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https://www.readbyqxmd.com/read/29443703/the-thrower-s-shoulder
#1
Jonathan D Gelber, Lonnie Soloff, Mark S Schickendantz
Overhead athletes subject their shoulders to extreme repetitive torque, compression, distraction, and translation stresses, resulting in adaptive changes of the soft tissues and osseous structures within and around the glenohumeral joint. These anatomic adaptations result in biomechanical enhancements, which improve performance. Understanding the difference between necessary and adaptive changes and pathologic findings is critical when making treatment decisions. Injuries to the shoulder of the overhead athlete can be generally classified into three groups: internal impingement, internal impingement with acquired secondary anterior instability, and primary anterior or multidirectional instability...
February 13, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29438628/rotator-cuff-repair-in-adolescent-athletes
#2
Michael G Azzam, Jeffrey R Dugas, James R Andrews, Samuel R Goldstein, Benton A Emblom, E Lyle Cain
BACKGROUND: Rotator cuff tears are rare injuries in adolescents but cause significant morbidity if unrecognized. Previous literature on rotator cuff repairs in adolescents is limited to small case series, with few data to guide treatment. HYPOTHESIS: Adolescent patients would have excellent functional outcome scores and return to the same level of sports participation after rotator cuff repair but would have some difficulty with returning to overhead sports. STUDY DESIGN: Case series; Level of evidence 4...
February 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29408833/many-shoulder-mri-findings-in-elite-professional-throwing-athletes-resolve-after-retirement-a-clinical-and-radiographic-study
#3
Michael O Schär, Simone Dellenbach, Christian W Pfirrmann, Sumit Raniga, Bernhard Jost, Matthias A Zumstein
BACKGROUND: Anatomic findings on MRI scans of the shoulder likely affect patients differently based on their physical demands and fitness levels. The natural history of these anatomic findings once professional overhead athletes retire remains unclear. A better understanding of what happens with these findings after retirement may influence how we manage shoulder problems in athletes. PURPOSE: (1) What is the natural history of MRI-observed findings in the throwing and nonthrowing shoulders of professional European handball players after retirement from the sport? What proportion of these individuals have diagnosable findings on MRI, and do these findings disappear after retirement? (2) Do clinical findings such as Constant and Murley score and shoulder ROM change after retirement in these professional overhead athletes? METHODS: The inception cohort of this series consisted of the entire Swiss National European handball team except the goalkeepers...
March 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29408642/comparative-outcomes-of-extracorporeal-shockwave-therapy-for-shoulder-tendinitis-or-partial-tears-of-the-rotator-cuff-in-athletes-and-non-athletes-retrospective-study
#4
Wen-Yi Chou, Ching-Jen Wang, Kuan-Ting Wu, Ya-Ju Yang, Jai-Hong Cheng, Shih-Wei Wang
BACKGROUND: Refractory shoulder tendinitis or partial thickness rotator cuff tears (PTRCTs) are common findings in overhead athletes. Previous studies have examined the effectiveness of extracorporeal shockwave therapy (ESWT) for shoulder tendinitis. MATERIALS AND METHODS: In the current study, we recruited 36 shoulders and performed a comparison between the professional athletes (13 shoulders, athletic group; AG) and the non-athletic population (23 shoulders, non-athletic group, NAG) with PTRCTs or shoulder tendinitis of the shoulder after ESWT...
February 2, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29399735/rotator-cuff-repair-post-operative-rehabilitation-concepts
#5
REVIEW
Terrance A Sgroi, Michelle Cilenti
PURPOSE OF REVIEW: With improvements in surgical techniques and increased knowledge of rotator cuff healing, there was a need to identify a safe progression after rotator cuff repair. The rehabilitation specialist plays an integral role in the care of these patients, and by implementing an evidence and criteria-based model, patients may be able to return to their prior levels of function sooner with fewer complications. RECENT FINDINGS: Timing of progression for rotator cuff patients should align not only with healing but also potential strain on the involved tissue...
February 5, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29381423/glenohumeral-internal-rotation-deficit-and-risk-of-upper-extremity-injury-in-overhead-athletes-a-meta-analysis-and-systematic-review
#6
Robert A Keller, Anthony F De Giacomo, Julie A Neumann, Orr Limpisvasti, James E Tibone
CONTEXT: Current perception dictates that glenohumeral internal rotation deficit (GIRD) is a chronic adaptation that leads to an increased risk of pathologic conditions in the dominant shoulder or elbow of overhead athletes. OBJECTIVE: To determine whether adaptations in glenohumeral range of motion in overhead athletes lead to injuries of the upper extremity, specifically in the shoulder or elbow. DATA SOURCES: An electronic database search was performed using Medline, Embase, and SportDiscus from 1950 to 2016...
