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At least 631 records · Page 35Linked to original sources
PubMed2006

Scapular dysfunction in throwers with pathologic internal impingement.

STUDY DESIGN: Case control group study. OBJECTIVES: To compare scapular position and orientation between baseball players with and without pathologic internal impingement. BACKGROUND: Scapular dysfunction has been implicated as a contributor to throwing-related pathologic internal impingement of the shoulder due to its role in increasing the contact between the greater tuberosity and posterior-superior glenoid, thereby impinging the posterior rotator cuff tendon(s) and labrum. However, to date, no definitive data demonstrate this scapular dysfunction in throwing athletes. The purpose of this study was to assess, in a controlled laboratory environment, whether scapular position and orientation would be different in throwing athletes diagnosed with pathologic internal impingement than in a control group of throwing athletes. METHODS AND MEASURES: Eleven throwing athletes diagnosed with pathologic internal impingement, using both clinical examination and a magnetic resonance arthrogram, were demographically matched with a control group of 11 throwers with no history of upper extremity injury. An electromagnetic tracking device was used to measure scapular internal/external rotation, anterior/posterior tilt, upward/downward rotation, sternoclavicular protraction/retraction, and elevation/depression during humeral elevation within the scapular plane. Comparisons were made between groups with analysis of variance models (P<.05). RESULTS: The individuals in the pathologic internal impingement group demonstrated statistically significant increased sternoclavicular elevation when elevating their humerus from 30 degrees to 120 degrees (P = .002) and from 60 degrees to 120 degrees (P = .003), compared to the control group. Furthermore, these patients also had increased posterior scapular tilt position (P = .016). No statistically significant differences were present in any other scapular variables measured. CONCLUSIONS: Based on the results of this study, throwing athletes diagnosed with pathologic internal impingement present with statistically significant increases in sternoclavicular elevation and scapular posterior tilt position during humeral elevation in the scapular plane.

Adult↗
PubMed2002

Oral screening and brief spit tobacco cessation counseling: a review and findings.

This paper reviews five randomized controlled trials of brief spit (smokeless) tobacco (ST) cessation treatment by dental professionals consisting of oral cancer screening, cessation advice, self-help materials, and brief cessation counseling by a dental hygienist. In addition, original two-year findings from a randomized controlled trial to determine the effect of a dental-directed, peer-assisted ST intervention among high school baseball athletes in rural California (n=1084) are reported. In the latter study, results show sustained quitting at two years of 23 percent (32/141) in the intervention group and 13 percent (21/166) in the control group (OR=2.0, 95% CI 1.1-3.9) with subjects lost-to-follow-up considered non-quitters. The evidence presented supports the efficacy of oral screening and brief cessation counseling by dental professionals to promote ST cessation in the dental office or in athletic facilities. In addition, recommendations for policy and future research are presented.

Adolescent↗
PubMed2003

Overuse and throwing injuries in the skeletally immature athlete.

Over 25 million children participate in school-sponsored sports, and an additional 20 million participate in extracurricular organized sports. Over the past decade, increased intensity of training, more pressure for success, new opportunities for structured play, and more organized advanced leagues and traveling teams have led to a corresponding increase in overuse injuries in the skeletally immature athlete. Perhaps the classic sports model for overuse injuries of the upper extremity is baseball. Throwing sports contribute to an increased incidence of elbow and shoulder injuries that might be related to intensity of training, throwing mechanics, and poor conditioning, including core strength. Specific areas of concern regarding overuse injuries in young athletes include such diagnoses as little leaguer's shoulder, little leaguer's elbow, osteochondritis dissecans of the elbow, tennis elbow, and distal radial epiphysitis. Ultimately, overuse injuries, and particularly physeal injuries, should be suspected in any young athlete who has pain in the upper extremity. Comparative bilateral radiographs are the rule in workup.

Adolescent↗
PubMed2003

Superior labral anterior and posterior lesions and internal impingement in the overhead athlete.

