Deficits in Glenohumeral Passive Range of Motion Increase Risk of Shoulder Injury in Professional Baseball Pitchers

American Journal of Sports Medicine

Volumn 43, Issue 10, 2015, Pages 2379-2385

  Wilk, Kevin E ^a,b   Macrina, Leonard C ^c   Fleisig, Glenn S ^b   Aune, Kyle T ^b   Porterfield, Ron A ^d   Harker, Paul ^d   Evans, Timothy J ^b   Andrews, James R ^b  

^a Champion Sports Medicine   (United States)

^b AMERICAN SPORTS MEDICINE INSTITUTE   (United States)

^c Champion Physical Therapy and Performance   (United States)

^d Tampa Bay Rays Baseball Team   (United States)

Author keywords

external rotation; glenohumeral internal rotation deficit; labral repair; rotator cuff repair; total rotational motion

Indexed keywords

ADULT; ATHLETIC INJURIES; BASEBALL; FOLLOW UP; HUMAN; INJURIES; JOINT CHARACTERISTICS AND FUNCTIONS; MALE; ORTHOPEDIC SURGERY; PATHOPHYSIOLOGY; PHYSIOLOGY; PROCEDURES; PROSPECTIVE STUDY; SHOULDER;

ADULT; ATHLETIC INJURIES; BASEBALL; FOLLOW-UP STUDIES; HUMANS; MALE; ORTHOPEDIC PROCEDURES; PROSPECTIVE STUDIES; RANGE OF MOTION, ARTICULAR; SHOULDER JOINT;

EID: 84942889841     PISSN: 03635465     EISSN: 15523365     Source Type: Journal    
DOI: 10.1177/0363546515594380     Document Type: Article

References (28)

