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Morphologic changes in the posterior glenoid rim is independently associated with rotator cuff impingement in baseball players.
Takahashi, Makoto; Mutsuzaki, Hirotaka; Iwamoto, Koji; Monma, Masahiko; Tomita, Kazuhide; Mizukami, Masafumi.
Afiliación
  • Takahashi M; Department of Physical Therapy, School of Health Sciences, Japan University of Health Sciences, 2-555, Hirasuka, Satte-shi, Saitama, 340-0145, Japan.
  • Mutsuzaki H; Department of Rehabilitation, Hitachino Orthopedic Clinic: 3-2-1 Hitachino Higashi, Ushiku-shi, Ibaraki, 300-1207, Japan.
  • Iwamoto K; Center for Medical Sciences, Ibaraki Prefectural University of Health Sciences, 4669-2 Ami, Inashikigun-Ami-machi, Ibaraki, 300-0394, Japan.
  • Monma M; Department of Orthopaedic Surgery, Ibaraki Prefectural University of Health Sciences Hospital, 4773 Ami, Inashikigun -Ami -machi, Ibaraki, 300 -0331, Japan.
  • Tomita K; Department of Physical Therapy, School of Rehabilitation, Tokyo Professional University of Health Sciences, 22-10, Shiohama 2-chome, Koto-ku, Tokyo, 135-0043, Japan.
  • Mizukami M; Department of Radiological Sciences, Ibaraki Prefectural University of Health Sciences, 4669-2 Ami, Inashikigun-Ami-machi, Ibaraki, 300-0394, Japan.
Heliyon ; 10(13): e33064, 2024 Jul 15.
Article en En | MEDLINE | ID: mdl-39035492
ABSTRACT

Background:

The morphological changes in the posterior glenoid rim are unknown in relation to the area of rotator cuff tendons pinched within the glenohumeral joint in the throwing shoulders of baseball players. Therefore, this study aimed to clarify whether these changes are associated with the area of impingement in baseball players.

Methods:

Overall, 25 asymptomatic male college baseball players (average age19.8 years, 11.6 years of competing, and 50 shoulders) participated in this study. The area of impingement (AOI, mm2) and posterior glenohumeral distance (PGHD, mm) were measured using magnetic resonance imaging to quantitatively assess the impingement area of the rotator cuff tendon within the glenohumeral joint and the morphologic change in the posterior glenoid rim. These magnetic resonance imaging assessments were measured at 90° shoulder abduction with 90° and 100° external rotation. Multiple linear regression analysis was performed to determine whether AOI is predicted by PGHD.

Findings:

Multiple linear regression analysis showed that the PGHD was a predictor of the AOI at external rotation 90° (ß-coefficient = 0.738, R2 = 0.77, P < 0.001) and external rotation 100° position (ß-coefficient = 0.879, R2 = 0.76, P < 0.001).

Interpretation:

This study found that the area of impingement was associated with posterior glenohumeral distance. Therefore, these findings may indicate that complex shoulder joint morphologic changes result in a disabled throwing shoulder.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Heliyon Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Heliyon Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido