Relationship between glenohumeral internal rotation deficit and shoulder conditions in professional baseball pitchers

• Published in: Journal of shoulder and elbow surgery 2021-09, Vol.30 (9), p.2073-2081
• Main Authors: Yamaura, Kohei, Mifune, Yutaka, Inui, Atsuyuki, Nishimoto, Hanako, Kurosawa, Takashi, Mukohara, Shintaro, Yoshikawa, Tomoya, Hoshino, Yuichi, Niikura, Takahiro, Kokubu, Takeshi, Kuroda, Ryosuke
• Format: Article
• Language: English
• Subjects: Baseball players; glenohumeral internal rotation deficit; infraspinatus; muscle thickness; posterior shoulder tightness; supraspinatus
• ISSN: 1058-2746; 1532-6500
• DOI: 10.1016/j.jse.2020.10.041

Previous studies have reported that glenohumeral internal rotation deficit (GIRD) may increase the risk of throwing-shoulder injuries. The purpose of this study was to analyze the conditions of the throwing shoulder in professional baseball pitchers with GIRD by comparing with those in pitchers without GIRD. In total, 26 male professional baseball pitchers participated in this study. We evaluated passive range of motion (ROM) and isometric muscle strength at internal rotation (IR) and external rotation (ER) at 90° of abduction, as well as the muscle thickness of the supraspinatus (SSP) and infraspinatus (ISP) by ultrasound. The pitchers were divided into 2 groups: those who exhibited a loss of IR of ≥20° in the throwing shoulder (GIRD group) and those who did not (non-GIRD group). In the GIRD group, the total ROM deficit (throwing side – non-throwing side) (P < .001), the muscle thickness ratio (throwing to non-throwing) of the SSP and ISP (P = .017 and P = .014, respectively), and the muscle strength ratio (throwing to non-throwing) of ER (P = .028) were significantly lower than those in the non-GIRD group. In contrast, the muscle strength ratio (throwing to non-throwing) of IR was significantly higher in the GIRD group than in the non-GIRD group (P = .0064). We have shown that GIRD has significant correlations with several conditions, such as atrophy of the SSP and ISP, weakness of ER strength, enhancement of IR strength, limitation of total ROM, and throwing side, all of which could be important factors for throwing-shoulder injuries.