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At least 199 records · Page 11Linked to original sources
PubMedDate not supplied

Arthroscopic findings in the overhand throwing athlete: evidence for posterior internal impingement of the rotator cuff.

SUMMARY: The purpose of this article is to describe the outcome of an arthroscopic examination and the pathology in symptomatic shoulders of 41 professional overhand throwing athletes. With the arm in the position of the relocation test, 100% of the subjects had either contact between the rotator cuff undersurface and the posterosuperior glenoid rim or osteochondral lesions. Other key findings included undersurface cuff fraying in 93%, posterosuperior labral fraying in 88%, and anterior labral fraying in 36% of the subjects. This study supports the concept of impingement of the posterior cuff undersurface with the posterosuperior glenoid rim in the overhand throwing athlete with shoulder pain.

Adolescent↗
PubMed2003

Snapping annular ligament of the elbow joint in the throwing arms of young brothers.

We examined young brothers with symptomatic snapping elbow in the throwing arm. Arthroscopic examination confirmed the mechanism of snapping, in which loose and protruded annular ligament-like tissue covered the volar half of the radial head in elbow extension and uncovered the radial head in deep elbow flexion. Arthroscopic resection of the annular ligament-like tissue was performed in one brother. Histologic examination of the removed tissue showed degenerated ligament tissue. Excision of loose annular ligament abolished snapping. Contralateral elbows of the brothers also showed similar asymptomatic snapping. Researchers suggest that a hereditary factor contributing to loose annular ligament and repetitive microtrauma from throwing is the cause of symptoms.

Adolescent↗
PubMed1989

The effect of subliminal oedipal and competitive stimulation on dart throwing: another miss.

Silverman and his associates have reported that subliminal presentation of oedipally relevant competitive stimuli can modify dart-throwing performance in male subjects. This study replicated their paradigm, but also examined the effects on performance of nonoedipal competitive stimuli. Our results failed to support Silverman's. Both types of subliminally presented competitive stimuli failed to have any systematic effect on dart-throwing performance.

Adolescent↗
PubMed2003

Failure of the biceps superior labral complex: a cadaveric biomechanical investigation comparing the late cocking and early deceleration positions of throwing.

PURPOSE: The goal of the study was to determine which position of the throwing motion, late-cocking or early deceleration, was more likely to produce lesions of the biceps superior labral complex. TYPE OF STUDY: Cadaveric biomechanical model. METHODS: Ten paired cadaver shoulders were prepared and mounted on a custom testing apparatus in 60 degrees glenohumeral abduction with the humerus in the plane of the scapula. All specimens were loaded with 100 cycles of subfailure external rotation torque (7.9 N-m) with 22 N applied to the rotator cuff tendons and long head of the biceps tendon. One of each pair of specimens was randomly tested in a late cocking position for throwing (>125 degrees external rotation, 60 degrees glenohumeral abduction, in the plane of the scapula). The other was tested in a position of early deceleration (80 degrees external rotation, 60 degrees glenohumeral abduction, 16 degrees horizontal adduction). The biceps was loaded to failure with the shoulder fixed in these positions. The specimens were then examined by 2 experienced shoulder surgeons, blinded to the test protocol, to assess for the presence of a type II SLAP lesion. RESULTS: Failure of the biceps superior labral complex occurred at the superior glenoid in 9 of 10 specimens in the late cocking position and in 2 of 10 specimens in the early deceleration position (P =.055). Five specimens developed type II SLAP lesions, with more in the late cocking position (4 of 10) than in the early deceleration position (1 of 10; P =.12). Load to failure was significantly less for the late cocking position (289 +/- 39 N) than for the early deceleration position (346 +/- 40 N; P =.004). CONCLUSIONS: These results suggest that the late cocking position may contribute to biceps-superolabral complex injuries in the thrower's shoulder.

Adult↗
PubMed1998

Sickle cell trait in Ivory Coast athletic throw and jump champions, 1956-1995.

