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Baseball and rotate cuff

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https://www.readbyqxmd.com/read/27159298/site-and-severity-of-the-increased-humeral-retroversion-in-symptomatic-baseball-players-a-3-dimensional-computed-tomographic-analysis
#1
Yasuo Itami, Teruhisa Mihata, Koji Shibano, Kazuomi Sugamoto, Masashi Neo
BACKGROUND: Humeral retroversion in baseball players is greater in the dominant shoulder than in the nondominant shoulder. However, the site and severity of the humeral rotational deformity remain unclear. PURPOSE: To evaluate the site of side-to-side differences in humeral retroversion in baseball players and the severity of these changes through 3-dimensional computed tomographic (3D CT) bone models. STUDY DESIGN: Cross-sectional study; Level of evidence, 3...
July 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27017566/treatment-of-ulnar-collateral-ligament-injuries-and-superior-labral-tears-by-major-league-baseball-team-physicians
#2
Brandon J Erickson, Joshua D Harris, Yale A Fillingham, Gregory L Cvetanovich, Charles A Bush-Joseph, Bernard R Bach, Anthony A Romeo, Nikhil N Verma
PURPOSE: To determine practice patterns of Major League Baseball (MLB) team orthopaedic surgeons in addressing the controversial topics of ulnar collateral ligament (UCL) tears, type II SLAP tears, and partial-thickness rotator cuff tear. METHODS: Seventy-four MLB team orthopaedic surgeons were surveyed via an online survey system. A 14-question survey was used to assess surgeon experience, technique, and graft choice for UCL reconstruction (UCLR), treatment of type II SLAP tears, and other common pathologic conditions...
July 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/26991564/arthroscopic-management-of-full-thickness-rotator-cuff-tears-in-major-league-baseball-pitchers-the-lateralized-footprint-repair-technique
#3
Joshua S Dines, Kristofer Jones, Patrick Maher, David Altchek
Clinical outcomes of surgical management of full-thickness rotator cuff tears in professional baseball players have been uniformly poor. We conducted a study to investigate return-to-play data and functional performance using a novel arthroscopic repair technique. We hypothesized that arthroscopic rotator cuff repair would result in a high rate of return to professional pitching and favorable functional outcomes. We identified 6 consecutive Major League Baseball (MLB) pitchers who underwent surgical repair of full-thickness rotator cuff injuries using the lateralized footprint repair technique...
March 2016: American Journal of Orthopedics
https://www.readbyqxmd.com/read/26537804/prevention-of-shoulder-injuries-in-overhead-athletes-a-science-based-approach
#4
Ann M Cools, Fredrik R Johansson, Dorien Borms, Annelies Maenhout
The shoulder is at high risk for injury during overhead sports, in particular in throwing or hitting activities, such as baseball, tennis, handball, and volleyball. In order to create a scientific basis for the prevention of recurrent injuries in overhead athletes, four steps need to be undertaken: (1) risk factors for injury and re-injury need to be defined; (2) established risk factors may be used as return-to-play criteria, with cut-off values based on normative databases; (3) these variables need to be measured using reliable, valid assessment tools and procedures; and (4) preventative training programs need to be designed and implemented into the training program of the athlete in order to prevent re-injury...
September 2015: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/26529676/high-resolution-3-t-magnetic-resonance-imaging-of-the-shoulder-in-nonsymptomatic-professional-baseball-pitcher-draft-picks
#5
Filippo Del Grande, Michael Aro, Sahar Jalali Farahani, Andrew Cosgarea, John Wilckens, John A Carrino
OBJECTIVES: To retrospectively assess the qualitative and quantitative high-resolution 3-T magnetic resonance imaging (MRI) findings in nonsymptomatic baseball pitcher draft picks. METHODS: Institutional review board-approved and HIPAA compliant study. Three-Tesla MRI of the dominant shoulder of 19 asymptomatic baseball pitcher draft picks and detailed clinical examination was performed before contract signing. Two radiologists performed independently qualitative and quantitative evaluation of shoulder structures...
