Posterior capsular fibrosis in professional baseball pitchers: case series of MR arthrographic findings in six patients with glenohumeral internal rotational deficit
Abstract In the high-performance athlete, acquired thickening of the posterior joint capsule is a proposed etiology for glenohumeral internal rotational deficit (GIRD). The purpose of this study was to present our MR arthrographic imaging observations of posterior capsular thickening in professional...
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| Veröffentlicht in: | Clinical imaging 2007-09, Vol.31 (5), p.343-348 |
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| creator | Tehranzadeh, Arash D Fronek, Jan Resnick, Donald |
| description | Abstract In the high-performance athlete, acquired thickening of the posterior joint capsule is a proposed etiology for glenohumeral internal rotational deficit (GIRD). The purpose of this study was to present our MR arthrographic imaging observations of posterior capsular thickening in professional baseball players who present with reduced throwing velocity related to pain and clinical findings of internal rotational deficit of the glenohumeral joint. Our observations of MR imaging features in patients with clinical and arthroscopic manifestations of GIRD lesions include articular surface partial thickness tears of the supraspinatus and infraspinatus tendons, superoposterior subluxation of the humeral head and SLAP tears of the labrum. Although no empiric standard currently exists for the axial dimension thickness of the shoulder capsule, we have observed a thickened appearance of the posterior band of the inferior glenohumeral ligament in these patients. |
| doi_str_mv | 10.1016/j.clinimag.2007.05.005 |
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The purpose of this study was to present our MR arthrographic imaging observations of posterior capsular thickening in professional baseball players who present with reduced throwing velocity related to pain and clinical findings of internal rotational deficit of the glenohumeral joint. Our observations of MR imaging features in patients with clinical and arthroscopic manifestations of GIRD lesions include articular surface partial thickness tears of the supraspinatus and infraspinatus tendons, superoposterior subluxation of the humeral head and SLAP tears of the labrum. 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The purpose of this study was to present our MR arthrographic imaging observations of posterior capsular thickening in professional baseball players who present with reduced throwing velocity related to pain and clinical findings of internal rotational deficit of the glenohumeral joint. Our observations of MR imaging features in patients with clinical and arthroscopic manifestations of GIRD lesions include articular surface partial thickness tears of the supraspinatus and infraspinatus tendons, superoposterior subluxation of the humeral head and SLAP tears of the labrum. Although no empiric standard currently exists for the axial dimension thickness of the shoulder capsule, we have observed a thickened appearance of the posterior band of the inferior glenohumeral ligament in these patients.</description><subject>Adult</subject><subject>Arthroscopy</subject><subject>Athletes</subject><subject>Bands</subject><subject>Baseball - injuries</subject><subject>Biological and medical sciences</subject><subject>Cysts</subject><subject>Endoscopy</subject><subject>Fibrosis - diagnosis</subject><subject>Fibrosis - etiology</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Joint</subject><subject>Joint Capsule - pathology</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>MR Imaging</subject><subject>Musculoskeletal imaging</subject><subject>Pain</subject><subject>Professional baseball</subject><subject>Radiology</subject><subject>Rotation</subject><subject>Shoulder</subject><subject>Shoulder Dislocation - diagnosis</subject><subject>Shoulder Dislocation - etiology</subject><subject>Sports medicine</subject><issn>0899-7071</issn><issn>1873-4499</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkt2O0zAQhSMEYsvCK6wsIbhrsePYSbhAoBV_0iIQP9eW44xblzTOehJgH4j3ZNIWVdqbvfLNd854zpksuxB8JbjQL7Yr14U-7Ox6lXNerrhaca7uZQtRlXJZFHV9P1vwqq6XJS_FWfYIcctJWBflw-xMlFWuyqJYZH-_RBwhhZiYswNOnU3MhyZFDMhCz4YUPSCG2NuONRahsV3HhjC6DSR8SSIEhmQAyKJnn74ym8ZNiutkh01w5NW3oV_vvTD8YYMdA_Qjst9h3LB1B33cTDtI5B56-sg8JsWRqP3EFnxwYXycPfC2Q3hyfM-zH-_efr_8sLz6_P7j5ZurpVOCj0vV6gK0srLyVZG7Vja8UVI3yro2r0RFSWnZWC2r3HvgqhSV9rr2TnvpnMrlefb84EtrX0-Ao9kFdNB1toc4odEUG4n1naCoNS-kKgh8egvcxmnekhguc6XzvCiJ0gfKUfCYwJshUbfphiAz92225n_fZu7bcGWobxJeHO2nZgftSXYsmIBnR8Cis51PtncBT1wtBNdKEPf6wAHF-ytAMuioKAdtSOBG08Zw919e3bLYYzT1J9wAnvY2mBtuvs3XOR8nL-kwZVnIf_mJ5Kk</recordid><startdate>20070901</startdate><enddate>20070901</enddate><creator>Tehranzadeh, Arash