keyword
https://read.qxmd.com/read/38425734/relationships-between-throwing-mechanics-and-shoulder-anterior-force-in-high-school-and-professional-baseball-pitchers
#1
JOURNAL ARTICLE
Joseph E Manzi, Allen Nicholson, Brittany Dowling, Grant G Black, Spencer Krichevsky, Theodore Quan, Jay Moran, Kyle N Kunze, Joshua S Dines
BACKGROUND: Excessive shoulder anterior force has been implicated in pathology of the rotator cuff in little league and professional baseball pitchers; in particular, anterior laxity, posterior stiffness, and glenohumeral joint impingement. Distinctly characterized motions associated with excessive shoulder anterior force remain poorly understood. METHODS: High school and professional pitchers were instructed to throw fastballs while being evaluated with 3D motion capture (480 Hz)...
March 2024: Shoulder & Elbow
https://read.qxmd.com/read/38316235/evolution-of-the-throwing-shoulder-why-apes-don-t-throw-well-and-how-that-applies-to-throwing-athletes
#2
REVIEW
Heinz Hoenecke, Joseph Fiske, Adriana E Tamayo, Darryl D D'Lima
BACKGROUND: Humans have unique characteristics making us the only primate that can throw well while most other primates throw predominately underhand with poor speed and accuracy. The purpose of this study is to illuminate the uniquely human characteristics that allow us to throw so well. When treating an injury such as a labral tear or capsule tear, this study hopes the reader can gain a better understanding of the issues that lead to the tear and those that may determine the success of treatment besides the actual repair...
February 3, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38311104/preventive-interventions-for-throwing-injuries-in-baseball-players-a-scoping-review
#3
REVIEW
Karasuyama Masaki, Takashi Tsuruta, Kawakami Junichi, Takuya Oike, Kazuki Uchida, Tomohiko Minamikawa
BACKGROUND: Shoulder and elbow pain are the common complaints associated with throwing injuries in baseball players. Prospective studies evaluating the effectiveness of stretching in increasing posterior shoulder flexibility or strengthening the external rotator muscles as preventive strategies for throwing injuries in baseball players have been published. However, there are limited reviews highlighting the role of preventive interventions for throwing injuries in baseball players. Therefore, this scoping review aimed to summarize the existing literature on preventive interventions for throwing injuries in baseball players...
February 2, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/37928984/quantitative-and-qualitative-disparities-exist-between-baseball-and-softball-peer-reviewed-pitching-related-literature-a-systematic-review-from-1990-to-2020
#4
JOURNAL ARTICLE
Gabrielle Gilmer, Albert Lin, Michael Shannon, Asher Mirvish, Nicholas Aloi, Forrest Shooster, Justin J Greiner
BACKGROUND: Baseball and softball are popular sports with similar rates of injury, especially among pitchers. However, parity between the two sports is lacking, as baseball receives greater research attention than softball. The purpose of this study was to describe the discrepancy between baseball and softball in terms of quantity and quality of research. We hypothesized baseball literature would outnumber softball literature, be published in higher-impact journals, and be of higher quality...
November 2023: JSES Rev Rep Tech
https://read.qxmd.com/read/37917538/shoulder-and-elbow-injuries-in-adult-overhead-throwers-imaging-review
#5
JOURNAL ARTICLE
Paola Kuenzer Goes, Dyan V Flores, Alameen Damer, Brady K Huang
Overhead throwing, particularly in baseball, subjects the shoulder and elbow to various unique injuries. Capsular contracture following repetitive external rotation shifts the humeral head posterosuperiorly, predisposing to glenohumeral internal rotation deficit (GIRD), Bennett, posterosuperior internal impingement (PSI), and superior labrum anterior-posterior (SLAP) lesions. GIRD represents loss of internal rotation at the expense of external rotation. Bennett lesion represents ossification of the posteroinferior glenohumeral ligament due to repetitive traction...