1. Burkhart SS, Morgan CD, Kibler WB,. The disabled throwing shoulder: spectrum of pathology, part I: pathoanatomy and biomechanics. Arthroscopy. 2003; 19 (4): 404-420.
2. Burkhart SS, Morgan CD, Kibler WB,. The disabled throwing shoulder: spectrum of pathology, part III: the SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation. Arthroscopy. 2003; 19 (6): 641-661.
3. Burkhart SS, Morgan CD, Kibler WB,. The disabled throwing shoulder: spectrum of pathology, part II: evaluation and treatment of SLAP lesions in throwers. Arthroscopy. 2003; 19 (5): 531-539.
4. Chant CB, Litchfield R, Griffin S, Thain LMF,. Humeral head retroversion in competitive baseball players and its relationship to glenohumeral rotation range of motion. J Orthop Sports Phys Ther. 2007; 37 (9): 514-520.
5. Conte S, Requa RK, Garrick JG,. Disability days in major league baseball. Am J Sports Med. 2001; 29 (4): 431-436.
6. Crockett HC, Gross LB, Wilk KE, et al. Osseous adaptation and range of motion at the glenohumeral joint in professional baseball pitchers. Am J Sports Med. 2002; 30 (1): 20-26.
7. Dines JS, Frank JB, Akerman M, Yocum LA,. Glenohumeral internal rotation deficits in baseball players with ulnar collateral ligament insufficiency. Am J Sports Med. 2009; 37 (3): 566-570.
8. Dun S, Kingsley D, Fleisig GS, Loftice J, Andrews JR,. Biomechanical comparison of the fastball from wind-up and the fastball from stretch in professional baseball pitchers. Am J Sports Med. 2008; 36 (1): 137-141.
9. Ellenbecker TS, Roetert EP, Bailie DS, Davies GJ, Brown SW,. Glenohumeral joint total rotation range of motion in elite tennis players and baseball pitchers. Med Sci Sports Exerc. 2002; 34 (12): 2052-2056.
10. Fleisig GS, Bolt B, Fortenbaugh D, Wilk KE, Andrews JR,. Biomechanical comparison of baseball pitching and long-toss: implications for training and rehabilitation. J Orthop Sports Phys Ther. 2011; 41 (5): 296-303.
11. Garrison JC, Cole MA, Conway JE, Macko MJ, Thigpen C, Shanley E,. Shoulder range of motion deficits in baseball players with an ulnar collateral ligament tear. Am J Sports Med. 2012; 40 (11): 2597-2603.
12. Hibberd EE, Oyama S, Myers JB,. Increase in humeral retrotorsion accounts for age-related increase in glenohumeral internal rotation deficit in youth and adolescent baseball players. Am J Sports Med. 2014; 42 (4): 851-858.
13. Laughlin WA, Fleisig GS, Scillia AJ, Aune KT, Cain EL, Dugas JR,. Deficiencies in pitching biomechanics in baseball players with a history of superior labrum anterior-posterior repair. Am J Sports Med. 2014; 42 (12): 2837-2841.
14. Li X, Zhou H, Williams P, et al. The epidemiology of single season musculoskeletal injuries in professional baseball. Orthop Rev (Pavia). 2013; 5 (1): e3.
15. McFarland EG, Wasik M,. Epidemiology of collegiate baseball injuries. Clin J Sport Med. 1998; 8 (1): 10-13.
16. Morrissey D, Morrissey MC, Driver W, King JB, Woledge RC,. Manual landmark identification and tracking during the medial rotation test of the shoulder: an accuracy study using three-dimensional ultrasound and motion analysis measures. Man Ther. 2008; 13 (6): 529-535.
17. Osbahr DC, Cannon DL, Speer KP,. Retroversion of the humerus in the throwing shoulder of college baseball pitchers. Am J Sports Med. 2002; 30 (3): 347-353.
18. Pieper HG,. Humeral torsion in the throwing arm of handball players. Am J Sports Med. 1998; 26 (2): 247-253.
19. Polster JM, Bullen J, Obuchowski NA, Bryan JA, Soloff L, Schickendantz MS,. Relationship between humeral torsion and injury in professional baseball pitchers. Am J Sports Med. 2013; 41 (9): 2015-2021.
20. Posner M, Cameron KL, Wolf JM, et al. Epidemiology of Major League Baseball injuries. Am J Sports Med. 2011; 39 (8): 1676-1680.
21. Reagan KM, Meister K, Horodyski MB, Werner DW, Carruthers C, Wilk K,. Humeral retroversion and its relationship to glenohumeral rotation in the shoulder of college baseball players. Am J Sports Med. 2002; 30 (3): 354-360.
22. Reinold MM, Wilk KE, Macrina LC, et al. Changes in shoulder and elbow passive range of motion after pitching in professional baseball players. Am J Sports Med. 2008; 36 (3): 523-527.
23. Shanley E, Rauh MJ, Michener LA, Ellenbecker TS, Garrison JC, Thigpen CA,. Shoulder range of motion measures as risk factors for shoulder and elbow injuries in high school softball and baseball players. Am J Sports Med. 2011; 39 (9): 1997-2006.
24. Wilk KE, Macrina LC, Arrigo C,. Passive range of motion characteristics in the overhead baseball pitcher and their implications for rehabilitation. Clin Orthop Relat Res. 2012; 470 (6): 1586-1594.
25. Wilk KE, Macrina LC, Fleisig GS, et al. Correlation of glenohumeral internal rotation deficit and total rotational motion to shoulder injuries in professional baseball pitchers. Am J Sports Med. 2011; 39 (2): 329-335.
26. Wilk KE, Macrina LC, Fleisig GS, et al. Deficits in glenohumeral passive range of motion increase risk of elbow injury in professional baseball pitchers: a prospective study. Am J Sports Med. 2014; 42 (9): 2075-2081.
27. Wilk KE, Meister K, Andrews JR,. Current concepts in the rehabilitation of the overhead throwing athlete. Am J Sports Med. 2002; 30 (1): 136-151.
28. Wilk KE, Reinold MM, Macrina LC, et al. Glenohumeral internal rotation measurements differ depending on stabilization techniques. Sports Health. 2009; 1 (2): 131-136.