D</creator><creator>Fronek, Jan</creator><creator>Resnick, Donald</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7QO</scope><scope>7TS</scope><scope>7X8</scope></search><sort><creationdate>20070901</creationdate><title>Posterior capsular fibrosis in professional baseball pitchers: case series of MR arthrographic findings in six patients with glenohumeral internal rotational deficit</title><author>Tehranzadeh, Arash D ; Fronek, Jan ; Resnick, Donald</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c510t-5d64e65a38f842cd3b0b536b5acd281820063ba6382ffe057186f69fc6f3cc523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Arthroscopy</topic><topic>Athletes</topic><topic>Bands</topic><topic>Baseball - injuries</topic><topic>Biological and medical sciences</topic><topic>Cysts</topic><topic>Endoscopy</topic><topic>Fibrosis - diagnosis</topic><topic>Fibrosis - etiology</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Joint</topic><topic>Joint Capsule - pathology</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>MR Imaging</topic><topic>Musculoskeletal imaging</topic><topic>Pain</topic><topic>Professional baseball</topic><topic>Radiology</topic><topic>Rotation</topic><topic>Shoulder</topic><topic>Shoulder Dislocation - diagnosis</topic><topic>Shoulder Dislocation - etiology</topic><topic>Sports medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tehranzadeh, Arash D</creatorcontrib><creatorcontrib>Fronek, Jan</creatorcontrib><creatorcontrib>Resnick, Donald</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Biotechnology Research Abstracts</collection><collection>Physical Education Index</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tehranzadeh, Arash D</au><au>Fronek, Jan</au><au>Resnick, Donald</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Posterior capsular fibrosis in professional baseball pitchers: case series of MR arthrographic findings in six patients with glenohumeral internal rotational deficit</atitle><jtitle>Clinical imaging</jtitle><addtitle>Clin Imaging</addtitle><date>2007-09-01</date><risdate>2007</risdate><volume>31</volume><issue>5</issue><spage>343</spage><epage>348</epage><pages>343-348</pages><issn>0899-7071</issn><eissn>1873-4499</eissn><coden>CLIMEB</coden><abstract>Abstract In the high-performance athlete, acquired thickening of the posterior joint capsule is a proposed etiology for glenohumeral internal rotational deficit (GIRD). The purpose of this study was to present our MR arthrographic imaging observations of posterior capsular thickening in professional baseball players who present with reduced throwing velocity related to pain and clinical findings of internal rotational deficit of the glenohumeral joint. Our observations of MR imaging features in patients with clinical and arthroscopic manifestations of GIRD lesions include articular surface partial thickness tears of the supraspinatus and infraspinatus tendons, superoposterior subluxation of the humeral head and SLAP tears of the labrum. Although no empiric standard currently exists for the axial dimension thickness of the shoulder capsule, we have observed a thickened appearance of the posterior band of the inferior glenohumeral ligament in these patients.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>17825744</pmid><doi>10.1016/j.clinimag.2007.05.005</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Arthroscopy Athletes Bands Baseball - injuries Biological and medical sciences Cysts Endoscopy Fibrosis - diagnosis Fibrosis - etiology Humans Investigative techniques, diagnostic techniques (general aspects) Joint Joint Capsule - pathology Magnetic Resonance Imaging - methods Male Medical sciences Middle Aged MR Imaging Musculoskeletal imaging Pain Professional baseball Radiology Rotation Shoulder Shoulder Dislocation - diagnosis Shoulder Dislocation - etiology Sports medicine |
| title | Posterior capsular fibrosis in professional baseball pitchers: case series of MR arthrographic findings in six patients with glenohumeral internal rotational deficit |
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