December 2023: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://read.qxmd.com/read/37652215/adaptive-pathology-new-insights-into-the-physical-examination-and-imaging-of-the-thrower-s-shoulder-and-elbow
#6
REVIEW
John E Kuhn
Throwing with high velocity requires extremes of glenohumeral external rotation of the abducted arm where particularly high forces in the shoulder and elbow are endured. Repeated throwing leads to dominant-arm bony remodeling of the humerus, glenoid, and elbow, and multiple soft tissue changes that would be considered abnormal. Many of these features are thought to be adaptive and protective. The purpose of this work is to: 1.) define the concept of adaptive pathology, 2.) review the mechanics of the throwing motion, 3...
August 29, 2023: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/37588075/clinical-shoulder-measurements-related-to-joint-loads-in-collegiate-pitchers
#7
JOURNAL ARTICLE
Aaron Trunt, David A Sturdevant, Luke W Adams, Nathan W Skelley, Lisa N MacFadden
BACKGROUND: Pitchers are prone to upper extremity injury due to repetitive high joint loads. Clinical measures of shoulder strength and range of motion (ROM) have shown links to injury risk in pitchers, however, these factors have rarely been studied in relation to throwing joint loads. The purpose of this study was to identify which clinical ROM and isokinetic strength variables were related to peak shoulder and elbow joint torques in collegiate pitchers. METHODS: Thirty-three healthy collegiate pitchers participated in this study...
February 2023: JSES Rev Rep Tech
https://read.qxmd.com/read/37359976/comparison-of-peak-shoulder-distraction-forces-between-pain-and-pain-free-youth-baseball-pitchers
#8
JOURNAL ARTICLE
Adam R Nebel, Anthony W Fava, Nicole M Bordelon, Gretchen D Oliver
BACKGROUND: Increased shoulder distraction force during a baseball pitch may make a pitcher susceptible to rotator cuff or glenohumeral labral injuries. A precursor to a pitching injury may be pain experienced in the throwing arm. PURPOSE: To (1) compare peak shoulder distraction (PSD) forces in youth baseball pitchers with and without upper extremity pain when throwing a fastball and (2) assess if PSD forces across trials differ between pain and pain-free groups...
June 2023: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/37246566/rotator-cuff-injuries-in-the-pediatric-population-a-retrospective-review-of-patient-characteristics-and-treatment-at-a-single-center
#9
REVIEW
Kathleen L Harwood, Karina Oganezova, Kevin J Orellana, Katherine Ashe, Brendan A Williams, John G Horneff
BACKGROUND: As youth participation in contact and overhead sports has increased in recent decades, so has the occurrence of injuries of the shoulder. Rotator cuff injury (RCI) is an infrequent shoulder pathology in pediatric patients and its description in the literature has been scarce. A greater understanding of RCI characteristics and treatment outcomes in children and adolescents would improve our understanding of this pathology and help to better guide clinical decision-making. HYPOTHESIS: To identify pediatric patients with magnetic resonance imaging-confirmed RCI treated at a single center to summarize injury characteristics, treatment, and outcomes...
May 29, 2023: Sports Health
https://read.qxmd.com/read/36933646/rotator-cuff-training-with-upper-extremity-blood-flow-restriction-produces-favorable-adaptations-in-division-ia-collegiate-pitchers-a-randomized-trial
#10
RANDOMIZED CONTROLLED TRIAL
Bradley S Lambert, Corbin Hedt, Jordan P Ankersen, Haley Goble, Carter Taft, Joshua Daum, Richard Karasch, Michael R Moreno, Patrick C McCulloch
BACKGROUND: Recent evidence indicates that combined upper extremity blood flow restriction (BFR, applied distally to the shoulder) and low-load resistance exercise (LIX) augments clinically meaningful responses in shoulder region tissues proximal to the occlusion site. The purpose of this investigation was to determine the efficacy of BFR-LIX for the shoulder when added to standard offseason training in Division IA collegiate baseball pitchers. We hypothesized that BFR-LIX would augment training-induced increases in shoulder-region lean mass, rotator cuff strength, and endurance...