In order to assess the performance of subjects with sickle cell trait (SCT) during brief and explosive exercise involving mainly alactic anaerobic metabolism, the percentage of athletes with SCT was determined in Ivory Coast track and field throw and jump champions, both men and women, for the period 1956-1995. Thirty-four (27.8%) sickle cell trait carriers (SCTC) were identified among the 122 national champions that we were able to contact. These 34 SCTC had won 78 national titles (24.5%) and established 37 national records (43.5%), distributed among the throw and jump events. These percentages were significantly higher than the prevalence of SCT in the general Ivory Coast population (12.0%). The women's high jump and men's shot put events had the highest percentages of SCTC record holders (90.9% and 87.5%, respectively). Moreover, the two top national record holders and title winners, one man and one woman, were SCTC athletes, and their hemoglobin S percentage (HbS: 39.1% and 39.4%, respectively) and mean corpuscular volume (MCV) excluded an associated alpha-thalassemia. We conclude that the significantly higher percentage of SCTCs among Ivory Coast track and field champions, as compared to the percentage in the general population suggests that SCT may be a determinant factor for success in brief and explosive track and field events involving mainly alactic anaerobic metabolism.

Adult↗
PubMed1975

Group selection, altruism, reinforcement, and throwing in human evolution.

Evolution of altruism by group selection involves sacrifice of some individuals, not to the "group as a whole," but to other individuals in the group. Deme-group selection may establish strictly altruistic genes in a population, but only under limited conditions, and perhaps never among vertebrates, among which apparently altruistic behaviors may always potentially benefit the altruists. Responsive-group selection is a more effective mode of evolution of altruism, conspicuous in man. Evolutionary reinforcement increases the force of selection of advantageous behaviors, including altruistic ones, by making them pleasant or rewarding. It is probably involved also in ecological habitat selection, and may be the source of many human emotions, including esthetic ones. Throwing (of stones and weapons) exemplifies both the possible importance of a difficult-to-measure evolutionary factor and the role of reinforcement; in human evolution throwing may have been decisive in food-getting and fighting, in shifting emphasis from brute force to skill, and in inducing evolution of a brain able to handle three-body geometric problems precisely and thus preadapted for more complex functions.

Anthropology, Physical↗
PubMed2002

Lateral asymmetries in the development of the overarm throw.

Lateral asymmetries of manual, pedal, and ocular preferences, and motor asymmetry in the performance of the forceful overarm throw were analyzed in 71 children aged 4 to 10 years old. Performance with each side of the body was assessed on the basis of qualitative analysis, as proposed by M. A. Roberton and L. Halverson (1984) for identification of developmental stages by components of the task. Lateral preference was indicated by the frequency the children used the right or the left side of their body to carry out different manual, pedal, and ocular tasks. The overarm throw movement pattern was developed with both sides of the body but at different levels. Development of the nondominant side lagged behind that of the dominant side at all ages; a significant asymmetry in performance detected in the 4-year-olds was stable up to the age of 10 years. Indices of asymmetry for lateral preference and performance were found to be specific because no consistent correlations were observed among them throughout the age periods studied. Those results show the multidimensional character of human laterality and imply a property of motor development that prevents asymmetry of performance from increasing because of unilateral practice.

Arm↗
PubMed2002

Sequential muscle activity and its functional role in the upper extremity and trunk during overarm throwing.

The proximal-to-distal segmental sequence has been identified in many sports activities, including baseball pitching and ball kicking. However, proximal-to-distal sequential muscle activity has not been identified. The aims of this study were to establish whether sequential muscle activity does occur and, if it does, to determine its functional role. We recorded surface electromyograms (EMGs) for 17 muscles from the upper extremity and abdomen during overarm throwing and detected the onset and peak times as indices of muscle activity. The following electromyographic properties were commonly identified in the participants. First, sequential muscle activity was observed from the scapular protractors to the shoulder horizontal flexors and from the shoulder horizontal flexors to the elbow extensor, but not from the elbow extensor to the wrist flexor or forearm pronator. Secondly, the external oblique contralateral to the throwing arm became activated before the ipsilateral external oblique. This sequence is considered to be very effective for the generation of high force and energy in the trunk. Thirdly, the ipsilateral external oblique began its activity almost at foot strike. Finally, the main activity of the rectus abdominis appeared just before the point of release.

