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https://www.readbyqxmd.com/read/28095019/elbow-injuries-in-adult-overhead-athletes
#1
Tony T Wong, Dana J Lin, Rama S Ayyala, Jonathan K Kazam
OBJECTIVE: The purpose of this article is to review common elbow injuries found in overhead athletes with focus on mechanism, clinical features, imaging appearance, and treatment options. CONCLUSION: The overhead throwing motion subjects the elbow to a variety of complex forces, which places both osseous and soft-tissue structures at high risk for injury.
January 17, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28032029/evaluation-and-treatment-of-internal-impingement-of-the-shoulder-in-overhead-athletes
#2
REVIEW
Keith T Corpus, Christopher L Camp, David M Dines, David W Altchek, Joshua S Dines
One of the most common pathologic processes seen in overhead throwing athletes is posterior shoulder pain resulting from internal impingement. "Internal impingement" is a term used to describe a constellation of symptoms which result from the greater tuberosity of the humerus and the articular surface of the rotator cuff abutting the posterosuperior glenoid when the shoulder is in an abducted and externally rotated position. The pathophysiology in symptomatic internal impingement is multifactorial, involving physiologic shoulder remodeling, posterior capsular contracture, and scapular dyskinesis...
December 18, 2016: World Journal of Orthopedics
https://www.readbyqxmd.com/read/28028567/the-use-of-achilles-tendon-allograft-for-latissimus-dorsi-tendon-reconstruction-a-minimally-invasive-technique
#3
Soheil Sabzevari, Tom Chao, Jay Kalawadia, Albert Lin
Treatment of subacute, retracted latissimus dorsi and teres major tendon ruptures in young overhead athletes is challenging. This case report describes management of a subacute retracted latissimus dorsi and teres major rupture with Achilles tendon allograft reconstruction using a two-incision minimally invasive technique. Level of evidence V.
December 27, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27999727/an-intervention-based-clinical-reasoning-framework-to-guide-the-management-of-thoracic-pain-in-a-dancer-a-case-report
#4
Michael Masaracchio, Kaitlin Kirker, Cristiana Kahl Collins, William Hanney, Xinliang Liu
BACKGROUND AND PURPOSE: As a result of the anatomical proximity of the thoracic spine to the cervical, lumbar, and shoulder regions, dysfunction in the thoracic spine can influence pain, mobility, and stability across these areas. Currently, a paucity of evidence exists addressing treatment of individuals with primary thoracic pain, especially in young, athletic patients. Furthermore, current research discussing clinical reasoning frameworks focus on the differential diagnostic process...
December 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27940806/treatment-for-ulnar-neuritis-around-the-elbow-in-adolescent-baseball-players-factors-associated-with-poor-outcome
#5
Masahiro Maruyama, Hiroshi Satake, Masatoshi Takahara, Mikio Harada, Tomohiro Uno, Nariyuki Mura, Michiaki Takagi
BACKGROUND: Ulnar neuritis around the elbow is one of the injuries seen in throwing athletes. Outcomes of nonsurgical treatment and factors associated with failure outcomes have not been reported. PURPOSE: To investigate the outcomes of treatments for ulnar neuritis in adolescent baseball players. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: We assessed 40 male baseball players with a mean age of 15.0 years (range, 13-17 years) who presented with ulnar neuritis...
December 9, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27925640/diagnosis-and-management-of-distal-clavicle-osteolysis
#6
Steven F DeFroda, Christopher Nacca, Gregory R Waryasz, Brett D Owens
Distal clavicle osteolysis is an uncommon condition that most commonly affects weight lifters and other athletes who perform repetitive overhead activity. Although this condition most commonly presents in young active men, it is becoming increasing more common in women with the rise in popularity of body building and extreme athletics. Distal clavicle osteolysis can be debilitating, especially in those with rigorous training regimens, preventing exercise because of pain with activities such as bench presses and chest flies...
December 7, 2016: Orthopedics
https://www.readbyqxmd.com/read/27904800/cervical-contribution-to-functional-shoulder-impingement-two-case-reports
#7
Steven Pheasant
BACKGROUND: Subacromial impingement is a common condition among overhead athletes. The cause of subacromial impingement can be multifactorial and often involves impaired rotator cuff function. CASE DESCRIPTION: The following cases outline the presentation, examination and intervention of two overhead athletes, a high school football quarterback and a collegiate swimmer, each presenting with signs and symptoms of subacromial impingement. The unique feature in each case was the manifestation of the cervical spine as the apparent source of rotator cuff weakness, which contributed to functional subacromial impingement although other overt signs of cervical or associated nerve root involvement were absent...
