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Review
. 2019 Jul 1;12(3):346-355.
doi: 10.1007/s12178-019-09563-5. Online ahead of print.

Review of Shoulder Range of Motion in the Throwing Athlete: Distinguishing Normal Adaptations from Pathologic Deficits

Aaron Hellem  1 , Matthew Shirley  2 , Nathan Schilaty  2   3 , Diane Dahm  2
Affiliations
Review

Review of Shoulder Range of Motion in the Throwing Athlete: Distinguishing Normal Adaptations from Pathologic Deficits

Aaron Hellem et al. Curr Rev Musculoskelet Med. .

Abstract

Purpose of review: Overhand (OH) throwers demonstrate a unique motion profile of the shoulder joint complex. This manuscript reviews normal adaptations in the OH thrower and contrast findings with pathologic motion deficits.

Recent findings: Multiple adaptations in range of motion have been associated with increased risk for arm injury. The use of a more conservative cutoff value for glenohumeral internal rotation deficit and horizontal adduction in younger throwers may help reduce injury risk. Deficits in glenohumeral internal rotation, total range of motion, shoulder flexion, and external rotation insufficiency have all been proposed as means to identify OH throwers at risk for arm injury, but conflicting evidence exists. Understanding normal adaptation due to repetitive stress of throwing is essential to effective management of these athletes. Adaptive change in bone and soft tissues is normal and contributes to the unique motion profiles expected in throwers. The causative link between normal adaptation and shoulder and elbow injury remains uncertain.

Keywords: Injury risk; Motion deficit; Normal adaptation; Overhead athlete; Range of motion; Shoulder.

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Figures

Fig. 1
Fig. 1
Passive glenohumeral internal rotation range of motion measurement, scapula stabilized
Fig. 2
Fig. 2
Passive glenohumeral external rotation range of motion measurement
Fig. 3
Fig. 3
Passive glenohumeral horizontal adduction range of motion measurement
Fig. 4
Fig. 4
Passive glenohumeral flexion range of motion measurement
See this image and copyright information in PMC

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References

    1. Conte S, Requa RK, Garrick JG. Disability days in major league baseball. Am J Sports Med. 2001;29(4):431–436. - PubMed
    1. Posner M, Cameron KL, Wolf JM, Belmont PJ, Jr, Owens BD. Epidemiology of Major League Baseball injuries. Am J Sports Med. 2011;39(8):1676–1680. - PubMed
    1. Conte S, Camp CL, Dines JS. Injury trends in Major League Baseball over 18 seasons: 1998-2015. Am J Orthop (Belle Mead NJ) 2016;45(3):116–123. - PubMed
    1. Collins CL, Comstock RD. Epidemiological features of high school baseball injuries in the United States, 2005-2007. Pediatrics. 2008;121(6):1181–1187. - PubMed
    1. Saper MG, Pierpoint LA, Liu W, Comstock RD, Polousky JD, Andrews JR. Epidemiology of shoulder and elbow injuries among United States high school baseball players: school years 2005-2006 through 2014-2015. Am J Sports Med. 2018;46(1):37–43. - PubMed