GIRD

Stretching: The Truth

I'm planning on a series of articles to update our readers on some of the current concepts in pitcher related injuries and diagnoses that most fans have not heard much about.

We've all had our fill of reading about pitchers with rotator cuff and glenoid labrum tears. There are some interesting trends in sportsmedicine that have lead to changes in exercise programs throughout the majors and minors in an attempt to protect pitchers from a cascade of preventable injuries most fans don't know about.

Diagnoses such as:

GIRD: (Glenohumeral Internal Rotation Deficit...not to be confused with the stomach malady also known as GERD which Cubs fans get from watching too many losses). Pitching (both cocking phase and deceleration phase) leading to a tight or thickened posterior shoulder capsular ligament plus a loose anterior capsule and loss of internal rotation of the shoulder. Extra external rotation of the shoulder develops at the expense of internal rotation.

Scapular Dyskinesia: Shoulder blade weakness with altered kinematics.

Internal Impingement: Thought to be related to posterior shoulder contracture from GIRD with subsequent instability of the shoulder as the humeral head (ball of the shoulder joint) which shifts back/posteriorly and upward/superiorly). This is a different entity from subacromial or rotator cuff impingement which is more common and typically occurs from friction outside the shoulder joint.

...and finally connecting the dots, sorting out how the the injured or weakened shoulder (scapula) leads to severe strain on the elbow and tearing of the Ulnar Collateral Ligament (aka the Tommy John injury).

My attention to this topic started last summer, when  I heard a remarkable interview on XM radio with renown Orthopedic Surgeon, Dr. Craig D. Morgan with hosts Jim Memolo and Rob Dibble. The focus of the interview was Stephen Strasburg's shoulder tightness and the subsequent ulnar collateral ligament elbow injury that lead to "Tommy John" reconstruction of that ligament last summer. Dr. Morgan said that he had predicted elbow problems in Strasburg by watching the way he held his shoulder.

More on how the arm bone is connected to the...after the jump.

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  • First team to 60 wins! Onward to 70, 80, 90 and 100!

    billybucks 6 hours 59 min ago view
  • I. Hate. The. Mets.

    billybucks 7 hours 28 min ago view
  • OK Marlins -- take 'em down. Fernandez, at home, tomorrow for the Fish.

    Gotta say, though -- as much as I can't stand them, the Cardinals have had some very impressive late-inning wins against premier closers.

    billybucks 7 hours 28 min ago view
  • Very impressive that he hit a 3-2 curve ball. Such a dynamic ballplayer. If he ever learns the strike zone....

    billybucks 7 hours 34 min ago view
  • If Jason Hammel doesn't get a potato chip sponsorship deal, somebody messed up. Attaboy, Jason!

    billybucks 7 hours 37 min ago view
  • I am looking forward to AChap facing the Cardinals.

    The E-Man 7 hours 45 min ago view
  • Sure is fun to watch them score finally. To think they were no-hit until the 7th...

    The E-Man 7 hours 57 min ago view
  • Got to admit it - it was comforting seeing Rondon come out for the eighth after just taking a two run lead ... And put the hammer down with a 7 pitch inning. Good stuff

    Eric S 8 hours 2 min ago view
  • GRAND SLAM RUSSELL

    blown the hell open...7 run lead

    crunch 8 hours 3 min ago view
  • 11 hits off Wainwright tonight. Everything going right for the Cards right now. Motherfucking motherfuckers.

    The E-Man 8 hours 13 min ago view
  • it was more no-doubt than bryant's HR. it wont make any end-of-season highlight reels, but that one was booked to leave on contact.

    crunch 8 hours 22 min ago view
  • Javy! Javy! Javy!

    How sweet was that - Cranked it!

    393 happy feet

    Eric S 8 hours 29 min ago view
  • baaaaaaaaaaaaaaaez!

    cubs take a 2 run lead in the 7th. sweet.

    crunch 8 hours 32 min ago view
  • ...and the Cards tie and take the lead in the 9th. off Familia.

    blockhead25 8 hours 37 min ago view
  • Familia blows his first save of the season -- gives up 2 in 9th to the Cards.

    Not much going our way these days.

    billybucks 8 hours 37 min ago view
  • bryant's back!

    no-doubt HR towering to CF...tie game.

    crunch 8 hours 54 min ago view