Superior labral lesions and internal impingement are believed to be the primary cause of shoulder pathology in the overhead athlete, particularly the baseball player. Increased shoulder external rotation can lead to repetitive impingement of the rotator cuff and superior labrum resulting in a superior labrum anterior and posterior lesion and partial articular-sided rotator cuff tearing. Although the etiology for this phenomenon remains controversial, the end result remains the same: pathology in the rotator cuff and superior labrum. Isolated treatment of the pathology alone, without addressing the capsular laxity, results in lower return to play rates. Addressing the capsular laxity arthroscopically at the same time as the intra-articular pathology is necessary to give these athletes the best chance to return to their prior competitive level. Although short-term results are promising, long-term follow-up is necessary to determine the ultimate usefulness of this treatment philosophy.

Arthroscopy↗
PubMed2004

[Elbow problems associated with sports injuries in children].

Elbow problems associated with sports injuries may result from overuse, micro- or macrotraumas. Overuse injuries are frequent and are often closely related to mechanical characteristics of sports. Sports-related elbow injuries mainly occur in sports involving throwing such as baseball and javelin throwing, which require forced valgus and extension of the elbow, predisposing it to overuse injuries. Overuse injuries in child athletes are generally defined as Little League elbow, the most common of which are medial epicondyle apophysitis, osteochondritis dissecans of the capitellum, radial head deformation, flexion contractures, and injuries to the olecranon. Most of these injuries can be healed without or with minimal sequelae by early diagnosis and proper treatment. Therefore, mechanisms of, and risk factors for, elbow problems encountered in pediatric athletes should be well-understood in order to avoid the risks for a permanent deformity in the child's anatomy.

Athletic Injuries↗
PubMed2006

Evaluation of the medial elbow in the throwing athlete.

The valgus forces generated by throwing athletes can cause injuries and permanently damage the medial elbow structures. Clinicians must have a clear understanding of the ulnar collateral ligament complex and the associated medial elbow structures at risk in these athletes. Taking a detailed history, conducting a physical examination, and obtaining imaging studies will aid in making the correct diagnosis and giving these injuries the appropriate treatment. Pain around the medial elbow is of concern to throwing athletes, coaches, and medical staff. Valgus forces generated by the throwing motion add considerable stress to the medial elbow structures and thus potentially cause injury. Baseball players, particularly pitchers, are most often affected, but athletes participating in sports such as football, volleyball, water polo, tennis, and javelin throwing can also be affected.

Athletic Injuries↗
PubMed2006

2006 National Caring Awards. Cal Ripken Jr.

You can tell a lot about baseball legend Cal Ripken from his office in Baltimore. It's full of mahogany furniture that bespeaks his new role as businessman and philanthropist. Books are piled on the windowsill. Above the sofa are two pictures, one of the All-Century players--he and Ernie Banks are the only shortstops--and another of himself in 1995 after he broke Lou Gehrig's record for consecutive games played. Looming above it all is a huge pencil drawing of Mr. Ripken's dad, the person who shaped him as a player and a man.

Altruism↗
PubMed1991

An unusual stress fracture in a multiple sport athlete.

Most overuse injuries are a direct result of repetitive stresses which may create a condition of maltraining. Young athletes are no exception to this rule. Swimming and baseball both create stresses to the humerus which may result in injuries to the shoulder and upper extremity. Stress fractures (fatigue fractures) are usually limited to the lower extremity (i.e., tibia or metatarsal). Upper extremity stress fractures, especially of the humerus, are very uncommon. Precipitating factors include repetitive stresses, low grade external forces, rapid application of muscular force to the bone, or an underlying disease or pathologic weakness of the bone. The majority of these fractures are primarily due to abnormal and repetitive stresses to bones. This case study examines the mechanism of injury, clinical presentation, and treatment of a clinically apparent stress fracture which ultimately converted to an overt humerus fracture in a 14-yr-old cross-trained athlete.

Adolescent↗
PubMed1989

Effects of bat composition, grip firmness, and impact location on postimpact ball velocity.

