Image
Internal Impingement
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.
- Read more about Stretching: The Truth
- 112 comments
- Log in or register to post comments
Recent comments
crunch (view)
PCA finally gets a hit! 2r HR!!!
Charlie (view)
They certainly could be coupled. It could also be the case that a team needs good players at the heart of the team and if they are not coming from one source (development) they have to be sought out elsewhere. I don't see the evidence needed to infer the cause.
crunch (view)
bases loaded for the cubs, 0 out...and no runs score.
cubbery.
TarzanJoeWallis (view)
Walker was a complimentary piece who was well past his prime. Edmonds, Holliday, Ozzie Smith and a few others were good trades. Notably, they have almost always been quiet in the free agent market. But the fundamental workings of the organization were always based primarily upon the constant output of a well oiled minor league organization. That organization has ground to a halt. And when did that hard stop start to happen? Right at the beginning of the Goldschmidt/Arenado era, perpetuated by the Contreras signing, followed by the rotation purchases during the last offseason. The timing is undeniable and, in my mind, not coincidental.
Again, we are all saying that player development became deemphasized. I’m just linking it directly to the recent trades and involvement in the free agent market. I don’t see how the two concepts can be decoupled.
Charlie (view)
The Cards also traded for both Jim Edmonds and Larry Walker. It's the developing part that has fallen off. Of course, it could also be the case that there are no more Matt Carpenters left to pull out of the hat.
Childersb3 (view)
Cubs sign 28 yr old RHRP Daniel Missaki. He was in MiLB from his 17yr old to 19yr old years and did pretty well.
He's been in Mexico and Japan the last four years and has done well also.
He's supposedly Japanese and Brazilian.
Interesting sign. We obviously need to RP in the system
Injuries are mounting everywhere!!
TarzanJoeWallis (view)
Sure, they made generally short term trades for established players to enhance what they already had or traded for players early enough in their careers that they were essentially Cardinals from the start. What they never did was to try to use the more established players as foundational cornerstones.
Essentially we’re saying the same thing. They have given up on player development to the point that even their prospects that make it to the bigs flop so that they have to do things like buy most of their rotation and hope for the best.
Dolorous Jon Lester (view)
I don’t buy that. They had been doing that for years.
They did it with Matt Holliday. They did it with John Lackey. They did it with Mark Mulder. They did it with Jason Heyward, who had a great year for them. I’m sure there’s more but those come to mind immediately.
I attribute it more to a breakdown in what they’re doing in terms of development than a culture thing.
TarzanJoeWallis (view)
They won those trades and sacrificed their culture. That’s exactly their problem.
Dolorous Jon Lester (view)
The other part that’s kind of crazy is they made two very high profile trades, one for Goldschmidt and one for Arenado, and they very clearly won those trades. They just haven’t been able to develop players the last handful of years the way they usually do.
I guess the moral there is it’s hard to stay on top of your game and be good at what you do in perpetuity.