Osteochondritis dissecans of the glenoid associated with the nontraumatic, painful throwing shoulder in a professional baseball player: A case report

Koike, Yoichi; Komatsuda, Tatsuro; Sato, Katsumi

doi:10.1016/j.jse.2007.11.009

Cited by 17 publications

(8 citation statements)

References 20 publications

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“…The typical pattern of subchondral cysts associated with a well delimited high intensity signal can be associated with OC like-lesions secondary to the absence of endochondral ossification of epiphyseal cartilage in the glenoid fossa and proximal humeral metaphyses. OCD of the glenoid cavity has been described in humans (Suzuki et al 2003;Koike et al 2008), but in the veterinary literature this lesion seems to be an uncommon condition (Milton et al 1981) and, to our knowledge, its MRI findings have never been reported. It has been hypothesised that a thickened anterior band of human inferior glenohumeral ligament can push the humeral head, creating a shearing and compression force on the glenoid fossa and resulting in OCD (Suzuki et al 2003).…”

Section: Discussionmentioning

confidence: 81%

Magnetic resonance imaging: findings of osteochondrosis like-lesions in glenoid fossa and proximal humeral metaphyses in a dog: a case report

Orellana-Jaimes¹,

Ginja²,

Roman-Llorens³

et al. 2015

Vet. Med. - Czech

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ABSTRACT:Osteochondritis dissecans (OCD) of the humeral head is a common cause of forelimb lameness in dogs. OCD represents the late phase of osteochondrosis (OC). Magnetic resonance imaging (MRI) is a useful technique for detection and characterisation of this disease. The main objective of this study was to show MRI findings of OCD in the humeral head, OC like-lesions in glenoid fossa and proximal humeral metaphyses of a dog. MRI analysis revealed the extent and severity of the inflammatory changes within the subchondral bones in both the glenoid cavity and humeral head. OCD and OC like-lesions were also evaluated in histopathological studies.

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Section: Discussionmentioning

confidence: 81%

Magnetic resonance imaging: findings of osteochondrosis like-lesions in glenoid fossa and proximal humeral metaphyses in a dog: a case report

Orellana-Jaimes¹,

Ginja²,

Roman-Llorens³

et al. 2015

Vet. Med. - Czech

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“…19 Most cases of OCD of the glenoid in baseball players have been reported to be in the posterior region of the glenoid. 2,4,8,10,12,16,17,[20][21][22] Suzuki et al hypothesized that the anterior band of the inferior glenohumeral ligament pushed the humeral head posteriorly, creating a shearing and compression force on the glenoid and resulting in OCD. 20 Nishinaka et al postulated that the instability of the glenohumeral joint increased the shearing force to the glenoid and caused OCD of the glenoid.…”

Section: Discussionmentioning

confidence: 99%

Osteochondritis dissecans of the glenoid in adolescent baseball players: a report of 4 cases

Takatsuji

Kida

Furukawa³

et al. 2021

JSES Reviews, Reports, and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…The disproportionately decreased muscle bulk can be appreciated both at physical examination as well as MR imaging; however, caution is warranted when interpreting this finding, as it is not usually presence of fluid signal undermining the lesion or the presence of large subchondral cysts. Treatment of glenoid osteochondral defects is not well defined in the literature but may include debridement, drilling, mosaicplasty, or grafting (97).…”

Section: State Of the Art: Shoulder Injuries In The Overhead-throwingmentioning

confidence: 99%

“…Glenoid osteochondral injury is a rare injury in overhead athletes; however, the proposed mechanisms include repetitive microtrauma and posterior capsular tightness causing posterior humeral head translation with resultant shearing and compression of the posterior glenoid during late cocking (97)(98)(99).…”

Section: Glenoid Osteochondral Injurymentioning

confidence: 99%

Shoulder Injuries in the Overhead-Throwing Athlete: Epidemiology, Mechanisms of Injury, and Imaging Findings

2018

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The unparalleled velocity achieved by overhead throwers subjects the shoulder to extreme forces, resulting in both adaptive changes and pathologic findings that can be detected at imaging. A key biomechanical principle of throwing is achieving maximum external rotation, which initially leads to adaptive changes that may result in a pathologic cascade of injuries. In addition to the well-established concepts of glenohumeral internal rotation deficit and internal impingement, osseous and soft-tissue injuries of the shoulder unique to overhead athletes are illustrated. The epidemiology and biomechanics of throwing injuries are reviewed, and examples from the authors' institutional experience with competitive, collegiate, and professional baseball players are provided to demonstrate the constellation of unique imaging findings seen in overhead throwing athletes. Given the widespread popularity of baseball, and other sports relying on overhead throwing motions at all playing levels from recreational to professional, it is important for radiologists in various practice settings to be familiar with the special mechanisms, locations, and types of shoulder injuries seen in the overhead throwing population. RSNA, 2018.

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Osteochondritis dissecans of the glenoid associated with the nontraumatic, painful throwing shoulder in a professional baseball player: A case report

Cited by 17 publications

References 20 publications

Magnetic resonance imaging: findings of osteochondrosis like-lesions in glenoid fossa and proximal humeral metaphyses in a dog: a case report

Magnetic resonance imaging: findings of osteochondrosis like-lesions in glenoid fossa and proximal humeral metaphyses in a dog: a case report

Osteochondritis dissecans of the glenoid in adolescent baseball players: a report of 4 cases

Shoulder Injuries in the Overhead-Throwing Athlete: Epidemiology, Mechanisms of Injury, and Imaging Findings

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