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

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  • the perks of being a big fundraiser model representative citizen.

    honestly, though...the dnc could do worse and she's involved in all kinds of dem party stuff.

  • I didn't realize Laura Ricketts is a superdelegate.

  • pretty much...also agree that it wouldn't surprise me to see him land with the cubs, too.

    the trade to free up room for him would be interesting.

    it would help if he didn't play such a mixed-bag CF. he's anything but sure out there with his wacky routes.

    the O's are favored because of links for weeks and they're about to land y.gallardo (giving up that draft pick).

  • holy crap...j.mejia got busted AGAIN for PEDs.

    3rd time...lifetime ban.

    at one point he was the "closer of the future" (and the actual closer) for the mets. 26 years old. unreal.

  • I agree with what you said, but isn't it so weird that the White Sox are not linked to Fowler? They seem like an ideal fit.

  • oddly...or not...fowler's been strongly linked to the O's lately.

  • Olmos takes another 40 man roster Roulette bullet. The new lefty will be gone when Fowler comes back.

  • seen him in the minors...rather boring lefty. really slow secondary stuff (very slow slider) and a fastball that barely hits 90 on a good day.

  • The Cubs have claimed C.J. Riefenhauser LHP on waivers from the Orioles. Edgar Olmos was again DFA.

  • They should have someone standing behind him to take the ball out of his glove when he's looking for a sign from the catcher, and throw to first. I vote for Baez. That way he can cover the rest of the infield, too.

  • but then d.ross wouldn't have someone to pitch around him or IBB him to put him on base...it's almost moot...almost...not really...but almost...kinda...

    just checked...7 IBB last year...hard to tell how many times he was pitched around, but even assuming it's 0 that brings his ob% to below .230 with a sub-.500 OPS.

  • the intro to the all-star game would take an hour longer just to announce the team...awesome.

  • Think how much more valuable Lester contract looks if he doesn't ever have to do that mockery of hitting thing he does!

  • TV schedule is out:
    http://muskat.mlblogs.com/2016/02/12/cubs-announce...

    It's irritating that it's so difficult to watch Cub games.

  • The NL should just go ahead and out-DH the AL.

  • Yes, you could say that AL baseball saps the purity and essence from the natural fluids of baseball. The double-switching, bunting, and lineup strategy is part of what makes the NL interesting, but clubs spend too much money on pitchers. They won't want them getting hurt running out a bunt. MLB also has an interest in doing what they can to improve offense in the post-ped, defensive analytics era.