Abdominal Muscles↗
PubMed1988

The penalty throw in water polo: a cinematographic analysis.

Three-dimensional (3-D) high-speed cinematography was used to record the penalty throw in water polo by six elite male (M) and six elite female (F) players. The direct linear transformation technique (DLT) was used in the 3-D space reconstruction from 2-D images recorded via laterally placed phase-locked cameras operating at 200 Hz. Five of the twelve subjects lifted the ball from underneath at the start of the throw whilst the remaining subjects opted for a rotation lift. As the ball was brought behind the head the females used very little hip and shoulder rotation compared to the male players so that four of the six female subjects were square on to the target at the rear point. At the completion of the backswing the wrist was flexed to a similar angle (M-162 degrees; F-158 degrees); the elbow angle showed significantly greater flexion for females (85 degrees) than males (107 degrees). During the forward swing, from rear point to release, the wrist joint of the female players flexed from a rear point angle of 158 degrees to 148 degrees at release. The wrist movement for male subjects was different from the females in that it flexed from 162 degrees to 147 degrees, 0.10 s prior to release and then extended to 159 degrees at palmar release before again flexing to 156 degrees at release. The amount of elbow extension during the forward swing was 48 degrees for both groups; however, the females actually released the ball with the forearm vertical (89 degrees) compared to the male forearm angle of 78 degrees. Maximum angular velocity of the wrist and elbow occurred at release for 9 of the 12 subjects. Both the wrist and elbow joints (F-148 degrees; M-156 degrees at wrist and F-126 degrees; M-148 degrees at elbow) demonstrated greater flexion at release in female subjects, compared with males. Maximum linear endpoint velocities for the forearm and hand segments occurred at ball release resulting in mean ball velocities of 19.1 m s-1 and 14.7 m s-1 for male and female subjects respectively.

Adult↗
PubMed1989

The underarm throw for accuracy in children.

Forty boys and girls of two age groups (mean ages 52 and 70 months, respectively) performed 35 trials on a throwing task demanding accuracy. As might be expected, the older children were significantly more accurate than the younger ones but there were no sex differences. Film analysis of the throws showed that, although both age groups attempted to employ the adult strategy of varying velocity while keeping ball-release angle constant, the younger group was less successful in the latter aspect. The manner in which consistent release angles were arrived at by the older group was through the use of a movement pattern in which the elbow angle did not change during the forward swing. Such a movement pattern appeared less frequently in the younger age group. The results of this study provide support for a mode of research identifying functionally relevant kinematic variables that can subsequently be shown to follow from distinctive execution categories. In such a way, changes in outcome measures with increasing age and/or skill level can be functionally understood and identified.

Arm↗
PubMed2003

Examining movement variability in the basketball free-throw action at different skill levels.

The analysis of variability both within and between performers can reveal important information about how athletes satisfy situational constraints. Transitory changes in the basketball free-throw shot were examined across different stages in skill development. Six female basketball players were selected, representing a range of playing expertise (pretest: 0-90% baskets scored). Each participant was video recorded performing 30 shots. Contrary to predictions, there was not a clear pattern of a reduction in trajectory variability with increasing skill level. However, improvements in skill level were associated with an increasing amount of intertrial movement consistency from the elbow and wrist joints. It is suggested that the angular motions of the elbow and wrist joints were compensated for each other toward the end of each throw to adapt to subtle changes in release parameters of the ball.

Adolescent↗
PubMed2002

A kinetic analysis of discus-throwing techniques.