January 1, 2018: Sports Health
https://www.readbyqxmd.com/read/29373297/humeral-retroversion-and-capsule-thickening-in-the-overhead-throwing-athlete-a-systematic-review
#7
REVIEW
Jeffrey Kay, Jacob M Kirsh, Neil Bakshi, Seper Ekhtiari, Nolan Horner, Mark Gichuru, Bashar Alolabi, Moin Khan, Asheesh Bedi
PURPOSE: To investigate the humeral and soft-tissue adaptations, including humeral retroversion, range of motion, and posterior capsule changes, in overhead throwing athletes. METHODS: We performed a systematic review in accordance with Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. PubMed, MEDLINE, CENTRAL (Cochrane Central Register of Controlled Trials), and Embase were searched from January 1, 2011, through April 23, 2017, by 2 reviewers independently and in duplicate...
January 17, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29364045/isolated-infraspinatus-atrophy-secondary-to-suprascapular-nerve-neuropathy-results-in-altered-shoulder-muscles-activity
#8
Samuele Contemori, Andrea Biscarini
CONTEXT: Isolated infraspinatus atrophy (IIA) is a common condition among overhead-activity athletes, which affects the hitting shoulder and is caused by suprascapular nerve injury. The loss of infraspinatus function could lead to altered activity of the glenohumeral and scapulothoracic muscles and compromise the optimal shoulder function. OBJECTIVE: To assess the surface electromyographic (sEMG) activity patterns, relationships, and response latencies of relevant shoulder girdle muscles in professional volleyball players with IIA and in healthy control players...
January 24, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29364040/comparison-of-upper-trapezius-and-infraspinatus-myofascial-trigger-point-therapy-by-dry-needling-in-overhead-athletes-with-unilateral-shoulder-impingement-syndrome
#9
Fahimeh Kamali, Ehsan Sinaei, Maryam Morovati
CONTEXT: Chronic musculoskeletal disorders in shoulder joint are often associated with myofascial trigger points (MTrP), particularly in the upper trapezius (UT) muscle. Dry needling (DN) is a treatment of choice for myofascial pain syndrome. However, local lesions and severe post-needle soreness sometimes hamper the direct application of DN in the UT. Therefore, finding an alternative point of treatment seems useful in this regard. OBJECTIVE: To compare the efficacy of UT versus infraspinatus (ISP) DN on pain and disability of subjects with shoulder pain...
January 24, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29364027/effects-of-kinesiology-taping-on-scapular-reposition-accuracy-kinematics-and-muscle-activity-in-athletes-with-shoulder-impingement-syndrome-a-randomized-controlled-study
#10
Yi-Fen Shih, Ya-Fang Lee, Wen-Yin Chen
CONTEXT: Scapular proprioception is a key concern in managing shoulder impingement syndrome (SIS). However, no study has examined the effect of elastic taping on scapular proprioception performance. OBJECTIVE: To investigate the immediate effect of kinesiology taping on scapular reposition accuracy, kinematics and muscle activation in individuals with shoulder impingement syndrome. DESIGN: Randomized controlled study. SETTING: Musculoskeletal laboratory, National Yang-Ming University, Taiwan...
January 24, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29364025/the-utilization-of-interval-throwing-programs-in-the-physical-therapy-setting-a-cross-sectional-survey
#11
Corbin A Hedt, S Brett Holland, Bradley S Lambert, Joshua D Harris, Patrick C McCulloch
CONTEXT: Interval throwing programs (ITP) have long been used in the physical therapy setting to aid in the safe and efficacious return to sport for an overhead athlete. However, the overall utilization and variation of interval throwing programs are unknown in the physical therapy setting leading to potential inconsistencies in treatment paradigms. OBJECTIVE: To determine if differences in practice patterns exist among active physical therapists of various experience levels with regards to years of experience and advanced certifications...
January 24, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29362994/common-injuries-in-professional-football-quarterbacks
#12
REVIEW
Jacob M Kirsch, M Tyrrell Burrus, Asheesh Bedi
PURPOSE OF REVIEW: Professional football quarterbacks are at particular risk for upper extremity injuries due to the physical demands of their position coupled with the inherent risks associated with professional football. This review sought to evaluate current clinical literature to better characterize the injury profile unique to this athletic population. RECENT FINDINGS: Shoulder injuries are the most prevented upper extremity injury among professional football quarterbacks...
January 23, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29356641/shoulder-injuries-in-the-overhead-throwing-athlete-epidemiology-mechanisms-of-injury-and-imaging-findings
#13
Dana J Lin, Tony T Wong, Jonathan K Kazam
The unparalleled velocity achieved by overhead throwers subjects the shoulder to extreme forces, resulting in both adaptive changes and pathologic findings that can be detected at imaging. A key biomechanical principle of throwing is achieving maximum external rotation, which initially leads to adaptive changes that may result in a pathologic cascade of injuries. In addition to the well-established concepts of glenohumeral internal rotation deficit and internal impingement, osseous and soft-tissue injuries of the shoulder unique to overhead athletes are illustrated...
February 2018: Radiology
https://www.readbyqxmd.com/read/29349094/upper-extremity-functional-status-of-female-youth-softball-pitchers-using-the-kerlan-jobe-orthopaedic-clinic-questionnaire
#14
Kaila A Holtz, Russell J O'Connor
Background: Softball is a popular sport with a high incidence of upper extremity injuries. The Kerlan-Jobe Orthopaedic Clinic (KJOC) questionnaire is a validated performance and functional assessment tool used in overhead athletes. Upper extremity pain patterns and baseline KJOC scores have not been reported for active female youth softball pitchers. Purpose/Hypothesis: The purpose of this study was to establish the prevalence of upper extremity pain and its effect in female youth softball pitchers over a competitive season...
