Internal Derangement of the Shoulder Joint in Asymptomatic Professional Baseball Players.
Acad Radiol
; 27(4): 582-590, 2020 04.
Article
em En
| MEDLINE
| ID: mdl-31300356
ABSTRACT
RATIONALE AND OBJECTIVES:
To evaluate the influence of throwing activity on shoulder morphology and the difference in shoulder morphology on MRI between asymptomatic professional baseball players and volunteers who play baseball as a recreational activity. MATERIALS ANDMETHODS:
This retrospective case-control study included 68 asymptomatic professional baseball players (32 pitchers, 36 batters) and 30 male volunteers. Morphologic changes in the following shoulder structures were assessed on MRI rotator cuff, glenoid labrum, humeral head, subacromial-subdeltoid bursa, subcoracoid bursa, long head of the biceps tendon, deltoid muscle, acromion, and clavicle.RESULTS:
Partially torn supraspinatus, posterior glenoid or labral lesions, bone marrow edema, intraosseous cysts of the humeral head, and edematous subacromial-subdeltoid bursa were significantly more commonly observed in players (p = 0.01, p < 0.001, p = 0.03, p< 0.001, and p < 0.001). Players with more than 10 years of experience had a significantly higher incidence of patchy intermediate signal abnormality (odds ratio 3.73, p = 0.03), partial tear in the supraspinatus tendon (odds ratio 6.20, p = 0.03), and edematous change in the subacromial-subdeltoid bursa (odds ratio 2.96, p = 0.03).CONCLUSION:
The results from our study showed that repetitive throwing activities cause macroscopic structural lesions of the shoulder joints in asymptomatic baseball players. Significance of these lesions is to be determined.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Articulação do Ombro
/
Beisebol
/
Lesões do Manguito Rotador
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Humans
/
Male
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article