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https://www.readbyqxmd.com/read/29907518/ulnar-collateral-ligament-reconstruction-in-athletes-using-a-cortical-button-suspension-technique
#1
Chad Myeroff, J Logan Brock, G Russell Huffman
BACKGROUND: A variety of techniques currently exist for ulnar collateral ligament (UCL) reconstruction in symptomatic overhead athletes, all with the potential complication of fracture about the humeral or ulnar tunnels. Far cortical button fixation is a reproducible, biomechanically attractive option; however, no clinical series has been published on this technique to date. This study reports the clinical outcomes, with minimum 2-year follow-up, of a dual far cortical button suspension technique for UCL reconstruction in athletes...
June 13, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29886062/progressive-conscious-control-of-scapular-orientation-with-video-feedback-has-improvement-in-muscle-balance-ratio-in-patients-with-scapular-dyskinesis-a-randomized-controlled-trial
#2
Tsun-Shun Huang, Wan-Yu Du, Tyng-Guey Wang, Yung-Shen Tsai, Jing-Lan Yang, Cheng-Ya Huang, Jiu-Jenq Lin
BACKGROUND: Video feedback (VF) can guide patients to consciously control scapular orientation without inappropriate substitution. This study investigated whether progressive conscious control with VF improves scapular muscle activation and movements during arm elevation in patients with subacromial impingement and scapular dyskinesis. METHODS: The study recruited 38 amateur overhead athletes with subacromial impingement and scapular medial border prominence who were randomly assigned to the VF or control group...
June 6, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29877677/a-systematic-review-on-posterior-circumflex-humeral-artery-pathology-sports-and-professions-at-risk-and-associated-risk-factors
#3
Rik B Kraan, Lisa Beers, Daan van de Pol, Joost G Daams, Mario Maas, P Paul Kuijer
INTRODUCTION: Posterior circumflex humeral artery (PCHA) aneurysm formation and thrombosis as overuse injury in the dominant shoulder can result in ischemia of the forearm, hand and digits due to arterial embolisms. Increased awareness among physicians is necessary as PCHA pathology (PCHAP) might be underdiagnosed. Knowledge of sports and professions at risk and risk-factors for obtaining PCHAP is essential for the development of future preventive measures. This study aims to identify sports and professions at risk as well as risk factors for PCHAP...
June 7, 2018: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/29845083/glenohumeral-internal-rotation-deficit-and-injuries-a-systematic-review-and-meta-analysis
#4
REVIEW
Jordan E Johnson, Joshua A Fullmer, Chaseton M Nielsen, Joshua K Johnson, Claude T Moorman
Background: There is an association between throwing activity and glenohumeral internal rotation deficit (GIRD). An 18° to 20° deficit has been adopted as the standard definition of pathological GIRD, but specific findings as to how GIRD relates to an injury are inconsistent. Purpose: To systematically review the literature to clarify the definition of GIRD diagnosis for adolescent and adult overhead athletes and to examine the association between GIRD and an increased risk of injuries in these athletes...
May 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29794964/internal-shoulder-impingement-in-overhead-athletes-an-ultrasound-imaging-proposal
#5
Alfonso Tramontana, Giovanni Monteleone, Alessandra Tiloca, Juan Carlos Miangolarra Page
No abstract text is available yet for this article.
March 17, 2018: Ultrasonography
https://www.readbyqxmd.com/read/29758570/acute-hip-abduction-fatigue-on-lumbopelvic-hip-complex-stability-in-softball-players
#6
Jessica Washington, Gabrielle Gilmer, Gretchen Oliver
During an overhead throw, the gluteal muscle group stabilizes the lumbopelvic-hip complex (LPHC), leading to efficient energy transfer from the lower to upper extremity. It has been shown that LPHC instability can lead to throwing pathomechanics. The single leg squat has become a common assessment for LPHC stability, and could be used to determine the effects of fatigue on throwing athletes. The purpose of this study was to determine the effects of an acute abduction fatigue protocol on the LPHC of collegiate softball players via the single leg squat assessment of the leg ipsilateral to the throwing arm...
May 14, 2018: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/29648933/influence-of-body-position-on-shoulder-and-trunk-muscle-activation-during-resisted-isometric-shoulder-external-rotation
#7
David A Krause, Lucas G Dueffert, Jaclyn L Postma, Eric T Vogler, Amy J Walsh, John H Hollman
BACKGROUND: External rotation (ER) strengthening of the shoulder is an integral component of rehabilitative and preventative programs for overhead athletes. A variety of shoulder ER strengthening exercises are reported, including those intended to integrate the core musculature. The purpose of this study was to examine ER torque and electromyographic (EMG) activation of shoulder and trunk muscles while performing resisted isometric shoulder ER in 3 positions (standing, side lying, and side plank)...
