Sleeper stretch

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.
  • Miggy seemed remarkably unhappy for a guy who just won the game. Probably related to the fact that he never plays any more.

    billybucks 5 min 45 sec ago view
  • Yeah, that was the official scoring.

    billybucks 7 min 3 sec ago view
  • Classic ending, about 12:11 AM, CST. 5 hours, 3 minutes. Both teams have bases loaded, no out situations in the last inning.

    Magic #19.

    Last man on the bench, Montero gets it done.

    Cubster 8 hours 12 min ago view
  • This fucking game

    Baez lucky to not have hurt his hand with headfirst slide on play at plate in 12th inning.

    Rob G. 9 hours 8 min ago view
  • #$@!$!@$!@$#@!$@!$!@#!@!

    SOLER POWER!

    crunch 10 hours 13 min ago view
  • Maddon's master plan to challenge his offense to improve on coming from behind late in games is working amazingly.

    Rob G. 10 hours 45 min ago view
  • Everyone remember Starlin Castro dropping or misplaying just about every ball near second base that involved a tag?

    Javier Baez is the opposite of that.

    Rob G. 10 hours 55 min ago view
  • on the wild pitch thing, did they really call that a wild pitch on Jansen that Heyward scored on Friday? If so, I don't know what a passed ball is anymore.

    Rob G. 10 hours 57 min ago view
  • Let's see -- up 3-0, at home, Jake on the mound annnnd....compare and contrast 2015 to 2016. Bleh.

    Hopefully, the Pirates will uncork a series of 9th inning wild pitches.

    billybucks 11 hours 1 min ago view
  • modern media

    @BNightengale: Former #MLB pitcher Dan Haren will be throwing to Tim Tebow tomorrow during his tryout in LA, he announced.

     [email protected](dan haren): @BNightengale nope, I was offered the opportunity and declined.

     @ithrow88 Oh and memo to my agent, @bvanwagenen: Pitching to Tim Tebow tomorrow DOES NOT count as getting me a real job offer.

    Rob G. 11 hours 20 min ago view
  • I think the Cub Reporter should be politics free.
    ---
    Build Bridges. Don't anyone dare pull out a trump card.

    Cubster 11 hours 29 min ago view
  • The Cub offense is in on the con.

    1-for-10 so far w/RISP.

    billybucks 11 hours 33 min ago view
  • swing and a miss.

    i'm gonna like...go stand over there. *points*

    crunch 11 hours 34 min ago view
  • This is all a long con by Arrieta to lull playoff opponents.

    Rob G. 11 hours 38 min ago view
  • the factual correction on your mistakes on your post that I barely bothered to read the first time because it had nothing to do with anything I wanted to talk about is indeed a sign of my degenerative brain condition. I appreciate the safety tip and will be looking into with extreme urgency now.

    Rob G. 12 hours 47 sec ago view
  • it took you 4 posts to get to this?

    have you checked the batteries in your carbon monoxide detector?

    #droppingknowledge #savinglives

    crunch 12 hours 25 min ago view