Abstract
Background: Internal impingement and decreased anterior stability, which result from shoulder capsular loosening, are common shoulder pathologies in throwing athletes. The purpose of this study was to assess the effect of shoulder abduction angle on shoulder internal impingement and anterior shoulder stability during the simulated throwing motion. Methods: Eight cadaveric shoulders were tested by simulating the late-cocking and acceleration phases of the throwing motion for intact and thrower's shoulder conditions. The maximal glenohumeral external rotation, anterior translation, location of the rotator cuff insertion with respect to the glenoid, length and site of internal impingement, and glenohumeral contact pressure were measured. All data were compared between shoulder abduction angles of 80° 90° and 100°. Results: Decreasing shoulder abduction in the simulated late-cocking phase shifted the humeral head posteriorly (P <.03) and superiorly (P <.001), decreasing the total internal impingement area between the greater tuberosity and glenoid (P =.04) and increasing the glenohumeral contact pressure during internal impingement (P =.02). In the simulated acceleration phase, anterior glenohumeral translation significantly increased as the shoulder abduction angle decreased (P <.001). Conclusion: Decreasing shoulder abduction significantly increased the contact pressure during internal impingement in the simulated late-cocking phase of the throwing motion. During the simulated acceleration phase of the throwing motion, anterior glenohumeral translation significantly increased as shoulder abduction decreased.
| Original language | English |
|---|---|
| Pages (from-to) | 1125-1132 |
| Number of pages | 8 |
| Journal | Journal of Shoulder and Elbow Surgery |
| Volume | 27 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2018 Jun 1 |
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Keywords
- Abduction angle
- contact pressure
- internal impingement
- laxity
- rotator cuff
- throwing
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
Cite this
Lower shoulder abduction during throwing motion may cause forceful internal impingement and decreased anterior stability. / Akeda, Masaki; Mihata, Teruhisa; Jeong, Woong-Kyo; McGarry, Michelle H.; Yamazaki, Tetsuya; Lee, Thay Q.
In: Journal of Shoulder and Elbow Surgery, Vol. 27, No. 6, 01.06.2018, p. 1125-1132.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Lower shoulder abduction during throwing motion may cause forceful internal impingement and decreased anterior stability
AU - Akeda, Masaki
AU - Mihata, Teruhisa
AU - Jeong, Woong-Kyo
AU - McGarry, Michelle H.
AU - Yamazaki, Tetsuya
AU - Lee, Thay Q.
PY - 2018/6/1
Y1 - 2018/6/1
N2 - Background: Internal impingement and decreased anterior stability, which result from shoulder capsular loosening, are common shoulder pathologies in throwing athletes. The purpose of this study was to assess the effect of shoulder abduction angle on shoulder internal impingement and anterior shoulder stability during the simulated throwing motion. Methods: Eight cadaveric shoulders were tested by simulating the late-cocking and acceleration phases of the throwing motion for intact and thrower's shoulder conditions. The maximal glenohumeral external rotation, anterior translation, location of the rotator cuff insertion with respect to the glenoid, length and site of internal impingement, and glenohumeral contact pressure were measured. All data were compared between shoulder abduction angles of 80° 90° and 100°. Results: Decreasing shoulder abduction in the simulated late-cocking phase shifted the humeral head posteriorly (P <.03) and superiorly (P <.001), decreasing the total internal impingement area between the greater tuberosity and glenoid (P =.04) and increasing the glenohumeral contact pressure during internal impingement (P =.02). In the simulated acceleration phase, anterior glenohumeral translation significantly increased as the shoulder abduction angle decreased (P <.001). Conclusion: Decreasing shoulder abduction significantly increased the contact pressure during internal impingement in the simulated late-cocking phase of the throwing motion. During the simulated acceleration phase of the throwing motion, anterior glenohumeral translation significantly increased as shoulder abduction decreased.
AB - Background: Internal impingement and decreased anterior stability, which result from shoulder capsular loosening, are common shoulder pathologies in throwing athletes. The purpose of this study was to assess the effect of shoulder abduction angle on shoulder internal impingement and anterior shoulder stability during the simulated throwing motion. Methods: Eight cadaveric shoulders were tested by simulating the late-cocking and acceleration phases of the throwing motion for intact and thrower's shoulder conditions. The maximal glenohumeral external rotation, anterior translation, location of the rotator cuff insertion with respect to the glenoid, length and site of internal impingement, and glenohumeral contact pressure were measured. All data were compared between shoulder abduction angles of 80° 90° and 100°. Results: Decreasing shoulder abduction in the simulated late-cocking phase shifted the humeral head posteriorly (P <.03) and superiorly (P <.001), decreasing the total internal impingement area between the greater tuberosity and glenoid (P =.04) and increasing the glenohumeral contact pressure during internal impingement (P =.02). In the simulated acceleration phase, anterior glenohumeral translation significantly increased as the shoulder abduction angle decreased (P <.001). Conclusion: Decreasing shoulder abduction significantly increased the contact pressure during internal impingement in the simulated late-cocking phase of the throwing motion. During the simulated acceleration phase of the throwing motion, anterior glenohumeral translation significantly increased as shoulder abduction decreased.
KW - Abduction angle
KW - contact pressure
KW - internal impingement
KW - laxity
KW - rotator cuff
KW - throwing
UR - http://www.scopus.com/inward/record.url?scp=85044642017&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85044642017&partnerID=8YFLogxK
U2 - 10.1016/j.jse.2017.12.029
DO - 10.1016/j.jse.2017.12.029
M3 - Article
VL - 27
SP - 1125
EP - 1132
JO - Journal of Shoulder and Elbow Surgery
JF - Journal of Shoulder and Elbow Surgery
SN - 1058-2746
IS - 6
ER -