The purpose of this investigation was to examine the effects of bat composition (aluminum and wooden), impact location [center of percussion (COP), center of gravity (COG), and end of the bat (E)], and grip firmness [tight (T) and no tension (NT)] on postimpact ball velocity. With the bats placed alternately in NT and T conditions, baseballs were delivered at a speed of 27.1 m.s-1 from a pitching machine positioned 1.5 m from the bat. High-speed photography (400 fps) was performed using a Locam camera positioned 7.54 m from and perpendicular to the principal plane of ball movement. A three-way ANCOVA revealed significant (P less than 0.01) differences in postimpact ball velocity between the three impact locations, with the COP yielding the greatest values, followed by the COG and E. Moreover, there was a significant (P less than 0.01) grip vs bat interaction. A simple-effects procedure revealed the following results: 1) the T grip produced greater (P less than 0.01) velocities than the NT grip across the aluminum (Al) bat; 2) there was no difference (P greater than 0.01) between the T and NT grips across the wooden (W) bat; 3) the W bat produced greater (P less than 0.01) velocities than the Al bat across the NT grip; and 4) there was no difference (P greater than 0.01) between the Al and W bats across the T grip.(ABSTRACT TRUNCATED AT 250 WORDS)

Acceleration↗
PubMed1986

Reconstruction of the ulnar collateral ligament in athletes.

Reconstruction of the ulnar collateral ligament using a free tendon graft was performed on sixteen athletes. All participated in sports that involved throwing (mostly professional baseball), and all had valgus instability of the elbow. After reconstruction and rehabilitation, ten of the sixteen patients returned to their previous level of participation in sports, one returned to a lower level of participation, and five retired from professional athletics. Despite precautions, there was a high incidence of complications related to the ulnar nerve. Two patients had postoperative ulnar neuropathy (one late and one early) that required a secondary operation, but they eventually recovered completely. Three others reported some transient postoperative hypoesthesia along the ulnar aspect of the forearm that resolved after a few weeks or months.

Adult↗
PubMed1985

[Evaluation of 164 cases of ocular injuries caused by various sports].

Results of analysis on 164 cases of ocular trauma produced by various kinds of sports have been presented. The baseball constitutes a cause of such accidents in 46,3 % of cases. The presence of specific relation has been suggested between a given type of sports and ocular manifestations that follow this.

Adolescent↗
PubMed1980

Anterior transposition of the ulnar nerve using a non-compressing fasciodermal sling.

Sixteen elbows of fourteen patients were analyzed five to sixty months after treatment for ulnar neuritis or neuropathy by anterior transposition of the ulnar nerve using a non-compressing fasciodermal sling to maintain the anterior position. This procedure creates a septum in the mid-lateral plane that lies posterior to the transposed nerve at the level of the medial epicondyle. Unlike previous procedures, no structure other than subcutaneous fat is located superficial to the nerve. Seven patients were baseball pitchers who had experienced transient but severe ulnarnerve paresthesias during the act of throwing. Of the sixteen extremities only one, the limb of a severely diabetic patient with bilateral ulnar neuropathy, was not relieved of preoperative complaints. There were no complications. The procedure is simple, postoperative immobilization is needed for only a brief period, and rehabilitation is rapid.

Adolescent↗
PubMed1978

Vision and sports.

The relationship between optimal visual skills and optimal athletic performance is discussed along with specific examples of how performance can be affected in tennis, basketball, football, baseball, and golf. A step-by-step method is presented to evaluate these specific skills during the optometric evaluation.

Baseball↗
PubMed1982

Exercise and mental health in the pediatric population.

