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.

Recent comments

Subscribe to Recent comments
The first 600 characters of the last 16 comments, click "View" to see rest of comment.
  • Can't teach height and thinness

    jacos 4 min 32 sec ago view
  • Hopefully Pirates don't call up A. Lincoln.

    jacos 9 hours 34 min ago view
  • j.buchanan going friday...should be...baseball...or something like it.

    crunch 9 hours 42 min ago view
  • Wow. I didn't know they could do that.

    Nice for Willson, not so much for Addy.

    billybucks 9 hours 58 min ago view
  • Game is officially called...also officially a tie.

    Stats count, no make-up date of course.

     

    Rob G. 10 hours 22 sec ago view
  • Yeah -- seeing the weather -- I hope KB and Rizz are inside, wrapped in blankets and drinking hot chocolate.

    billybucks 10 hours 46 min ago view
  • rain delay...thanks obama.

    crunch 11 hours 25 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 12 hours 28 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 12 hours 32 min ago view
  • tarp came off 10 minutes ago...let's do this.

    crunch 12 hours 46 min ago view
  • He will not pitch another game for Cubs

    /Unless injury in playoffs

    jacos 13 hours 3 min ago view
  • ~fart~

    jacos 13 hours 4 min ago view
  • Today is bullpen day

    jacos 13 hours 4 min ago view
  • 10/450 if they win WS

    jacos 13 hours 5 min ago view
  • Carrie Muskat [email protected]
    Even though Hammel is missing start, don't assume he'll not be on #Cubs postseason roster. Maddon says elbow problem isn't that bad

    Carrie Muskat [email protected]
    Maddon on #Cubs postseason rotation: "I don't want to announce anything. We haven't talked to anybody yet"

    Carrie Muskat [email protected]
    Maddon hopes Soler can take BP in Cincy, play in sim game Tue. "All of that should give us some kind of indication of where he's at"

    crunch 13 hours 22 min ago view
  • tarp on the field 40 minutes before gametime...meh.

    crunch 13 hours 25 min ago view