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Four-dimensional computed tomography evaluation of shoulder joint motion in collegiate baseball pitchers

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Title: Four-dimensional computed tomography evaluation of shoulder joint motion in collegiate baseball pitchers
Authors: Momma, Daisuke Browse this author →KAKEN DB
Orias, Alejandro A. Espinoza Browse this author
Irie, Tohru Browse this author
Irie, Tomoyo Browse this author
Kondo, Eiji Browse this author →KAKEN DB
Iwasaki, Norimasa Browse this author →KAKEN DB
Inoue, Nozomu Browse this author
Issue Date: 25-Feb-2022
Publisher: Nature Portfolio
Journal Title: Scientific reports
Volume: 12
Issue: 1
Start Page: 3231
Publisher DOI: 10.1038/s41598-022-06464-5
Abstract: The purpose of this study is to evaluate the glenohumeral contact area, center of glenohumeral contact area, and center of humeral head during simulated pitching motion in collegiate baseball pitchers using four-dimensional computed tomography (4D CT). We obtained 4D CT data from the dominant and non-dominant shoulders of eight collegiate baseball pitchers during the cocking motion. CT image data of each joint were reconstructed using a 3D reconstruction software package. The glenohumeral contact area, center of glenohumeral contact area, center of humeral head, and oblateness of humeral head were calculated from 3D bone models using customized software. The center of glenohumeral contact area translated from anterior to posterior during maximum external rotation to maximum internal rotation (0.58 +/- 0.63 mm on the dominant side and 0.99 +/- 0.82 mm on the non-dominant side). The center of humeral head translated from posterior to anterior during maximum external rotation to maximum internal rotation (0.76 +/- 0.75 mm on the dominant side and 1.21 +/- 0.78 mm on the non-dominant side). The increase in anterior translation of the center of glenohumeral contact area was associated with the increase in posterior translation of the center of humeral head. Also, the increase in translation of the center of humeral head and glenohumeral contact area were associated with the increase in oblateness of the humeral head. 4D CT analyses demonstrated that the center of humeral head translated in the opposite direction to that of the center of glenohumeral contact area during external rotation to internal rotation in abduction in the dominant and non-dominant shoulders. The oblateness of the humeral head may cause this diametric translation. 4D CT scanning and the software for bone surface modeling of the glenohumeral joint enabled quantitative assessment of glenohumeral micromotion and be used for kinematic evaluation of throwing athletes.
Type: article
URI: http://hdl.handle.net/2115/85505
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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