January 2016: Journal of Computer Assisted Tomography
https://www.readbyqxmd.com/read/26403207/mechanisms-of-shoulder-range-of-motion-deficits-in-asymptomatic-baseball-players
#6
Lane B Bailey, Ellen Shanley, Richard Hawkins, Paul F Beattie, Stacy Fritz, David Kwartowitz, Charles A Thigpen
BACKGROUND: Shoulder range of motion (ROM) deficits have been identified as injury risk factors among baseball athletes. Despite the knowledge surrounding these risk factors, there is a lack of consensus regarding the specific tissues responsible for these deficits in ROM. PURPOSE/HYPOTHESIS: The purpose of this study was to elucidate the primary mechanisms of posterior shoulder tightness (capsular, musculotendinous, bony) by examining the tissue responses that occur with the application of an acute intervention in baseball players with ROM deficits...
November 2015: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/26346550/baseball-players-with-ulnar-collateral-ligament-tears-demonstrate-decreased-rotator-cuff-strength-compared-to-healthy-controls
#7
J Craig Garrison, Chris Johnston, John E Conway
BACKGROUND: Ulnar Collateral Ligament (UCL) tears are common in baseball players. Alterations in rotator cuff strength are believed to be associated with injury to the shoulder and/or elbow in baseball players. HYPOTHESIS/PURPOSE: Baseball players diagnosed with a UCL tear will demonstrate decreased internal (IR) and external rotation (ER) force as an indication of isometric muscular strength in the throwing arm compared to IR and ER force of the throwing arm in healthy baseball players...
August 2015: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/26331736/prevention-of-shoulder-injuries-in-overhead-athletes-a-science-based-approach
#8
Ann M Cools, Fredrik R Johansson, Dorien Borms, Annelies Maenhout
The shoulder is at high risk for injury during overhead sports, in particular in throwing or hitting activities, such as baseball, tennis, handball, and volleyball. In order to create a scientific basis for the prevention of recurrent injuries in overhead athletes, four steps need to be undertaken: (1) risk factors for injury and re-injury need to be defined; (2) established risk factors may be used as return-to-play criteria, with cut-off values based on normative databases; (3) these variables need to be measured using reliable, valid assessment tools and procedures; and (4) preventative training programs need to be designed and implemented into the training program of the athlete in order to prevent re-injury...
September 1, 2015: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/26316611/return-to-sport-after-rotator-cuff-tear-repair-a-systematic-review-and-meta-analysis
#9
Shahnaz Klouche, Nicolas Lefevre, Serge Herman, Antoine Gerometta, Yoann Bohu
BACKGROUND: One of the most frequent demands from athletes after rotator cuff tear repair is to return to sport, if possible at the same level of play. PURPOSE: The main goal of this study was to determine the rate of return to sport after treatment of rotator cuff tears. STUDY DESIGN: Meta-analysis and systematic review. METHODS: The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed to perform this systematic review and meta-analysis of the results in the literature, as well as for the presentation of results...
July 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/26240769/biologic-augmentation-of-the-ulnar-collateral-ligament-in-the-elbow-of-a-professional-baseball-pitcher
#10
James K Hoffman, Nicole M Protzman, Amit D Malhotra
Tears of the ulnar collateral ligament (UCL) of the elbow are common injuries in overhead athletes. Although surgical reconstruction of the UCL has improved outcomes, not all athletes return to their previous level of competition and when this goal is achieved, the time required averages one to two years. Therefore, additional techniques are needed to further improve return to play and the rate of return to play in overhead athletes. A construct comprising a dermal allograft, platelet rich plasma (PRP), and mesenchymal stem cells (MSCs) has been shown to successfully improve healing in the rotator cuff...