June 2023: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/36874049/return-to-sport-after-arthroscopic-capsular-repair-in-elite-baseball-players
#11
JOURNAL ARTICLE
William J Uffmann, Neal S ElAttrache, Keon Youssefzadeh, Andrew Carbone, Orr Limpisvasti
BACKGROUND: Chronic attritional midsubstance capsular tears arising from repetitive throwing stress are a rare but important source of pain and dysfunction in elite baseball players; however, little is known regarding outcomes after arthroscopic capsular repair. PURPOSE: To evaluate the patient-reported outcomes and return-to-sport (RTS) rates after arthroscopic capsular repair in elite baseball players. STUDY DESIGN: Case series; Level of evidence, 4...
February 2023: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/36820430/identifying-the-underlying-mechanisms-responsible-for-glenohumeral-internal-rotation-in-professional-baseball-pitchers
#12
JOURNAL ARTICLE
Ryan W Paul, Brandon J Erickson, Steven B Cohen, Michael G Ciccotti, Michael Hefta, Paul Buchheit, Joseph Rauch, Shawn Fcasni, Alex Plum, Aaron Hoback, Stephen J Thomas
BACKGROUND AND HYPOTHESIS: Glenohumeral internal rotation deficit has been identified as a significant risk factor for upper-extremity injuries in pitchers across all ages. Humeral retroversion (HR), posterior capsule thickness (PCT), and posterior rotator cuff muscle pennation angle (PA) have been independently associated with internal rotation range of motion (IR ROM); however, these anatomic structures have not been collectively measured in baseball pitchers to determine the underlying mechanisms responsible for IR ROM...
January 2023: JSES international
https://read.qxmd.com/read/36655019/return-to-play-after-shoulder-surgery-in-professional-baseball-players-a-systematic-review-and-meta-analysis
#13
REVIEW
Carew C Giberson-Chen, Brian L Shaw, Samuel S Rudisill, Robert E Carrier, Evan M Farina, Brad Pearson, Peter D Asnis, Evan A O'Donnell
BACKGROUND: The current literature lacks an updated review examining return to play (RTP) and return to prior performance (RTPP) after shoulder surgery in professional baseball players. PURPOSE: To summarize the RTP rate, RTPP rate, and baseball-specific performance metrics among professional baseball players who underwent shoulder surgery. STUDY DESIGN: Systematic review; Level of evidence, 4. METHODS: A literature search was performed utilizing the PubMed, MEDLINE, and CINAHL databases and according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines...
January 2023: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/36587750/upper-extremity-injuries-have-the-poorest-return-to-play-and-most-time-lost-in-professional-baseball-a-systematic-review-of-injuries-in-major-league-baseball
#14
REVIEW
Joseph S Tramer, Joshua P Castle, Michael A Gaudiani, Vincent A Lizzio, Anna McGee, Michael T Freehill, T Sean Lynch
PURPOSE: To summarize the incidence of injuries occurring in professional baseball and compare player outcomes reported in the literature. METHODS: We conducted a systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines across 3 databases (PubMed, MEDLINE, Embase). Inclusion criteria were studies of injury incidences and/or injury outcomes on active Major League Baseball (MLB) athletes and studies published in the English language...
August 2023: Arthroscopy
https://read.qxmd.com/read/36462776/slap-tears-treatment-algorithm
#15
JOURNAL ARTICLE
Luc M Fortier, Mariano E Menendez, Benjamin Kerzner, Neil Verma, Nikhil N Verma
SLAP lesions can be significant pain generators in the shoulder. These injuries are the most common shoulder injury in overhead athletes, as repetitive overhead motion is the most common etiology of SLAP lesions. These lesions present a diagnostic and treatment challenge to patients and physicians. Factors to consider when discussing treatment options for SLAP lesions include age, type of sports activity, level of sports participation, and degree of symptoms. Nonoperative management is the first-line treatment for most young, active patients without history of trauma, mechanical symptoms, and/or demand for overhead activities...
