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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  • 1. Mets--because of the losses in the rotation
    2. Giants--because they're not the team they were BUT they maybe have bullshit even-year magic?
    3. Cardinals--because rivalry and not making the playoffs hurts them more than losing in the NLDS plus getting eliminated by them in the playoffs would make for horrible sports commentary next throughout next season.

    Charlie 38 min 49 sec ago view
  • Who's asking?

    jacos 40 min 41 sec ago view
  • #TeamEntropy

    http://www.si.com/mlb/2016/09/30/team-entropy-update-wild-card-races-al-...

    CLE/DET rained out last night already, possible rain-outs in New York (vs. Baltimore), Boston(vs. Toronto) and Philly(vs. Mets) this weekend too.

    Not only games involving playoff spots that would need to be played, but any that involve home field advantage.

    Rob G. 49 min 30 sec ago view
  • I got the first one! Second one I'm not even sure what even/odd betting is.

    johann 1 hour 36 min ago view
  • any opponent preference for NLDS?

    Mets are down to 1 great pitcher instead of 4. Syndegaard may pitch Sunday which means if Mets win the WC game, he'd be set up for Game 1. There's a chance they clinch a spot by Sunday so he'd pitch the WC and then we'd probably get Colon for Game 1. They've certainly had the hottest bats over the last week and month out of the WC options.

    Rob G. 1 hour 57 min ago view
  • Rob Richardson 7 hours 1 min ago view
  • Can't teach height and thinness

    jacos 8 hours 57 min ago view
  • Hopefully Pirates don't call up A. Lincoln.

    jacos 18 hours 27 min ago view
  • j.buchanan going friday...should be...baseball...or something like it.

    crunch 18 hours 34 min ago view
  • Wow. I didn't know they could do that.

    Nice for Willson, not so much for Addy.

    billybucks 18 hours 51 min ago view
  • Game is officially called...also officially a tie.

    Stats count, no make-up date of course.

     

    Rob G. 18 hours 52 min ago view
  • Yeah -- seeing the weather -- I hope KB and Rizz are inside, wrapped in blankets and drinking hot chocolate.

    billybucks 19 hours 39 min ago view
  • rain delay...thanks obama.

    crunch 20 hours 17 min ago view
  • Thanks again Phil. We actually were in Mesa and drove around. Hopefully, I am back for some Fall League. If not I have all of spring training (like the smart people who move here!)

    rvimpeny 21 hours 21 min ago view
  • What Rob G said.  I can't speak for Piittsburgh, but the other end of the state has had absolute crap weather for two days. Perfect day to take it easy.

    Transmission 21 hours 25 min ago view
  • tarp came off 10 minutes ago...let's do this.

    crunch 21 hours 39 min ago view