2015: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/26078449/high-incidence-of-infraspinatus-muscle-atrophy-in-elite-professional-female-tennis-players
#11
Simon W Young, Jodie Dakic, Kathleen Stroia, Michael L Nguyen, Alex H S Harris, Marc R Safran
BACKGROUND: Isolated infraspinatus muscle atrophy is common in overhead athletes, who place significant and repetitive stresses across their dominant shoulders. Studies on volleyball and baseball players report infraspinatus atrophy in 4% to 34% of players; however, the prevalence of infraspinatus atrophy in professional tennis players has not been reported. PURPOSE: To investigate the incidence of isolated infraspinatus atrophy in professional tennis players and to identify any correlations with other physical examination findings, ranking performance, and concurrent shoulder injuries...
August 2015: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/25314006/acromial-apophysiolysis-superior-shoulder-pain-and-acromial-nonfusion-in-the-young-throwing-athlete
#12
Johannes B Roedl, William B Morrison, Michael G Ciccotti, Adam C Zoga
PURPOSE: To describe the frequency of acromial apophysiolysis and its association with incomplete fusion and superior shoulder pain, to determine risk factors of acromial apophysiolysis, and to assess whether acromial apophysiolysis is associated with the development of an os acromiale and rotator cuff tears. MATERIALS AND METHODS: Institutional review board approval was obtained for this HIPAA-compliant study; requirement for informed consent was waived. A retrospective report review of 2372 consecutive patients between 15 and 25 years of age who underwent shoulder magnetic resonance (MR) imaging for shoulder pain was performed...
January 2015: Radiology
https://www.readbyqxmd.com/read/24975765/the-thrower-s-shoulder
#13
REVIEW
Stuart D Kinsella, Stephen J Thomas, G Russell Huffman, John D Kelly
Throwers, or athletes who engage in repetitive overhead motions, are a unique subset of athletes that experience distinct shoulder injuries. Athletes engaged in baseball comprise the majority of patients seeking orthopedic care for throwing related injuries. Injuries specific to throwers most commonly involve the labrum and the undersurface of the rotator cuff. In addition, tissue changes in both the anterior and posterior glenohumeral capsule are common with repetitive overhead motions. These capsular changes alter...
July 2014: Orthopedic Clinics of North America
https://www.readbyqxmd.com/read/24941456/problems-of-the-glenohumeral-joint-in-overhead-sports-literature-review-part-ii-pathology-and-pathophysiology
#14
REVIEW
Przemysław Lubiatowski, Piotr K Kaczmarek, Marta Ślęzak, Jan Długosz, Maciej Bręborowicz, Witold Dudziński, Leszek Romanowski
In throwing sports shoulder is exposed to enormous and often repetitive overloads. Some sports (contact sports) are also connected with direct trauma. We are thus dealing with traumatic injuries, overload and degenerative damage. The article discusses the most frequent injuries of the shoulder characteristic for throwing sports. These are mainly disorders of arm rotation, internal impingement, lesion of the labrum (SLAP) and rotator cuff tears (PASTA).
May 23, 2014: Polish Orthopedics & Traumatology
https://www.readbyqxmd.com/read/24893778/risk-factors-for-shoulder-and-elbow-injuries-in-high-school-baseball-pitchers-the-role-of-preseason-strength-and-range-of-motion
#15
Timothy F Tyler, Michael J Mullaney, Michael R Mirabella, Stephen J Nicholas, Malachy P McHugh
BACKGROUND: Shoulder strength and motion deficits in high school baseball pitchers have been implicated in injury risk. PURPOSE/HYPOTHESIS: To prospectively determine if preseason strength and range of motion (ROM) are predictive of injury in high school baseball pitchers. It was hypothesized that ROM asymmetries and weakness would be predictive of injury. STUDY DESIGN: Case-control study; Level of evidence, 3. METHODS: Preseason strength and ROM measurements were made on 101 pitchers from 4 different high schools over 4 seasons (total 166 pitcher-seasons: 25 freshman, 46 junior varsity, and 95 varsity player-seasons)...