The purposes of this study were to investigate (1) the relationships between official distance and selected ground reaction measures during discus throwing; and (2) the relationships between selected ground reactions and selected lower extremity joint kinetics. Three high-speed video cameras and three force plates were used to collect three-dimensional videographic and force plate data in this study. An inverse dynamic model was used to determine the lower extremity kinetics. Multiple regression analyses were conducted to determine relationships of the selected kinematic and kinetic measures with the official distance. Official distance was significantly correlated with ground reaction forces on the left foot during the first single-support phase, on the right foot during the second single-support phase and delivery phase, and on the left foot during the delivery phase. Also, the right-hip extension and internal rotation moments and left-knee extension moment during the delivery phase were significantly correlated with official distance. These results suggest that discus throwers should drive vigorously forward during the first single-support phase and increase the landing impact force on the right foot after flight. Also they should increase forward and rightward ground reaction force on the right foot and backward and vertical force on the left foot by powerful right-hip extension and internal rotation and left-knee extension during the delivery phase. These results provide critical information regarding the training of discus-throwing techniques, and the direction of future biomechanical studies on this event.

Biomechanical Phenomena↗
PubMed1993

Throwing injuries of the shoulder.

A review of the mechanism of throwing is presented and split into the different phases. The presentation and history is often more important than the clinical signs which may only be present after repetitive throwing activity. The pathological relationship between instability and impingement is discussed. Arthroscopy has been found to be extremely helpful in extending knowledge of pathological anatomy as well as defining diagnosis and aiding treatment.

Athletic Injuries↗
PubMed2006

Control of 3D limb dynamics in unconstrained overarm throws of different speeds performed by skilled baseball players.

This study investigated how the human CNS organizes complex three-dimensional (3D) ball-throwing movements that require both speed and accuracy. Skilled baseball players threw a baseball to a target at three different speeds. Kinematic analysis revealed that the fingertip speed at ball release was mainly produced by trunk leftward rotation, shoulder internal rotation, elbow extension, and wrist flexion in all speed conditions. The study participants adjusted the angular velocities of these four motions to throw the balls at three different speeds. We also analyzed the dynamics of the 3D multijoint movements using a recently developed method called "nonorthogonal torque decomposition" that can clarify how angular acceleration about a joint coordinate axis (e.g., shoulder internal rotation) is generated by the muscle, gravity, and interaction torques. We found that the study participants utilized the interaction torque to generate larger angular velocities of the shoulder internal rotation, elbow extension, and wrist flexion. To increase the interaction torque acting at these joints, the ball throwers increased muscle torque at the shoulder and trunk but not at the elbow and wrist. These results indicates that skilled ball throwers adopted a hierarchical control in which the proximal muscle torques created a dynamic foundation for the entire limb motion and beneficial interaction torques for distal joint rotations.

Adaptation, Physiological↗
PubMedDate not supplied

Nonoperative treatment of ulnar collateral ligament injuries in throwing athletes.

Ulnar collateral ligament injury of the elbow in throwing athletes is a common occurrence, and either operative or nonoperative treatment is an option. The results of operative repairs and reconstructions have been well documented in the literature; however, little information has been reported on the outcome of nonoperative treatment. From 1994 to 1997, we evaluated 31 throwing athletes with ulnar collateral ligament injuries. The purpose of this study was to determine what percentage of athletes could return to their sport without surgical intervention and to identify factors that would predict return to full competition by an athlete treated nonoperatively. The factors studied included acute versus insidious onset of symptoms, the duration of symptoms before treatment, and age. Nonoperative treatment, which included a minimum of 3 months' rest with rehabilitation exercises, allowed 42% of the athletes in our study (N = 13) to return to their previous level of competition. Those who did return did so at an average of 24.5 weeks after diagnosis. No predictive findings obtained either through the patient's history or physical examination were found that would assist the clinician or athlete in predicting the success of nonoperative treatment.

Adolescent↗
PubMedDate not supplied

Relationships between throwing mechanics and shoulder distraction in professional baseball pitchers.

