Medical Check of the Shoulder Girdle of High-School Pitchers in 2002
Background & Aims : To clarify possible prognostic factors contributing to shoulder girdle disorders. Methods : Subjects were 122 pitchers registered with the Gunma High School Baseball Association who underwent medical check. Results : The range of internal rotation of the shoulder joint was si...
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Published in | Kita Kantō igaku (The Kitakanto Medical Journal) Vol. 54; no. 2; pp. 137 - 142 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English Japanese |
Published |
The Kitakanto Medical Society
2004
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Subjects | |
Online Access | Get full text |
ISSN | 1343-2826 1881-1191 1881-1191 |
DOI | 10.2974/kmj.54.137 |
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Abstract | Background & Aims : To clarify possible prognostic factors contributing to shoulder girdle disorders. Methods : Subjects were 122 pitchers registered with the Gunma High School Baseball Association who underwent medical check. Results : The range of internal rotation of the shoulder joint was significantly reduced on the pitching side, while that of external rotation was extended. Twenty-eight pitchers (23.0%) reported shoulder pain. Factors significantly related to pain included maximum pitching ball-speed, tenderness at the coracoid process, impingement signs, and superior labrum both anterior and posterior (SLAP) lesion signs, but not shoulder instability. There were no significant radiological alterations related to pain. Conclusions : These results suggest that impingement syndrome and SLAP lesion may play an important role in the induction of shoulder pain, and physical therapy and careful follow-up are needed for high school pitchers with these signs. |
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AbstractList | Background & Aims : To clarify possible prognostic factors contributing to shoulder girdle disorders. Methods : Subjects were 122 pitchers registered with the Gunma High School Baseball Association who underwent medical check. Results : The range of internal rotation of the shoulder joint was significantly reduced on the pitching side, while that of external rotation was extended. Twenty-eight pitchers (23.0%) reported shoulder pain. Factors significantly related to pain included maximum pitching ball-speed, tenderness at the coracoid process, impingement signs, and superior labrum both anterior and posterior (SLAP) lesion signs, but not shoulder instability. There were no significant radiological alterations related to pain. Conclusions : These results suggest that impingement syndrome and SLAP lesion may play an important role in the induction of shoulder pain, and physical therapy and careful follow-up are needed for high school pitchers with these signs. |
Author | Oosawa, Toshihisa Aib, Sachiko Hasegawa, Hitoshi Takagishi, Kenji Suzuki, Hideki Watanabe, Hideomi Kurosawa, Kazuya |
Author_xml | – sequence: 1 fullname: Suzuki, Hideki organization: Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine – sequence: 1 fullname: Aib, Sachiko organization: Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine – sequence: 1 fullname: Oosawa, Toshihisa organization: Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine – sequence: 1 fullname: Takagishi, Kenji organization: Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine – sequence: 1 fullname: Hasegawa, Hitoshi organization: Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine – sequence: 1 fullname: Kurosawa, Kazuya organization: Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine – sequence: 1 fullname: Watanabe, Hideomi organization: Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine |
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References_xml | – reference: 10. Scarpinato DF, Bramhall JP, Andrews JR. Arthroscopic management of the throwing athlete's shoulder : indications, techniques, and results. Clin Sports Med 1991; 10 : 913-927. – reference: 9. Neer CS II. Impingement lesions. Clin Orthop 1983; 173 : 70-77. – reference: 7. 菅本一臣, 鳥塚之嘉.高校野球における上肢障害の統計学的検討.臨床スポーツ医学. 2001; 18 : 137-141. – reference: 2. 武者春樹 : メデイカルチェックの基礎. 村山正博 (監); 武者春樹 (編) : 新スポーツのためのメデイカルチェック. 南江堂, 東京, 2002; 2-11. – reference: 1. 大沢敏久, 石川 隆, 荒牧雅之ら. 投球による肩の成長期障害. -その治療と予防-. 臨床スポーツ医学. 2001; 18 : 197-200. – reference: 3. 室田影久, 白井康正, 桜井実, 藤巻悦夫 (編) : 17 スポーツ外傷, 障害. メジカルビュー社. 東京, 1990年. – reference: 5. O'Brien SJ, Pagnani MJ, Fealy S, et al. The active compression test : a new and effective test for diagnosing labral tears and acromioclavicular joint abnormality. Am J Sports Med 1998; 26 : 610-613. – reference: 6. Liu SH, Henry MH, Nuccion SL. A prospective evaluation of a new physical examination in predicting glenoid labral tears. Am J Sports Med 1996; 24 : 721-725. – reference: 4. 相澤利武, 田畑四郎.肩インピンジメント症候群の概念, 病因, 診断 MB Orthop 1998; 11 : 1-8. – reference: 8. 原 正文, 山田稔晃.野球肩 (インピンジメント症候群) のリハビリテーション. 臨床スポーツ医学. 1998; 15 : 1267-1276. |
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SubjectTerms | high-school pitcher impingement syndrome physical therapy shoulder joint superior labrum both anterior and posterior (SLAP) lesion |
Title | Medical Check of the Shoulder Girdle of High-School Pitchers in 2002 |
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