Effect of posterior shoulder tightness on internal impingement in a cadaveric model of throwing

Verfasser / Beitragende:
[Teruhisa Mihata, Jeffrey Gates, Michelle McGarry, Masashi Neo, Thay Lee]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/2(2015-02-01), 548-554
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-013-2381-7  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-013-2381-7 
245 0 0 |a Effect of posterior shoulder tightness on internal impingement in a cadaveric model of throwing  |h [Elektronische Daten]  |c [Teruhisa Mihata, Jeffrey Gates, Michelle McGarry, Masashi Neo, Thay Lee] 
520 3 |a Purpose: Posterior shoulder tightness is common in throwing athletes, especially those with symptomatic shoulder internal impingement. The role of posteroinferior capsular contracture in the pathoetiologies of throwing-related injuries caused by shoulder internal impingement remains unclear. The purpose of this study was to assess effect of posterior shoulder tightness on internal impingement in a cadaveric model of throwing. Methods: Seven fresh-frozen cadaveric shoulders were tested with the shoulder abducted to 90° and at maximum external rotation to simulate the late cocking phase of throwing motion. Glenohumeral joint contact pressure and area through internal impingement, humeral head shift, and the maximum humeral rotation angle were measured. Posteroinferior capsular plication was performed to simulate posteroinferior capsular tightness and induce glenohumeral internal rotation deficit. Results: Following generation of simulated posteroinferior capsular tightness with resultant glenohumeral internal rotation deficit, glenohumeral contact pressure was significantly increased (P<0.05), the impinged area of rotator cuff tendon was significantly decreased (P<0.05), and the humeral head shifted posteriorly (P<0.05) during shoulder internal impingement. Conclusion: Excessive posteroinferior capsular tightness can cause forceful internal impingement of the shoulder at maximum external rotation position. 
540 |a Springer-Verlag Berlin Heidelberg, 2013 
690 7 |a Posterior tightness  |2 nationallicence 
690 7 |a Rotator cuff  |2 nationallicence 
690 7 |a Internal impingement  |2 nationallicence 
690 7 |a Throwing  |2 nationallicence 
690 7 |a Shoulder  |2 nationallicence 
700 1 |a Mihata  |D Teruhisa  |u Department of Orthopedic Surgery, Osaka Medical College, 2-7 Daigaku-machi, 569-8686, Takatsuki, Osaka, Japan  |4 aut 
700 1 |a Gates  |D Jeffrey  |u Orthopaedic Biomechanics Laboratory, Long Beach VA Healthcare System, Long Beach, CA, USA  |4 aut 
700 1 |a McGarry  |D Michelle  |u Orthopaedic Biomechanics Laboratory, Long Beach VA Healthcare System, Long Beach, CA, USA  |4 aut 
700 1 |a Neo  |D Masashi  |u Department of Orthopedic Surgery, Osaka Medical College, 2-7 Daigaku-machi, 569-8686, Takatsuki, Osaka, Japan  |4 aut 
700 1 |a Lee  |D Thay  |u Orthopaedic Biomechanics Laboratory, Long Beach VA Healthcare System, Long Beach, CA, USA  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/2(2015-02-01), 548-554  |x 0942-2056  |q 23:2<548  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-013-2381-7  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-013-2381-7  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Mihata  |D Teruhisa  |u Department of Orthopedic Surgery, Osaka Medical College, 2-7 Daigaku-machi, 569-8686, Takatsuki, Osaka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Gates  |D Jeffrey  |u Orthopaedic Biomechanics Laboratory, Long Beach VA Healthcare System, Long Beach, CA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a McGarry  |D Michelle  |u Orthopaedic Biomechanics Laboratory, Long Beach VA Healthcare System, Long Beach, CA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Neo  |D Masashi  |u Department of Orthopedic Surgery, Osaka Medical College, 2-7 Daigaku-machi, 569-8686, Takatsuki, Osaka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Thay  |u Orthopaedic Biomechanics Laboratory, Long Beach VA Healthcare System, Long Beach, CA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/2(2015-02-01), 548-554  |x 0942-2056  |q 23:2<548  |1 2015  |2 23  |o 167