January 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29344768/diagnosis-and-treatment-of-injuries-to-the-biceps-and-superior-labral-complex-in-overhead-athletes
#15
REVIEW
Jacob G Calcei, Venkat Boddapati, David W Altchek, Christopher L Camp, Joshua S Dines
PURPOSE OF REVIEW: This review discusses the diagnostic and treatment challenges presented by injuries to the biceps and superior labral complex. RECENT FINDINGS: A focused patient history, numerous physical examination maneuvers, and appropriate advanced imaging studies must be utilized to reach an accurate diagnosis. Nonoperative management, even in overhead athletes, has demonstrated relatively good outcomes, while operative outcomes have yielded mixed results...
January 17, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29335854/nonreconstruction-options-for-treating-medial-ulnar-collateral-ligament-injuries-of-the-elbow-in-overhead-athletes
#16
REVIEW
Nicholas J Clark, Vishal S Desai, Joshua D Dines, Mark E Morrey, Christopher L Camp
PURPOSE OF REVIEW: This review aims to describe the nonreconstructive options for treating ulnar collateral ligament (UCL) injuries ranging from nonoperative measures, including physical therapy and biologic injections, to ligament repair with and without augmentation. RECENT FINDINGS: Nonoperative options for UCL injuries include guided physical therapy and biologic augmentation with platelet-rich plasma (PRP). In some patients, repair of the UCL has shown promising return to sport rates by using modern suture and suture anchor techniques...
January 15, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29334846/scapular-motion-adaptations-in-junior-overhead-athletes-a-three-dimensional-kinematic-analysis-in-tennis-players-and-non-overhead-athletes
#17
Elif Turgut, Filiz Fatma Colakoglu, Gul Baltaci
Adult overhead athletes without a history of shoulder injury show scapular adaptations. There is a lack of detailed assessment of scapular kinematics in junior overhead athletes. This study aims to investigate three-dimensional scapular kinematics in junior overhead athletes. We recruited a total of 20 junior tennis players and 20 healthy children without participation in any overhead sports in this study. Bilateral scapular kinematic data were recorded using an electromagnetic tracking device for scapular plane glenohumeral elevation...
January 16, 2018: Sports Biomechanics
https://www.readbyqxmd.com/read/29330670/treatment-of-partial-thickness-rotator-cuff-tears-in-overhead-athletes
#18
REVIEW
Joseph N Liu, Grant H Garcia, Anirudh K Gowd, Brandon C Cabarcas, Michael D Charles, Anthony A Romeo, Nikhil N Verma
PURPOSE OF REVIEW: To review the etiology, classification, presentation, evaluation, treatment strategy, and outcomes in overhead athletes with partial thickness rotator cuff tears. RECENT FINDINGS: Despite advances in surgical repair techniques, return to play following surgical repair of partial rotator cuff tears remains modest at best. Overhead athletes may be particularly prone to rotator cuff pathology due to the supraphysiological strains within the tendon during the throwing motion, as well as mechanical stress with contact between the undersurface of the rotator cuff and the glenoid...
January 13, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29322208/the-association-of-the-medial-joint-vacuum-phenomenon-with-ulnar-collateral-ligament-injury-in-symptomatic-elbows-of-younger-athletes
#19
Ryan Tai, Tyson Bolinske, Varand Ghazikhanian, Jacob C Mandell
OBJECTIVE: To determine the prevalence of intra-articular gas (IAG) on elbow radiography and evaluate variables, including IAG, as predictors of UCL injury. MATERIALS AND METHODS: This IRB-approved retrospective study consisted of 241 consecutive elbow radiographic studies containing AP radiographs with valgus stress of both symptomatic and asymptomatic sides in 234 patients. The IAG, medial joint space (MJS), and MJS difference between the symptomatic and asymptomatic elbow (MJSD) were evaluated by two readers, as well as patient age, gender, sport played, and handedness...
January 10, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29320946/cognitive-demands-influence-lower-extremity-mechanics-during-a-drop-vertical-jump-task-in-female-athletes
#20
Thomas Gus Almonroeder, Thomas Kernozek, Stephen Cobb, Brooke Slavens, Jinsung Wang, Wendy Huddleston
Study Design Cross-sectional study. Background The drop vertical jump task is commonly used in anterior cruciate ligament injury risk screening; however, the predictive validity is limited. Part of the limited predictive validity may be because the drop vertical jump task does not impose cognitive demands that reflect sports participation. Objectives To investigate the influence of additional cognitive demands on lower extremity mechanics during execution of the drop vertical jump task. Methods Twenty uninjured females (ages 18-25 years old) were required to perform the standard drop vertical jump task, as well as drop vertical jumps which included additional cognitive demands...
January 10, 2018: Journal of Orthopaedic and Sports Physical Therapy
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