December 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27904716/is-anterior-bridge-plating-for-mid-shaft-humeral-fractures-a-suitable-option-for-patients-predominantly-involved-in-overhead-activities-a-functional-outcome-study-in-athletes-and-manual-laborers
#8
Abhishek S Mahajan, Young Gun Kim, Jae Hwa Kim, Prashanth D'sa, Azhar Lakhani, Hyun Soo Ok
BACKGROUND: To assess the functional and radiological outcomes of minimally invasive anterior bridge plating (ABP) for mid-shaft humerus fractures in patients predominantly involved in overhead activities (athletes and manual laborers). METHODS: Forty-eight patients fulfilling inclusion criteria were treated with ABP at a level-I trauma center using a 4.5-mm dynamic/locking compression plate and followed for a period of 1 year. Functional outcome was assessed using the Constant, Mayo elbow, and Disabilities of the Arm, Shoulder and Hand (DASH) scores...
December 2016: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/27900708/can-posterior-capsular-stretching-rehabilitation-protocol-change-scapula-kinematics-in-asymptomatic-baseball-pitchers
#9
A Pellegrini, P Tonino, D Salazar, K Hendrix, I Parel, A Cutti, P Paladini, F Ceccarelli, G Porcellini
PURPOSE: Scapular dyskinesis is a recognized cause of shoulder pain in the throwing shoulder of baseball pitchers and athletes who participate in overhead sports. Past studies have assessed scapular kinematics using electromagnetic tracking devices and have shown a correlation between posterior shoulder tightness and forward scapular posture. The purpose of our study is to evaluate the scapular kinematics, before and after a 4-week posterior stretching protocol in asymptomatic pitchers...
December 2016: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/27896290/do-clinical-results-and-return-to-sport-rates-after-ulnar-collateral-ligament-reconstruction-differ-based-on-graft-choice-and-surgical-technique
#10
Brandon J Erickson, Gregory L Cvetanovich, Rachel M Frank, Bernard R Bach, Mark S Cohen, Charles A Bush-Joseph, Brian J Cole, Anthony A Romeo
BACKGROUND: Ulnar collateral ligament reconstruction (UCLR) has become a common procedure performed in overhead-throwing athletes of many athletic levels. PURPOSE/HYPOTHESIS: The purpose of this study was to determine whether clinical outcomes and return-to-sport (RTS) rates differ among patients undergoing UCLR based on graft choice, surgical technique, athletic competition level, handedness, and treatment of the ulnar nerve. We hypothesized that no differences would exist in clinical outcomes or RTS rates between technique, graft choice, or other variables...
November 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27886839/medial-elbow-injuries-in-the-throwing-athlete
#11
REVIEW
Jimmy H Daruwalla, Charles A Daly, John G Seiler
Medial elbow injuries in the throwing athlete are common and increasing in frequency. They occur due to repetitive supraphysiologic forces acting on the elbow during the overhead throw. Overuse and inadequate rest are salient risk factors for injury. Most athletes improve substantially with rest and nonoperative treatment, although some athletes may require surgical intervention to return to play. Because of advances in conservative and surgical treatments, outcomes after medial elbow injury have improved over time...
February 2017: Hand Clinics
https://www.readbyqxmd.com/read/27886835/shoulder-injuries-in-the-overhead-throwing-athlete
#12
REVIEW
Ryan A Mlynarek, Simon Lee, Asheesh Bedi
The overhead pitching motion is a coordinated sequence of movements that subjects the shoulder to extreme forces. The ultimate goal of this complex, dynamic activity is to generate high ball velocity and accuracy. In doing so, repetitive throwing can cause adaptive and pathologic changes in the thrower's shoulder. This article reviews the relevant shoulder anatomy, the kinetic chain, and throwing mechanics, as well as common shoulder injuries and surgical options for the treating orthopedic surgeon.
February 2017: Hand Clinics
https://www.readbyqxmd.com/read/27843418/effects-of-acute-carbohydrate-ingestion-on-anaerobic-exercise-performance
#13
Ben M Krings, Jaden A Rountree, Matthew J McAllister, Patrick M Cummings, Timothy J Peterson, Brent J Fountain, JohnEric W Smith
BACKGROUND: Carbohydrate (CHO) supplementation during endurance exercises has been shown to increase performance, but there is limited research with CHO supplementation during strength and conditioning exercises. Therefore, the purpose of this study was to examine the effects of various levels of CHO ingestion during acute testing sessions requiring participants to complete a strength and conditioning program designed for collegiate athletes. METHODS: Participants (n = 7) performed a series of exercises while ingesting an amino-acid electrolyte control (CON) or CON plus varying levels of CHO...
2016: Journal of the International Society of Sports Nutrition
https://www.readbyqxmd.com/read/27834581/cross-sectional-area-of-the-supraspinatus-muscle-and-acromio-humeral-distance-in-overhead-athletes-with-and-without-shoulder-pain-a-cross-sectional-study
#14
Josep C Benitez-Martinez, Jose Casaña-Granell, Yasmin Ezzatvar de Llago, Carlos Villaron-Casales, Gemma V Espi-Lopez, Fernando Jimenez-Diaz
CONTEXT: The supraspinatus muscle has an important role in the stabilization of the glenohumeral joint. Identifying abnormalities concerning its size and the subacromial space in the presence of pain may be relevant to provide more specific treatments focused on the etiology of pain. OBJECTIVE: to determinate whether painful shoulder causes changes in the supraspinatus cross-sectional area (CSA) and the acromio-humeral distance (AHD) between overhead athletes. DESIGN: Cross-sectional study...
