GIRD

Stretching: The Truth

I'm planning on a series of articles to update our readers on some of the current concepts in pitcher related injuries and diagnoses that most fans have not heard much about.

We've all had our fill of reading about pitchers with rotator cuff and glenoid labrum tears. There are some interesting trends in sportsmedicine that have lead to changes in exercise programs throughout the majors and minors in an attempt to protect pitchers from a cascade of preventable injuries most fans don't know about.

Diagnoses such as:

GIRD: (Glenohumeral Internal Rotation Deficit...not to be confused with the stomach malady also known as GERD which Cubs fans get from watching too many losses). Pitching (both cocking phase and deceleration phase) leading to a tight or thickened posterior shoulder capsular ligament plus a loose anterior capsule and loss of internal rotation of the shoulder. Extra external rotation of the shoulder develops at the expense of internal rotation.

Scapular Dyskinesia: Shoulder blade weakness with altered kinematics.

Internal Impingement: Thought to be related to posterior shoulder contracture from GIRD with subsequent instability of the shoulder as the humeral head (ball of the shoulder joint) which shifts back/posteriorly and upward/superiorly). This is a different entity from subacromial or rotator cuff impingement which is more common and typically occurs from friction outside the shoulder joint.

...and finally connecting the dots, sorting out how the the injured or weakened shoulder (scapula) leads to severe strain on the elbow and tearing of the Ulnar Collateral Ligament (aka the Tommy John injury).

My attention to this topic started last summer, when  I heard a remarkable interview on XM radio with renown Orthopedic Surgeon, Dr. Craig D. Morgan with hosts Jim Memolo and Rob Dibble. The focus of the interview was Stephen Strasburg's shoulder tightness and the subsequent ulnar collateral ligament elbow injury that lead to "Tommy John" reconstruction of that ligament last summer. Dr. Morgan said that he had predicted elbow problems in Strasburg by watching the way he held his shoulder.

More on how the arm bone is connected to the...after the jump.

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  • marlins getting a.cashner and c.rea from SD

    crunch 5 min 35 sec ago view
  • This is not an attack...But In what stat are the Cubs second from last in MLB, in hitting? I don't see this.

    Dusty Baylor 1 hour 11 min ago view
  • How odd the stats:

    Cubs 1st in pitching in MLB

    2nd to last in hitting.

    In May they were 1st in both.

    The E-Man 1 hour 28 min ago view
  • trevor clifton (high-A) could be interesting in a couple seasons...could even become a high/middle rotation guy. he's got a lot of pluses in his pitching except control.

    eric leal's (high-A) progression through the minors should be worth watching even if only projects to be an mid/end-rotation starter.

    we also gotta keep a long-distance eye on guys like jose paulino (ss-A) and preston morrison (A).

    crunch 10 hours 7 min ago view
  • As Johnny Bach used to say when it was time for the MJ Bulls to crank up the defensive pressure: "Release the Dobermans!", and Jordan, Pippen, Rodman and Harper would just suffocate the other team.

    I'd love to add Carl Jr. to that group - he's got the stuff.

    billybucks 10 hours 27 min ago view
  • Historically, the Moneyball guys have been great at identifying productive hitters. Not so much with pitchers.

    billybucks 10 hours 28 min ago view
  • Wow - Pierce Johnson with an ERA of 8.01 in 42IP!

    What a stud prospect! Must be pitching with a pierced johnson.

    Looks like Ryan Williams is the only legit prospect there. That is sad...

    The E-Man 10 hours 30 min ago view
  • Well it would seem that's all they need now. "Stropy" can have his moments, but he's been more consistent post-asg.

    The E-Man 10 hours 39 min ago view
  • Take THAT, Cardinals -- you beat Fernandez, we beat Sale.

    I really like Lackey as a 6-inning pitcher.

    billybucks 11 hours 6 min ago view
  • Three amigos? Because the Dominican, the Venezuelan, and the Cuban?

    Maybe the three-headed dragon?

    John Beasley 11 hours 22 min ago view
  • Who says Contreras can't frame? Stone cold robbery of Eaton with that called third strike for the first out in the eighth

    Eric S 11 hours 53 min ago view
  • Three amigos time?

    7-8-9th

    jacos 12 hours 8 min ago view
  • he should hit more of those. that would be an ideal outcome. /moneyballs

    crunch 16 hours 24 min ago view
  • Russell with 19 RBI in July so far. Grand Slams help.

    billybucks 17 hours 5 min ago view
  • ...and Familia with back-to-back blown saves. Blows a one-run lead vs. Rockies today, gets his 2nd consecutive loss.

    I am OK with the Mets missing the playoffs and suffering crushing losses at home --- just want them to beat St. Louis.

    He played with fire twice agains the Cubs -- unfortunately, the Cubs couldn't stop swinging.

    billybucks 17 hours 9 min ago view
  • How about Kyle Farnsworth? I know he was consistently upper 90s.

    videographer 19 hours 4 min ago view