BASEBALL PITCHING BIOMECHANICS AFTER SURGERY

Baseball pitchers with and without histories of elbow or shoulder surgery were tested with a 240 Hz automated 3D motion capture system. No differences were found between pitchers with history of UCL reconstruction and matched controls. Pitchers tested shortly after returning from UCL repair demonstrated reduced elbow extension, elbow velocity, and shoulder velocity compared to a control group, but it is unknown whether these few kinematic differences resolve with time. Pitchers with a history of SLAP repair produced less shoulder horizontal abduction, shoulder external rotation, and forward trunk tilt than matched controls. The Thoracic Outlet Syndrome case report demonstrated significantly more shoulder abduction after surgery. Thus the ability to return to normal pitching biomechanics after injury depends upon the type of surgery

Mini-open Incision Sports Hernia Repair: A Surgical Technique for Core Muscle Injury

One cause of groin pain in highly active patients may be a core muscle injury, commonly referred to as sports hernia. When patients fail nonoperative management, there are a number of surgical options that may be pursued. Typically, they will involve the direct repair of the rectus abdominis back to the pubis. However, we believe that this repair can be further strengthened by the appropriate lengthening of the adductor longus from the conjoined tendon. Therefore, we present a surgical technique that involves both rectus abdominis repair and adductor longus lengthening in those who show a core muscle injury that is refractory to conservative management. We believe that this technique can be easily replicated by practitioners reading this Technical Note