator.

RESEARCH projects

  • Collaborative study with Mathys/Enovis to investigate the effect of Reverse Total Shoulder Replacement design on shoulder function using the in-vitro cadaveric shoulder simulator

  • Collaborative study with Medacta International to investigate the effect of various components of their Reverse Total Shoulder Replacement prosthesis on shoulder function using the in-vitro cadaveric shoulder simulator

  • Pipeline project - collaborative study with Arthrex to investigate the effect of arthroscopic superior capsular reconstruction (SCR) on glenohumeral kinematics and pressure distribution in an in vitro simulation

  • Collaborative study with Prof Christian Gerber, a highly regarded orthopaedic surgeon based in Switzerland, to examine the effect of acromial roof morphologies, glenoid inclination and version on the shoulder biomechanics utilising our advanced, six-degree-of-freedom, eight-muscle-actuated in vitro cadaveric shoulder simulator