Skip to main content
British Journal of Sports Medicine logoLink to British Journal of Sports Medicine
. 1998 Sep;32(3):226–228. doi: 10.1136/bjsm.32.3.226

Glenohumeral joint: internal and external rotation range of motion in javelin throwers

L Herrington
PMCID: PMC1756107  PMID: 9773171

Abstract

OBJECTIVE: To assess differences in glenohumeral joint rotatory range of movement in javelin throwers between the throwing and non-throwing arm. METHOD: A universal 360 degrees goniometer was used to assess glenohumeral joint external and internal rotation range in 90 degrees of shoulder abduction in a group of ten senior international javelin throwers. RESULTS: Both arms had significantly greater degrees of external than internal rotation (p < 0.01), and the throwing arm had significantly greater range of external rotation than the non-throwing arm (p < 0.01). CONCLUSIONS: The presence of an excessive range of external rotation in the throwing shoulder has the potential to increase eccentric load on the rotator cuff muscles and strain on the passive restraints of the glenohumeral joint. Both of these factors have been implicated in the pathological processes leading to injury in the overhead throwing athlete. 




Full Text

The Full Text of this article is available as a PDF (71.1 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Boublik M., Hawkins R. J. Clinical examination of the shoulder complex. J Orthop Sports Phys Ther. 1993 Jul;18(1):379–385. doi: 10.2519/jospt.1993.18.1.379. [DOI] [PubMed] [Google Scholar]
  2. Copeland S. Throwing injuries of the shoulder. Br J Sports Med. 1993 Dec;27(4):221–227. doi: 10.1136/bjsm.27.4.221. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Ellenbecker T. S., Roetert E. P., Piorkowski P. A., Schulz D. A. Glenohumeral joint internal and external rotation range of motion in elite junior tennis players. J Orthop Sports Phys Ther. 1996 Dec;24(6):336–341. doi: 10.2519/jospt.1996.24.6.336. [DOI] [PubMed] [Google Scholar]
  4. Hackney R. G. Advances in the understanding of throwing injuries of the shoulder. Br J Sports Med. 1996 Dec;30(4):282–288. doi: 10.1136/bjsm.30.4.282. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Karduna A. R., Williams G. R., Williams J. L., Iannotti J. P. Kinematics of the glenohumeral joint: influences of muscle forces, ligamentous constraints, and articular geometry. J Orthop Res. 1996 Nov;14(6):986–993. doi: 10.1002/jor.1100140620. [DOI] [PubMed] [Google Scholar]
  6. Litchfield R., Hawkins R., Dillman C. J., Atkins J., Hagerman G. Rehabilitation for the overhead athlete. J Orthop Sports Phys Ther. 1993 Aug;18(2):433–441. doi: 10.2519/jospt.1993.18.2.433. [DOI] [PubMed] [Google Scholar]
  7. Meister K., Andrews J. R. Classification and treatment of rotator cuff injuries in the overhand athlete. J Orthop Sports Phys Ther. 1993 Aug;18(2):413–421. doi: 10.2519/jospt.1993.18.2.413. [DOI] [PubMed] [Google Scholar]
  8. Riddle D. L., Rothstein J. M., Lamb R. L. Goniometric reliability in a clinical setting. Shoulder measurements. Phys Ther. 1987 May;67(5):668–673. doi: 10.1093/ptj/67.5.668. [DOI] [PubMed] [Google Scholar]
  9. Rothstein J. M., Miller P. J., Roettger R. F. Goniometric reliability in a clinical setting. Elbow and knee measurements. Phys Ther. 1983 Oct;63(10):1611–1615. doi: 10.1093/ptj/63.10.1611. [DOI] [PubMed] [Google Scholar]
  10. Turkel S. J., Panio M. W., Marshall J. L., Girgis F. G. Stabilizing mechanisms preventing anterior dislocation of the glenohumeral joint. J Bone Joint Surg Am. 1981 Oct;63(8):1208–1217. [PubMed] [Google Scholar]
  11. Wilk K. E., Arrigo C. A., Andrews J. R. Current concepts: the stabilizing structures of the glenohumeral joint. J Orthop Sports Phys Ther. 1997 Jun;25(6):364–379. doi: 10.2519/jospt.1997.25.6.364. [DOI] [PubMed] [Google Scholar]
  12. Wilk K. E., Arrigo C. Current concepts in the rehabilitation of the athletic shoulder. J Orthop Sports Phys Ther. 1993 Jul;18(1):365–378. doi: 10.2519/jospt.1993.18.1.365. [DOI] [PubMed] [Google Scholar]

Articles from British Journal of Sports Medicine are provided here courtesy of BMJ Publishing Group

RESOURCES