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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  • I'm sure she'll knock it out of the park.

    Old and Blue 13 min 16 sec ago view
  • Nice article on Willson Contreras in the DesMoines Register

    http://www.desmoinesregister.com/story/sports/base...

    Cubster 34 min 24 sec ago view
  • Julianna Zobrist will sing national anthem (Memorial Day) at Wrigley today.

    Tribune interviews her...

    http://www.chicagotribune.com/sports/baseball/cubs...

    Cubster 38 min 30 sec ago view
  • Any word on Neil Ramirez?? Today is his 10th day where they have had to have done something with him, or are they not count today because it is a holiday??

    cubbies.4ever 2 hours 24 min ago view
  • if they dont win at least 130 games this season they can pack it all up, turn wrigley into a concert venue, and move the damn team to san jose.

    #Bernie130orBust

    crunch 11 hours 56 min ago view
  • I see where catcher Cael Brockmeyer was promoted to Tennessee a couple of days ago, to fill a roster spot vacated by David Freitas, recently promoted to Iowa. Caratini is the other catcher at Tennessee.

    VirginiaPhil 12 hours 8 sec ago view
  • They've already clinched a minimum winning percentage of .607 for the month, and that's only if they lose the last 2 games. If they win both, they can push that up to .679. So much for "stumbling" in May. When you're winning over 60% of your games, you're doing baseball well.

    John Beasley 13 hours 13 min ago view
  • If the best walk-off hit possible is a solo home run in a zero-zero game--Eloy did it tonight!

    (But maybe it's a grand slam when your team is down three? He didn't do that.)

    Number eight for Jimenez. His team is 31-17. Yesterday they scored 17 runs against Lansing. Two weeks ago it was 15 runs against the same team. This is a nice team, South Bend. The Cubs must have had a good draft last year.

    Tonight the pitchers were Sands, Brooks and Effross.

    VirginiaPhil 13 hours 20 min ago view
  • RIP Zoobrest.

    crunch 14 hours 54 min ago view
  • He'll be fine. He's not some wimpy young pup.

    Old and Blue 15 hours 24 min ago view
  • In all seriousness the Cubs have the fewest amount of games played in the NL which means they're gonna be facing quite the grind later on including 24 games in a row at the end of June and beginning of July so I hope he does get a few days off.

    johann 17 hours 20 min ago view
  • Meh. He only got one hit today. Maybe give him a rest?

    Old and Blue 17 hours 56 min ago view
  • 34-14...awww yeah.

    crunch 18 hours 52 min ago view
  • Good thing the Cubs have five left-handed batters in the lineup. Velasquez is just tearing thru the righties [edit - doesn't seem to faze Bryant!]

    Eric S 20 hours 13 min ago view
  • ben zobrist gets to ride up front tonight cause he's a good guy at sports.

    cubs with a 5 run lead and a lackey shutout through 3ip \m/

    crunch 20 hours 47 min ago view
  • HAGSAG: I have not seen Joe Nathan out on the field, but he is supposedly at the UAPC. 

    Arizona Phil 23 hours 43 min ago view