August 2014: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/24695599/common-conditions-in-the-overhead-athlete
#16
Eric W Edmonds, Douglas D Dengerink
The overhead athlete is at unique risk for injury because of the mechanics associated with rapid shoulder elevation, abduction, and external rotation. Angulation of the humeral head against the posterosuperior glenoid can cause rotator cuff tendon and labral impingement. The throwing or striking motion of baseball, softball, water polo, tennis, racquetball, and volleyball may result in scapular dyskinesis, partial articular-sided supraspinatus avulsions, and posterosuperior labral tears. The SICK scapula syndrome (scapular malposition, inferior medial border prominence, coracoid pain and malposition, and dyskinesis of scapular movement) is thought to increase the risk of injury in the overhead athlete...
April 1, 2014: American Family Physician
https://www.readbyqxmd.com/read/24572551/the-influence-of-the-spine-on-the-shoulder-in-the-throwing-athlete
#17
J L Young, S A Herring, J M Press, B A Casazza
Analysis of shoulder dysfunction in throwing and overhead athletes can no longer be restricted to evaluation of the glenohumeral joint alone. The isolated shoulder is incapable of generating the force necessary to hurl a baseball at velocities of 90-100 miles per hour or serve a tennis ball in excess of 120 miles per hour. The purpose of this paper is to provide a literature based theoretical framework for the role of the spine during these activities. The spine is a pivotal component of the kinematic chain which functions as a transfer link between the lower and upper limbs, a force generator capable of accelerating the arm, and a force attenuator which dampens shear forces at the glenohumeral joint during the deceleration phase of the pitching motion...
January 1, 1996: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/24459557/return-to-sport-following-shoulder-surgery-in-the-elite-pitcher-a-systematic-review
#18
Joshua D Harris, Jonathan M Frank, Mark A Jordan, Charles A Bush-Joseph, Anthony A Romeo, Anil K Gupta, Geoffrey D Abrams, Frank M McCormick, Bernard R Bach
CONTEXT: The ability to return to elite pitching, performance, and clinical outcomes of shoulder surgery in elite baseball pitchers are not definitively established. OBJECTIVE: To determine (1) the rate of return to sport (RTS) in elite pitchers following shoulder surgery, (2) postoperative clinical outcomes upon RTS, and (3) performance upon RTS and to compare RTS rates in different types of shoulder surgery. DATA SOURCES: Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and checklist, Medline, SciVerse Scopus, SportDiscus, and Cochrane Central Register of Controlled Trials were searched...
July 2013: Sports Health
https://www.readbyqxmd.com/read/24175142/throwing-injuries-in-the-adolescent-athlete
#19
Ellen Shanley, Chuck Thigpen
INTRODUCTION: Adolescents ranging in age from 11-15 (early-mid adolescence) comprise the largest percentage of baseball and softball athletes in the United States. Shoulder and elbow injuries are commonly experienced by these athletes with baseball pitchers and softball position players most likely to be injured. COMMON INJURIES: Physeal injury often termed "Little League" shoulder or elbow is common and should be differentiated from soft tissue injuries such as biceps, rotator cuff, or UCL injuries...
October 2013: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/24126419/humeral-avulsions-of-the-inferior-glenohumeral-ligament-complex-involving-the-axillary-pouch-in-professional-baseball-players
#20
Eric Y Chang, Heinz R Hoenecke, Jan Fronek, Brady K Huang, Christine B Chung
INTRODUCTION: Humeral avulsion of the inferior glenohumeral ligament is a rare injury in athletes and can involve different parts of the complex. Axillary pouch avulsion, in particular, has only recently been recognized in the literature, but has never been described in professional baseball pitchers. MATERIALS AND METHODS: A retrospective review of professional baseball players presenting to our institution over 5 years was performed. Patients with Bankart lesions or fractures were excluded...
January 2014: Skeletal Radiology
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