April 1, 2018: Sports Health
https://www.readbyqxmd.com/read/29624450/national-athletic-trainers-association-position-statement-evaluation-management-and-outcomes-of-and-return-to-play-criteria-for-overhead-athletes-with-superior-labral-anterior-posterior-injuries
#8
Lori A Michener, Jeffrey S Abrams, Kellie C Huxel Bliven, Sue Falsone, Kevin G Laudner, Edward G McFarland, James E Tibone, Charles A Thigpen, Timothy L Uhl
OBJECTIVE:   To present recommendations for the diagnosis, management, outcomes, and return to play of athletes with superior labral anterior-posterior (SLAP) injuries. BACKGROUND:   In overhead athletes, SLAP tears are common as either acute or chronic injuries. The clinical guidelines presented here were developed based on a systematic review of the current evidence and the consensus of the writing panel. Clinicians can use these guidelines to inform decision making regarding the diagnosis, acute and long-term conservative and surgical treatment, and expected outcomes of and return-to-play guidelines for athletes with SLAP injuries...
March 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29623353/an-arthroscopic-bone-block-procedure-is-effective-in-restoring-stability-allowing-return-to-sports-in-cases-of-glenohumeral-instability-with-glenoid-bone-deficiency
#9
Ettore Taverna, Guido Garavaglia, Carlo Perfetti, Henri Ufenast, Luca Maria Sconfienza, Vincenzo Guarrella
PURPOSE: A group of patients affected by bone loss in the context of recurrent anterior shoulder instability were treated arthroscopically with a modified Eden-Hybinette technique since 2005. The last modification was made in 2013, consisting of fixation using a pair of specifically designed double round Endobuttons, which secure the bone graft to the glenoid rim placed through a guide. This report describes patients operated on after this last modification. No reports have described the results of this technique, and the purpose of this study was to assess early clinical and radiological results of an arthroscopic bone block procedure with double round Endobutton fixation...
April 6, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29601208/performance-and-return-to-sport-after-tommy-john-surgery-among-major-league-baseball-position-players
#10
Robert A Jack, Matthew B Burn, Kyle R Sochacki, Patrick C McCulloch, David M Lintner, Joshua D Harris
BACKGROUND: The anterior bundle of the medial ulnar collateral ligament (UCL) is the primary restraint to valgus stress at the elbow and is often injured among overhead throwing athletes. Despite prevention strategies, injuries to the elbow UCL are on the rise. PURPOSE: To determine (1) the return-to-sport (RTS) rate of Major League Baseball (MLB) position players after elbow medial UCL reconstruction, (2) postoperative career length and games per season, (3) pre- and postoperative performance, (4) postoperative performance versus matched control players, and (5) whether position players changed positions after UCL reconstruction...
June 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29594176/scapular-dyskinesis-in-young-asymptomatic-elite-swimmers
#11
Jacopo Preziosi Standoli, Francesco Fratalocchi, Vittorio Candela, Tiziano Preziosi Standoli, Giuseppe Giannicola, Marco Bonifazi, Stefano Gumina
Background: Overhead athletes are at a greater risk of developing scapular dyskinesis (SD). Although swimming is considered an overhead sport, information regarding SD in these athletes is scarce. Purpose: To determine the prevalence of SD in young, asymptomatic elite swimmers. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A total of 661 asymptomatic elite swimmers were enrolled in this study (344 male, 317 female; mean age, 15...
January 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29593438/glenohumeral-internal-rotation-deficit-in-throwing-athletes-current-perspectives
#12
REVIEW
Michael B Rose, Thomas Noonan
Glenohumeral internal rotation deficit (GIRD) is an adaptive process in which the throwing shoulder experiences a loss of internal rotation (IR). GIRD has most commonly been defined by a loss of >20° of IR compared to the contralateral shoulder. Total rotational motion of the shoulder is the sum of internal and external rotation and may be more important than the absolute value of IR loss. Pathologic GIRD has been defined as a loss of IR combined with a loss of total rotational motion. The leading pathologic process in GIRD is posterior capsular and rotator-cuff tightness, due to the repetitive cocking that occurs with the overhead throwing motion...
2018: Open Access Journal of Sports Medicine
https://www.readbyqxmd.com/read/29564843/upper-extremity-functional-performance-tests-reference-values-for-overhead-athletes
#13
Dorien Borms, Ann Cools
This study aimed to provide an age, gender and sport-based normative database for three functional shoulder tests: Y Balance Test - Upper Quarter (YBT-UQ), Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST), and Seated Medicine Ball Throw (SMBT). A second aim was to discuss gender, age and sports differences. Finally, correlation between tests was evaluated. Overhead athletes (106 male, 100 female) between 18 and 50 years old and from three different sports (volleyball, tennis, handball) performed all functional tests...
March 21, 2018: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/29552469/ulnar-collateral-ligament-repair-with-suture-augmentation
#14
David P Trofa, Joseph M Lombardi, Manish S Noticewala, Christopher S Ahmad
Reconstruction of the ulnar collateral ligament (UCL) remains the gold standard for treating overhead throwing athletes with valgus instability secondary to UCL pathology. Although surgical techniques for reconstruction have evolved over time, current methods allow 90% of patients to return to their preinjury level of activity. Despite encouraging results with reconstruction, UCL repair remains a valuable treatment option for patients with UCL pathology fitting specific criteria. There are a number of advantages associated with a direct repair, and further, the development of collagen-coated sutures for ligament repair augmentation makes this procedure an attractive surgical option under the correct circumstances...
