Does restriction of glenohumeral horizontal adduction reflect posterior capsule thickening of the throwing shoulder?

  • Ishigaki Tomonobu
    Graduate School of Health Sciences, Hokkaido University, Japan Matsuda Orthopaedic Memorial Hospital, Japan
  • Ishida Tomoya
    Graduate School of Health Sciences, Hokkaido University, Japan Hokushin Hospital, Japan
  • Samukawa Mina
    Faculty of Health Sciences, Hokkaido University: West 5, North 12, Kita-ku, Sapporo, Hokkaido 060-0812, Japan
  • Saito Hiroshi
    Faculty of Health Sciences, Hokkaido University: West 5, North 12, Kita-ku, Sapporo, Hokkaido 060-0812, Japan
  • Ezawa Yuya
    Matsuda Orthopaedic Memorial Hospital, Japan
  • Hirokawa Motoki
    Graduate School of Health Sciences, Hokkaido University, Japan
  • Kato Takumi
    School of Health and Rehabilitation Sciences, University of Pittsburgh, USA
  • Sugawara Makoto
    Matsuda Orthopaedic Memorial Hospital, Japan
  • Tohyama Harukazu
    Faculty of Health Sciences, Hokkaido University: West 5, North 12, Kita-ku, Sapporo, Hokkaido 060-0812, Japan
  • Yamanaka Masanori
    Faculty of Health Sciences, Hokkaido University: West 5, North 12, Kita-ku, Sapporo, Hokkaido 060-0812, Japan

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[Purpose] Glenohumeral posterior capsule tightness possibly relates to posterior capsule thickness (PCT). The purpose of the current study was to analyze the relationships between PCT and glenohumeral range of motion (ROM) in horizontal adduction (HAdd) and internal rotation (IR). [Subjects and Methods] This study recruited 39 healthy collegiate baseball players. We measured PCT by using ultrasonography and ROM of the glenohumeral joint of the throwing shoulder by using a digital inclinometer. Pearson’s correlation coefficients were calculated between PCT and HAdd or IR ROM. [Results] There was no correlation between PCT and HAdd ROM, but PCT was significantly correlated with IR ROM. [Conclusion] This result indicates that posterior shoulder capsule tightness only relates to IR ROM, and that restricted HAdd ROM might reflect tightness of other tissue, such as the posterior deltoid.

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