Although the generally accepted belief in the psychological benefits of exercise for children has very little documentation by well controlled studies, the risk:benefit ratio nonetheless tends to favor exercise when competition is sensibly controlled. The field is a fertile one for longitudinal and developmental investigations employing more sophisticated psychological measures and appropriate physiological assessment. Studies using self-concept measures in very young children may find less change after exercise than those using a more age-specific developmental scale, such as the Vineland Social Maturity Scale or human figure drawings. Exercise programs for childhood research may be more informative when natural exercise patterns are observed than when artificial regimens are imposed. The mechanism through which exercise effects psychological change remains unidentified; the beta-endorphin theory suggested by Carr was not documented when Markoff, Ryan, and Young discovered that naloxone, an endorphin antagonist, failed to reverse the mood elevation associated with running. The important effects of exercise on the immune system recently reported in adults have not been investigated in children. The possible implications of my recent finding of a significantly reduced level of absolute lymphocytes among a large group of hospitalized depressed adults remain to be assessed but suggest directions for research. Having treated a 10-year-old Little League player with a generalized anxiety disorder; a 7-year-old Pony League outfielder terrified over the possibility of being hit in the head with a baseball; and a 9-year-old with peptic ulcer associated with a Little League all-star selection, I plead for the encouragement of sports for pleasure rather than glory, while at the same time recommending regular and age-appropriate exercise for children. Using our research findings, we have developed a profile of psychosomatic fitness, an optimal state of health in which there is an accurate balancing process involving mind, body, and spirit through attention to how we live and regard others. No one may possess all the characteristics of this profile, but it is an ideal. The extent to which one may achieve psychosomatic fitness may vary from time to time, depending on one's unique circumstances, but its attainment seems to be related to will power, motivation, and respect for the dire consequences of failure.

Adolescent↗
PubMed1994

Blunt head trauma: comparison of various weapons with intracranial injury and neurologic outcome.

The weapons used in blunt head trauma cases were identified to determine if a particular weapon was associated with a specific type of intracranial injury or a poorer neurologic outcome. A consecutive sample of 178 patients was examined. Forty-seven percent of patients beaten with baseball bats and 63% of patients beaten with fists had positive computed tomographic (CT) findings. Twenty five percent of patients beaten with bats and 48% of those beaten with fists had poor neurologic outcomes (p < 0.056). Of those with positive CT findings, 30% of patients beaten with bats and 59% of patients beaten with fists had a poor outcome (p = 0.511). No weapon was associated with a particular intracranial injury. Of assault victims who survive an attack and require admission to the hospital, those beaten with bats are less likely to have significant neurologic dysfunction upon hospital discharge than those beaten with fists.

Adolescent↗
PubMed1994

MR imaging of sports-related muscle injuries.

Magnetic resonance (MR) imaging of the thighs of 26 baseball athletes and one softball athlete were studied to evaluate muscle injuries. We documented the abnormalities present in MR imaging after a muscle injury and evaluated the role of MR imaging in muscle injuries. Fifteen of the athletes showed muscle abnormalities in MR images. These include muscle strains without tear, muscle tear, scar and chronic tendon injury. Having the advantages of high tissue contrast and multiplanar display capability, MR allowed direct visualization of the injured muscles and characterization of traumatic lesions. We conclude that MR could be a good imaging modality for evaluating muscle injuries.

Adult↗
PubMed1993

Participants in school-sponsored and independent sports: perceptions of self and family.

Sports are believed to contribute to physical well-being, social adjustment, and self-esteem. In this study, perceptions of social competence and family dynamics were examined among adolescent participants in school-sponsored and independent sports (baseball and skateboarding). Subjects, aged 12 to 19 years, completed a questionnaire consisting of FACES III, a social competence scale, and miscellaneous items concerning school performance, sports commitment, and perceptions of adult attitudes. Perceptions of social competence were differentially related to degree of sports involvement and perceived skill but were not related to the social acceptability of the sport. Adolescents in both groups depicted their families as demonstrating low levels of cohesion but high adaptability.

Adolescent↗
PubMed1977

Fracture of the hook of the hamate in athletes.

During an eight-year period, four tennis players, seven golfers, and nine baseball players were seen with a fracture of the hook of the hamate. Eighteen of these twenty patients were disabled by pain and after the fracture fragment was removed, all eighteen were relieved so that they returned to their athletic pursuits. Two patients were asymptomatic, their old fracture being discovered accidentally when they were treated for other injuries. Nineteen of the twenty patients had been examined before coming under our care, but the correct diagnosis had been made in only two. Conservative treatment, including rest, physical therapy, and injections of steroids into the wrist and hand, had not been beneficial. From the history and findings, we believe that these fractures were caused by a direct blow against the hook of the hamate caused by the handle of the tennis racket, golf club, or bat during a swing, and not by indirect force produced by the ligaments and muscles attached to the hook. The fracture was demonstrated in all twenty patients by a roentgenogram (profile view) of the carpal tunnel.

Adolescent↗