December 2022: Arthroscopy
https://read.qxmd.com/read/36410224/biceps-tenodesis-cannot-be-used-as-primary-treatment-option-in-baseball-pitchers-with-intact-rotator-cuff-muscles
#16
JOURNAL ARTICLE
Christian Klemt, Diana Toderita, Peter Reilly, Anthony M J Bull
UNLABELLED: Background Surgeons remain hesitant to perform biceps tenodesis in athletes with type II superior labrum anterior-to-posterior tears due to the lack of reported clinical outcomes for individual overhead throwing sports and associated concerns that this may predispose the joint to instability. This study aimed to assess the effect of biceps tenodesis on shoulder stability for major overhead throwing sports to aid sport-specific surgical decision-making for athletes with type II superior labrum anterior-to-posterior tears...
December 2022: Clinical Biomechanics
https://read.qxmd.com/read/36343790/arthroscopic-findings-of-the-glenohumeral-joint-in-symptomatic-anterior-instabilities-comparison-between-overhead-throwing-disorders-and-traumatic-shoulder-dislocation
#17
JOURNAL ARTICLE
Tadanao Funakoshi, Toru Takahashi, Hisao Shimokobe, Azusa Miyamoto, Kozo Furushima
BACKGROUND: The term shoulder instability refers to a variety of mechanisms and clinical presentations. One of the common pathologies of throwing disorders is internal impingement with anterior instability. Most throwing athletes with symptomatic internal impingement with anterior instability exhibit positive apprehension and relocation test results, whereas those with recurrent anterior shoulder instability display positive apprehension test results. While the glenoid labrum-inferior glenohumeral ligament (IGHL) complex is a significant critical stabilizer for the prevention of anterior shoulder dislocation, the characteristics of the essential lesion in internal impingement with anterior instability have not yet been determined...
November 4, 2022: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/35987458/high-rate-of-return-to-sporting-activity-among-overhead-athletes-with-subpectoral-biceps-tenodesis-for-type-ii-slap-tear
#18
JOURNAL ARTICLE
Brian R Waterman, Jon Newgren, Catherine Richardson, Anthony A Romeo
PURPOSE: To evaluate the functional and athletic outcomes after primary subpectoral biceps tenodesis for type II SLAP tear in overhead athletes. METHODS: All competitive elite athletes with type II SLAP tears undergoing biceps tenodesis by a single surgeon were isolated between 2007 and 2015. Exclusion criteria were applied to individuals not involved in overhead athletics, clinical follow-up <24 months, adjacent rotator cuff or labral repair, concomitant SLAP repair, and/or previous arthroscopic shoulder surgery...
January 2023: Arthroscopy
https://read.qxmd.com/read/35971013/risk-factors-and-prevention-strategies-for-shoulder-injuries-in-overhead-sports-an-updated-systematic-review
#19
REVIEW
Matthias Wilhelm Hoppe, Joana Brochhagen, Thomas Tischer, Knut Beitzel, Romain Seil, Casper Grim
PURPOSE: The aim of this systematic review was to update the knowledge on risk factors and prevention strategies for shoulder injuries in overhead sports with special emphasis on methodological quality. METHODS: All methodological procedures were performed in line with a previous systematic review by Asker et al. (2018). The literature search was conducted in the PubMed, Google Scholar, Cochrane, and SPORT-Discuss databases. Due to the risk of bias assessment, only studies with at least an acceptable methodological quality were included...
August 16, 2022: Journal of Experimental Orthopaedics
https://read.qxmd.com/read/35747625/shoulder-injuries-in-professional-baseball-batters-analysis-of-3-414-injuries-over-an-8-year-period
#20
JOURNAL ARTICLE
Erick M Marigi, Stan Conte, Anna K Reinholz, John A Steubs, Michael L Knudsen, Aaron J Krych, Christopher L Camp
Purpose: To characterize the shoulder injuries experienced by baseball batters and position players (nonpitchers); to quantify the outcomes of these injuries with respect to time out of play, recurrence, and surgery rates; and to identify any injury patterns that are associated with worse outcomes. Methods: Between 2011 and 2017, all Major League Baseball (MLB) and Minor League Baseball (MiLB) players who sustained shoulder injuries were identified using the MLB Health and Injury Tracking System (HITS)...
June 2022: Arthroscopy, sports medicine, and rehabilitation
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