Relationship between pain, elbow valgus instability, and the function of flexor pronator muscles in baseball players

© 2020 The Author(s).

Bibliographische Detailangaben
Veröffentlicht in:JSES international. - 2020. - 5(2021), 1 vom: 12. Jan., Seite 31-34
1. Verfasser: Noda, Issei (VerfasserIn)
Weitere Verfasser: Kudo, Shintarou
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2021
Zugriff auf das übergeordnete Werk:JSES international
Schlagworte:Journal Article Ulnar collateral ligament flexor pronator muscles medial elbow pain ultrasound imaging valgus instability
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520 |a HYPOTHESIS: We hypothesize that ulnohumeral joint space distance due to gravity valgus stress may not be related to pain in the medial elbow of the dominant arm in baseball players 
520 |a METHODS: Thirty-one male baseball players were divided into an ulnar collateral ligament (UCL) injury group (n = 16) and a Healthy group (n = 15). The injury groups were diagnosed with UCL injury by magnetic resonance imaging, and was defined as having pain during throwing. The medial elbow of each player's throwing arm was imaged by ultrasonography under valgus stress. The ulnohumeral joint space was measured for horizontal and vertical distances. The examiner added resistance force on the subject in order to produce isometric contraction of the forearm pronator muscles (FPMs). Measurements were taken at rest and at FPM isometric contraction. The Mann-Whitney U test was used to compare data between the dominant and nondominant sides, and between the UCL injury group and the Healthy group 
520 |a RESULTS: The horizontal and vertical distance at rest on the dominant side was not significantly different between 2 groups. The vertical distance during contraction of the flexor carpi radialis (FCR), flexor carpi ulnaris (FCU), and pronator teres (PT) muscles was significantly different between the UCL injury group and the Healthy group (P < .05) and was shifted laterally. A shift in the lateral direction indicates an increase in valgus instability 
520 |a CONCLUSIONS: The dominant side suggested that the space in the ulnohumeral joint space was wider, with or without pain. It was suggested that players with medial elbow pain may have impaired FCR, FCU, and PT function 
650 4 |a Journal Article 
650 4 |a Ulnar collateral ligament 
650 4 |a flexor pronator muscles 
650 4 |a medial elbow pain 
650 4 |a ultrasound imaging 
650 4 |a valgus instability 
700 1 |a Kudo, Shintarou  |e verfasserin  |4 aut 
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773 1 8 |g volume:5  |g year:2021  |g number:1  |g day:12  |g month:01  |g pages:31-34 
856 4 0 |u http://dx.doi.org/10.1016/j.jseint.2020.09.007  |3 Volltext 
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