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.

Recent comments

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  • A special after day after Thanksgiving thanks to AZ for his insanely detailed posts on all things roster. I don't know how you keep track of all that stuff - I suspect a chip implant, but whatever it is, it's cool.

  • ...the wrong half.

  • there's nothing like crapping out of the playoffs with a strong/young cheap team after pinching pennies for years then having theo talk about having to be creative with money to make things work for 2016...but hey, baseball isn't baseball without a farmer's market and beer garden plaza with ice rinks.

    they can do both...then again, if you want to look at it from a business point of view, they don't have to do both because the team is expected to be competitive and the merch+tickets+eyes-on-team are going to be at a peak unless they fail badly.

  • Really ?

    They are trying to bring the facility to the 20th century.
    I think they know what they are doing.

  • With the Cubs adding Pierce Johnson to their roster and not exposing/losing him to the Rule 5 Draft keeps the trade ancestry tree alive that started in 1999 with Tom Gordon and undrafted Adam Morrissey and includes 17 players, the trade tree progressed to involve the Hee Sop Choi for Derrek Lee deal and the famous Aramis Ramirez/Kenny Lofton deal..Pierce Johnson is the compensation pick for Aramis Ramirez in 2012

  • Well played.

  • Yeah, the Rex brothers, Tyrannosaurus and Oedipus

  • When I first saw the Tweet, I thought there were two guys. Happy Thanksgiving gang! And TheoJed!

  • They can use another Brother

  • Cubs acquired Rex Brothers. Awesome fit for this team. Wander Cabrera going to COL.

  • "MLB announces #Cubs Minor League RHP Tanner Griggs receives 50-game suspension without pay after testing positive for amphetamine"

    2014 12th rounder...

    it's hard to know who to blame...on one hand he's a baseball player, on the other he sells cars in the offseason...either job leads to amphetamine abuse. =p

  • Thanks PHIL! I thought only the Cubs had control until the last day of the MLB 2015 Season.

  • that's awesome...makes me look forward to hearing theo talk some more about how the team needs to be creative with finances because money is tight.


  • See What The Cubs Are Building This Off-Season For Wrigley Plaza, Clubhouse

  • CUBBIES-4-EVER: It's not unusual for a PTBNL to be chosen after the Rule 5 Draft from the list of Rule 5 eligible players who were not selected. That way, a club gets a player they like (perhaps somebody like OF Jeffrey Baez) without the cumbersome Rule 5 roster restrictions that go with a Rule 5 Draft pick.