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.

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  • draft signings are trickling in...rounds 6-9 are signed + a random slew of others.

    http://www.baseballamerica.com/draftdb/index.php

    filter by team.

    crunch 8 hours 10 min ago view
  • Former Major League All-Star Jim Hickman dies at 79

    http://www.tennessean.com/story/sports/2016/06/25/...

    QuietMan 9 hours 14 min ago view
  • Yep...sort of. Matheny says Rosenthal will no longer pitch the 9th, and they will mix/match Oh, Siegrist and Broxton.

    billybucks 9 hours 33 min ago view
  • Duane Underwood now 0-5 with a 5.44 ERA for Tenn. Urp. Warren not sharp at Iowa tonight. When will Cease and Hudson be ready?

    On a positive note, Jiminez with his 10th HR tonight. He has a .924 OPS -- the only player in the league with an OPS over .900. Leads the lead in 2B, SLG and OPS, tied for the league lead in HR and 3rd in Avg. Nice!

    billybucks 9 hours 39 min ago view
  • - The pressure of going for the regular-season wins record is now gone.
    - Joe will come up with more wacky dress-up ideas for the team to wear after they lose their next get-away game.
    - There is more clarity on Spencer Patton.
    - We play the Reds next. They aren't very good.
    - We'll have at least a 9 game lead after today.
    EDIT: - Contreras looks like the real deal.

    Other than that, not much -- nasty stretch. Two ugly losses in the last 4 games.
    Ugh -- give Lackey a 4-1 lead, you hope for better.

    billybucks 11 hours 39 min ago view
  • Joe: "We lost. They beat us. Now where's my '09 Guigal Bordeaux glass...?

    The E-Man 12 hours 36 min ago view
  • I forgot how rail thin skinny Carl Edwards Jr. Is - he threw some nasty stuff - hope that continues

    Eric S 12 hours 42 min ago view
  • HAHAHA! I love it here! Brilliant...

    The E-Man 12 hours 45 min ago view
  • "The pressure of going for the regular-season wins record is now gone."

    Brilliant. Maddon is a genius!

    Brick 12 hours 50 min ago view
  • "Drink copiously but responsibly."

    Done and done. Thanks for that.

    Brick 12 hours 51 min ago view
  • Oil Can Boyd now pitching for the Cubs

    Eric S 12 hours 59 min ago view
  • It's a long season. There will be stretches like this. It's Saturday night. Drink copiously but responsibly.

    Jackstraw 13 hours 7 min ago view
  • That valuable RBIGIDP.

    Brick 13 hours 7 min ago view
  • Someone talk me down here.

    Brick 13 hours 20 min ago view
  • I remember AZ PHIL talking about Bour's power during the Hendry era.

    The E-Man 13 hours 48 min ago view
  • Time to scrap the scouting report on Justin Bour and get a new one. Sheesh.

    billybucks 13 hours 50 min ago view