January 2018: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29530478/cross-cultural-adaptation-of-kerlan-jobe-orthopaedic-clinic-shoulder-and-elbow-score-reliability-and-validity-in-turkish-speaking-overhead-athletes
#15
Elif Turgut, Volga Bayrakci Tunay
OBJECTIVE: Kerlan-Jobe Orthopaedic Clinic Shoulder and Elbow Score (KJOC-SES) is a subjective assessment tool to measure functional status of the upper extremities in overhead athletes. The aim was to translate and culturally adapt the KJOC-SES and to evaluate the psychometric properties of the Turkish version (KJOC-SES-Tr) in overhead athletes. METHODS: The forward and back-translation method was followed. One hundred and twenty-three overhead athletes completed the KJOC-SES-Tr, the Disabilities of the Arm, Shoulder, and Hand (DASH), and the American Shoulder and Elbow Surgeons Evaluation Form (ASES)...
March 9, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29513547/medial-elbow-joint-space-increases-with-valgus-stress-and-decreases-when-cued-to-perform-a-maximal-grip-contraction
#16
Brett S Pexa, Eric D Ryan, Joseph B Myers
BACKGROUND: Previous research indicates that the amount of valgus torque placed on the elbow joint during overhead throwing is higher than the medial ulnar collateral ligament (UCL) can tolerate. Wrist and finger flexor muscle activity is hypothesized to make up for this difference, and in vitro studies that simulated activity of upper extremity musculature, specifically the flexor digitorum superficialis and flexor carpi ulnaris, support this hypothesis. PURPOSE: To assess the medial elbow joint space at rest, under valgus stress, and under valgus stress with finger and forearm flexor contraction by use of ultrasonography in vivo...
April 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29484249/the-utilization-of-mulligan-concept-thoracic-sustained-natural-apophyseal-glides-on-patients-classified-with-secondary-impingement-syndrome-a-multi-site-case-series
#17
Dawn P Andrews, Kari B Odland-Wolf, James May, Russell Baker, Alan Nasypany
Background and Purpose: Secondary impingement syndrome (SIS) is a common complaint in the sporting population particularly among athletes engaging in overhead activities. While symptoms may be present at the shoulder with patients complaining of SIS, spinal alignment or dysfunction can influence scapular positioning and overall shoulder girdle function. As an adjunct therapy to traditional interventions for SIS, thoracic high-velocity low-amplitude (HVLA) thrusts have been utilized and correlated with patient reported decreases in pain...
February 2018: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29484240/a-comparative-study-of-passive-shoulder-rotation-range-of-motion-isometric-rotation-strength-and-serve-speed-between-elite-tennis-players-with-and-without-history-of-shoulder-pain
#18
V Moreno-Pérez, Jll Elvira, J Fernandez-Fernandez, F J Vera-Garcia
Background: Glenohumeral internal rotation deficit and external rotation strength have been associated with the development of shoulder pain in overhead athletes. Objective: To examine the bilateral passive shoulder rotational range of motion (ROM), the isometric rotational strength and unilateral serve speed in elite tennis players with and without shoulder pain history (PH and NPH, respectively) and compare between dominant and non-dominant limbs and between groups...
February 2018: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29480922/nontraumatic-first-rib-fracture-and-empyema-presenting-as-shoulder-pain
#19
Eric M Neverman, Kevin Clary
Fracture of the first rib is rare because of the anatomic protection provided by surrounding structures. Osseous fatigue caused by repetitive motion and antagonistic muscular contraction is postulated to contribute to nontraumatic first rib fracture, which is most often described in adolescent athletes in sports that involve repetitive overhead motion of the arm. In this report, we describe a 49-year-old man with an occupation involving repetitive overhead motion at the shoulder who was found to have a nontraumatic first rib fracture...
March 1, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/29461419/morphological-and-physical-fitness-profile-of-young-female-sprint-kayakers
#20
Daniel López-Plaza, Fernando Alacid, Jacobo Ángel Rubio, Pedro Ángel López-Miñarro, José María Muyor, Pedro Manonelles
Traditionally, physical and anthropometrical profiles of the most successful kayak athletes have been identified in male kayakers. This study attempted to identify the differences in morphology and fitness level of two performance-based groups of young elite female paddlers. Eighty-six female kayakers, aged 13.62 ± 0.57 years (mean ± SD) were allocated in two groups (Top-10 and Rest) depending on their ranking in the three Olympic distances (200, 500 and 1000 meters). All subjects underwent a battery of anthropometrical (heights, weight, girths and sum of skinfolds), physical fitness (overhead medicine ball throw, countermovement jump, sit-and-reach test and 20-m multistage shuttle run test) and specific performance assessments (200, 500 and 1000 meters)...
February 14, 2018: Journal of Strength and Conditioning Research
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