The extreme forces and torques and the high speeds and excessive ranges of motion of baseball pitching place tremendous stress on the soft tissues of the throwing shoulder. Little is known about the relationship between pitching mechanics and shoulder joint stress, especially in professional athletes. The purpose of this study was to quantify joint loads and kinematic parameters of pitching mechanics at the major league level and to study their relationships. Three-dimensional, high-speed video data were collected on 40 professional pitchers during the 1998 Cactus League spring training. A clinically significant distraction force was calculated at the shoulder joint, which reached an average peak value of 947 +/- 162 N (108% +/- 16% body weight). Descriptive statistics and a multiple linear regression analysis were used to relate shoulder distraction to kinematic and kinetic parameters of pitching mechanics. This study was undertaken not only to investigate the peak forces and torques on the shoulder, but also to identify potential areas of intervention that might prevent throwing injuries. Knowledge of joint ranges of motion, angular velocities, and joint-reaction forces can provide a scientific basis for improved preventive and rehabilitative protocols for baseball pitchers.

Adult↗
PubMedDate not supplied

Greater tuberosity notch: an important indicator of articular-side partial rotator cuff tears in the shoulders of throwing athletes.

We examined the location of rotator cuff tears, associated labral injuries, and notches on the greater tuberosity of the humeral head in shoulders of throwing athletes. Arthroscopic findings (rotator cuff tear, labral condition, and greater tuberosity notch) as well as other factors (duration of playing baseball, range of motion, and joint laxity) of 61 baseball players were retrospectively studied. The presence of a greater tuberosity notch was also evaluated for by plain radiographs. Forty patients had articular-side partial rotator cuff tears, most of which occurred in the interval between the supraspinatus and infraspinatus tendons. The existence of a rotator cuff tear was not related to the range of motion, joint laxity, the detachment of the superior glenoid labrum, or posterosuperior labral injury. Greater tuberosity notches were recognized in 38 shoulders by arthroscopy and most were detected on plain radiographs. The presence of a notch was significantly related to the existence of a rotator cuff tear, while the size of the notch was significantly related to the depth and width of the tear. The greater tuberosity notch seems to be one of the most important diagnostic indicators for a rotator cuff tear in throwing athletes.

Adolescent↗
PubMed2005

Arthroscopic treatment of posterolateral elbow impingement from lateral synovial plicae in throwing athletes and golfers.

BACKGROUND: Although elbow pain is common in throwing athletes and golfers, posterolateral impingement from a hypertrophic synovial plica is a rare but possibly underdiagnosed condition. PURPOSE: To evaluate the clinical results of arthroscopic treatment of symptomatic lateral elbow plicae in this athletic population. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Twelve patients, 9 male and 3 female, whose mean age was 21.6 years (range, 17-33 years), were reviewed. There were 7 baseball pitchers, 2 softball players, and 3 golfers. All patients had diagnosed isolated lateral elbow plica; none had lateral epicondylitis, instability, osteochondritis dissecans, arthritis, loose bodies, or nerve conditions. The mean time from onset of symptoms to treatment was 9.25 months (range, 3-24.5 months). At a mean follow-up of 33.8 months (range, 24-65.5 months), patients were evaluated with a questionnaire and examination, based on the American Shoulder and Elbow Surgeons standardized elbow assessment and previously reported elbow outcome score. RESULTS: Posterolateral elbow pain was present in all patients. Fifty-eight percent (7 of 12 patients) complained of clicking or catching, whereas only 25% (3 of 12) experienced swelling or effusion. At elbow arthroscopy, a thickened synovial lateral plica was debrided in all cases. Ninety-two percent (11 of 12 patients) reported an excellent outcome with a mean elbow score of 92.5 points (maximum, 100 points). Return to competitive play averaged 4.8 months (range, 3-9.5 months). One patient with a fair outcome developed medial elbow instability that later required reconstructive surgery. CONCLUSION: Posterolateral elbow impingement from hypertrophic synovial plicae can cause significant pain and disability in throwing athletes and golfers. With careful diagnosis and exclusion of other elbow problems, treatment with arthroscopic debridement and focused rehabilitation is highly successful and allows these athletes to return to their previous level of play.

Adolescent↗