Abstract
Fast – pitch, windmill softball pitchers see significant volumes of throwing during a given season, exposing these athletes to substantial risk of upper extremity overuse injury.In particular, the shoulde biceps – labral complex experiences substantial stress immediately prior to the release phase of the fast - pitch cycle, with angular velocity reaching as high as 2190 deg / s and distraction forces as high as 80% of body weight.We present a case of an 18 year – old, competitive, fast – pitch softball pitcher who presented with progressive anterior shoulder pain, loss in velocity and difficulty with pitch location.
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References
Aragon VJ, Oyama S, Oliaro SM, Padua DA, Myers JB. Trunk-rotation flexibility in collegiate softball players with or without a history of shoulder or elbow injury. J Athl Train. 2012;47:507–15.
Associations NFoSHS. 2014–2015 High school athletics participation survey.pdf and historical data from www.nfhs.org/participation survey. Accessed Jun 2016.
Marshall SW, Hamstra-Wright KL, Dick R, Grove KA, Agel J. Descriptive epidemiology of collegiate women’s softball injuries: National Collegiate Athletic Association Injury Surveillance System, 1988–1989 through 2003–2004. J Athl Train. 2007;42:286–94.
Loosli AR, Requa RK, Garrick JG, Hanley E. Injuries to pitchers in women’s collegiate fast-pitch softball. Am J Sports Med. 1992;20:35–7.
Rauh MJ, Macera CA, Ji M, Wiksten DL. Subsequent injury patters in girls’ high school sports. J Athl Train. 2007;42:486–94.
Rojas IL, Provencher MT, Bhatia S, Foucher KC, Bach BR, Romeo AA, Wimmer MA, Verma NN. Biceps activity during windmill softball pitching. Am J Sports Med. 2009;37:558–65.
Shanley E, Rauh MJ, Michener LA, Ellenbecker TS. Incidence of injuries in high school softball and baseball players. J Athl Train. 2011;46:648–54.
Shanley E, Michener LA, Ellenbecker TS, Rauh MJ. Shoulder range of motion, pitch count and injuries among interscholastic female softball pitchers: a descriptive study. Int J Sports Phys Ther. 2012;7(5):548–57.
Werner SL, Jones DG, Guido JA, Brunet ME. Kinematics and kinetics of elite windmill softball pitching. Am J Sports Med. 2006;34:597–603.
Gagey OJ, Gagey N. The hyperabduction test. J Bone Joint Surg Br. 2001;83:69–74.
Myers TH, Zemanovic JR, Andrews JR. The resisted supination external rotation test: a new test for the diagnosis of superior labral anterior posterior lesions. Am J Sports Med. 2005;33:1315–20.
Maffet MW, Gartsman GM, Moseley B. Superior labrum-biceps tendon complex lesions of the shoulder. Am J Sports Med. 1995;23:93–8.
Jang SH, Seo JG, Jang HS, Jung JE, Kim JG. Predictive factors associated with failure of nonoperative treatment of superior labrum anterior—posterior tears. J Shoulder Elb Surg. 2016;25:428–34.
Cools AM, Borms D, Cottens S, Himpe M, Meersdom S, Cagnie B. Rehabilitation exercises for athletes with biceps disorders and SLAP lesions: a continuum of exercises with increasing loads on the biceps. Am J Sports Med. 2014;42:1315–22.
Neri BR, ElAttrache NS, Owsley KC, Mohr K, Yocum LA. Outcome of type II superior labral anterior posterior repairs in elite overhead athletes: effect of concomitant partial-thickness rotator cuff tears. Am J Sports Med. 2011;39:114–20.
Park JY, Chung SW, Jeon SH, Lee JG, Oh KS. Clinical and radiological outcomes of type 2 superior labral anterior posterior repairs in elite overhead athletes. Am J Sports Med. 2013;41:1372–9.
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Pearce McCarty, L. (2017). Anterior Shoulder Pain in a Windmill Softball Pitcher. In: Verma, N., Strauss, E. (eds) The Biceps and Superior Labrum Complex. Springer, Cham. https://doi.org/10.1007/978-3-319-54934-7_5
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