Effect of posterior capsule tightness on glenohumeral translation in the late-cocking phase of pitching

Kim M. Clabbers, John D. Kelly IV, Dov Bader, Matthew Eager, Carl Imhauser, Sorin Siegler, Ray A. Moyer

Research output: Contribution to journalArticle

36 Scopus citations

Abstract

Context: Throwing injuries. Objective: To study the effects of posterior capsule tightness on humeral head position in late cocking simulation. Design: Eight fresh frozen shoulders were placed in position of "late cocking," 90 degrees abduction, and 10 degrees adduction and maximal external rotation. 3D measurements of humeral head relationship to the glenoid were taken with an infrared motion sensor, both before and after suture plication of the posterior capsule. Plications of 20% posterior/inferior capsule and 20% entire posterior capsule were performed, followed by plications of 40% of the posterior/inferior capsule and 40% entire posterior capsule. Setting: Cadaver Lab. Intervention: Posterior capsular placation. Main Outcome Measures: Humeral head position. Results: 40%, but not 20%, posterior/inferior and posterior plications demonstrated a trend to increased posterior-superior humeral head translation relative to controls. Conclusion: Surgically created posterior capsular tightness of the glenohumeral joint demonstrated a nonsignificant trend to increased posterior/superior humeral head translation in the late cocking position of throwing.

Original languageEnglish (US)
Pages (from-to)41-49
Number of pages9
JournalJournal of Sport Rehabilitation
Volume16
Issue number1
DOIs
Publication statusPublished - Feb 2007

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All Science Journal Classification (ASJC) codes

  • Biophysics
  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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