November 11, 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27834577/the-reliability-and-discriminative-ability-of-the-overhead-squat-test-for-observational-screening-of-medial-knee-displacement
#15
Eric G Post, Matthew Olson, Stephanie Trigsted, Scott Hetzel, David R Bell
CONTEXT: The OHS is a functional screening exam that is used to identify high-risk movement profiles such as medial knee displacement (MKD). The reliability and discriminative ability of observational screening during the OHS to identify MKD have yet to be established. OBJECTIVE: To investigate the reliability and discriminative ability of observational screening for medial knee displacement MKD during the overhead squat (OHS) test. STUDY DESIGN: Clinical measurement, cross sectional...
November 11, 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27834503/upper-quadrant-field-tests-and-isokinetic-upper-limb-strength-in-overhead-athletes
#16
Dorien Borms, Annelies Maenhout, Ann M Cools
CONTEXT: Isokinetic testing is used to determine possible deficits in upper extremity strength in overhead athletes. Given that isokinetic testing is restricted to a laboratory setting, field tests, such as the Seated Medicine Ball Throw (SMBT) and Upper Quarter Y-Balance Test (YBT-UQ), were developed to assess upper body performance. The relationships between these field tests and isokinetic strength have not been examined. OBJECTIVE: To investigate the relationship between isokinetic strength testing for shoulder external and internal rotation and elbow flexion and extension and SMBT distance and YBT-UQ performance in overhead athletes...
October 2016: Journal of Athletic Training
https://www.readbyqxmd.com/read/27827880/wearable-imu-for-shoulder-injury-prevention-in-overhead-sports
#17
Samir A Rawashdeh, Derek A Rafeldt, Timothy L Uhl
Body-worn inertial sensors have enabled motion capture outside of the laboratory setting. In this work, an inertial measurement unit was attached to the upper arm to track and discriminate between shoulder motion gestures in order to help prevent shoulder over-use injuries in athletics through real-time preventative feedback. We present a detection and classification approach that can be used to count the number of times certain motion gestures occur. The application presented involves tracking baseball throws and volleyball serves, which are common overhead movements that can lead to shoulder and elbow overuse injuries...
November 3, 2016: Sensors
https://www.readbyqxmd.com/read/27811520/shoulder-and-elbow-injuries-in-the-adolescent-athlete
#18
Mia Smucny, Joel Kolmodin, Paul Saluan
With the recent increase in youth sports participation and single-sport youth athletes over the past 30 years, there has been an increase in the number of acute and overuse sports injuries in this population. This review focuses on overuse and traumatic injuries of the shoulder and elbow in young athletes. In particular we discuss little league shoulder, glenohumeral internal rotation deficit, glenohumeral instability, superior labrum anterior posterior lesions, Little League elbow, Panner disease, osteochondritis dissecans of the capitellum, posteromedial elbow impingement, and posterolateral rotatory instability of the elbow...
December 2016: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/27803635/discriminating-talent-identified-junior-australian-footballers-using-a-fundamental-gross-athletic-movement-assessment
#19
Carl T Woods, Harry G Banyard, Ian McKeown, Job Fransen, Sam Robertson
Talent identification (TID) is a pertinent component of the sports sciences, affording practitioners the opportunity to target developmental interventions to a select few; optimising financial investments. However, TID is multi-componential, requiring the recognition of immediate and prospective performance. The measurement of athletic movement skill may afford practitioners insight into the latter component given its augmented relationship with functional sport specific qualities. It is currently unknown whether athletic movement skill is a discriminant quality in junior Australian football (AF)...
September 2016: Journal of Sports Science & Medicine
https://www.readbyqxmd.com/read/27795946/treatment-of-the-ulnar-nerve-for-overhead-throwing-athletes-undergoing-ulnar-collateral-ligament-reconstruction
#20
REVIEW
Matthew S Conti, Christopher L Camp, Neal S Elattrache, David W Altchek, Joshua S Dines
Ulnar nerve (UN) injuries are a common complaint amongst overhead athletes. The UN is strained during periods of extreme valgus stress at the elbow, especially in the late-cocking and early acceleration phases of throwing. Although early ulnar collateral ligament (UCL) reconstruction techniques frequently included routine submuscular UN transposition, this is becoming less common with more modern techniques. We review the recent literature on the sites of UN compression, techniques to evaluate the UN nerve, and treatment of UN pathology in the overhead athlete...
October 18, 2016: World Journal of Orthopedics
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