Abstract
Purpose
Rotator cuff and labral lesions in tennis players could be related to posterosuperior internal impingement or subacromial impingement during tennis serve. However, it is unknown which of these impingements are responsible for the lesions found in the tennis player’s shoulder. Moreover, there is a lack of validated noninvasive methods and dynamic studies to ascertain impingement during motion.
Methods
Ten intermediate or ex-professional tennis players were motion captured with an optical tracking system while performing tennis serves. The resulting computed motions were applied to patient-specific shoulder joints’ 3D models based on magnetic resonance imaging (MRI) data. During motion simulation, impingements were detected and located using computer-assisted techniques. An MRI examination was also performed to evaluate the prevalence of shoulder lesions and to determine their relevance with the simulation findings.
Results
Simulation showed that internal impingement was frequently observed compared to subacromial impingement when serving. The computed zones of internal impingement were mainly located in the posterosuperior or superior region of the glenoid. These findings were relevant with respect to radiologically diagnosed damaged zones in the rotator cuff and glenoid labrum.
Conclusions
Tennis players presented frequent radiographic signs of structural lesions that seem to be mainly related to posterosuperior internal impingement due to repetitive abnormal motion contacts. The present study indicates that the practice of tennis serve could lead with time to cartilage/tendon hyper compression, which could be damageable for the glenohumeral joint.
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Notes
This study won the Best Technical Paper Award at the \(14\mathrm{th}\) Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery (CAOS) in Milan, 2014.
A video summarizing the method and complementary information about this work can be found at http://www.artanim.ch/Shoulder3D.
References
Abrams G, Renstrom P, Safran M (2012) Epidemiology of musculoskeletal injury in the tennis player. Br J Sports Med 46:492–498
Bankart A (1923) Recurrent or habitual dislocation of the shoulder-joint. Br Med J 2(3285):1132–1133
Carey J, Small C, Pichora D (2000) In situ compressive properties of the glenoid labrum. J Biomed Mater Res 51(4):711–716
Charbonnier C, Assassi L, Volino P, Magnenat-Thalmann N (2009) Motion study of the hip joint in extreme postures. Vis Comput 25(9):873–882
Charbonnier C, Kolo F, Duthon V, Magnenat-Thalmann N, Becker C, Hoffmeyer P, Menetrey J (2011) Assessment of congruence and impingement of the hip joint in professional ballet dancers. Am J Sports Med 39(3):557–566
Charbonnier C, Chagué S, Kolo F, Chow J, Lädermann A (2014) A patient-specific measurement technique to model the kinematics of the glenohumeral joint. Orthop Traumatol: Surg Res 100(7):715–719
Charbonnier C, Chagué S, Kolo F, Lädermann A (2014) Analysis of shoulder impingement and stability in tennis players. In: Proceedings of the 13th International Symposium on 3D Analysis of Human Movement, Lausanne, Switzerland
Chopp J, Dickerson C (2012) Resolving the contributions of fatigue-induced migration and scapular reorientation on the subacromial space: an orthopaedic geometric simulation analysis. Hum Mov Sci 31:448–460
Cohen J (1960) A coefficient of agreement for nominal scales. Educ Psychol Meas 20:37–46
Cools A, Declercq G, Cagnie B, Cambier D, Witvrouw E (2008) Internal impingement in the tennis player: rehabilitation guidelines. Br J Sports Med 42:165–171
Creveaux T, Dumas R, Hautier C, Macé P, Chèze L, Rogowski I (2013) Joint kinetics to assess the influence of the racket on a tennis player’s shoulder. J Sports Science Med 12:259–266
Davidson P, Elattrache N, Jobe C, Jobe F (1995) Rotator cuff and posterior-superior glenoid labrum injury associated with increased glenohumeral motion: a new site of impingement. Shoulder Elb Surg 4(5):384–390
Girish G, Lobo L, Jacobson J, Morag Y, Miller B, Jamadar D (2011) Ultrasound of the shoulder: asymptomatic findings in men. AJR Am J Roentgenol 197:713–719
Graichen H, Hinterwimmer S, Eisenhart-Rothe R, Vogl T, Englmeier KH, Eckstein F (2005) Effect of abducting and adducting muscle acitivity on glenohumeral translation, scapular kinematics and subacromial space width in vivo. J Biomech 38(4):755–760
Hallstrom E, Karrholm J (2006) Shoulder kinematics in 25 patients with impingement and 12 controls. Clin Orthop Relat Res 448:22–27
Lädermann A, Chagué S, Kolo F, Charbonnier C (2014) Kinematics of the shoulder joints in tennis players. J Sci Med Sport (in Press)
Leardini A, Chiari L, Croce UD, Cappozzo A (2005) Human movement analysis using stereophotogrammetry Part 3: soft tissue artifact assessment and compensation. Gait Posture 21:212–225
Ludewig P, Cook T (2002) Translations of the humerus in persons with shoulder impingement symptoms. J Orthop Sports Phys Ther 32(6):248–259
Maeseneer MD, Roy PV, Shahabpour M (2006) Normal MR imaging anatomy of the rotator cuff tendons, glenoid fossa, labrum, and ligaments of the shoulder. Radiol Clin N. Am 44:479–487
Manske R, Grant-Nierman M, Lucas B (2013) Shoulder posterior internal impingement in the overhead athlete. Int J Sports Phys Ther 8(2):194–204
Massimini D, Boyer P, Papannagari R, Gill T, Warner J, Li G (2012) In-vivo glenohumeral translation and ligament elongation during abduction and abduction with internal and external rotation. J Orthop Surg Res 7:29–38
Matsuki K, Matsuki K, Yamaguchi S, Ochiai N, Sasho T, Sugaya H, Toyone T, Wada Y, Takahashi K, Banks S (2012) Dynamic in vivo glenohumeral kinematics during scapular plane abduction in healthy shoulders. J Orthop Sports Phys Ther 42(2):96–104
Meister K (2000) Internal impingement in the shoulder of the overhand athlete: pathophysiology, diagnosis, and treatment. Am J Orthop 29(6):433–438
Meister K, Andrews J, Batts J, Wilk K, Baumgarten T (1999) Symptomatic thrower’s exostosis arthroscopic evaluation and treatment. Am J Sports Med 27(2):133–136
Neer C (1972) Anterior acromioplasty for chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am 54:41–50
Nyffeler R, Werner C, Sukthankar A, Schmid M, Gerber C (2006) Association of a large lateral extension of the acromion with rotator cuff tears. J Bone Joint Surg Am 88(4):800–805
Page P (2011) Shoulder muscle imbalance and subacromial impingement syndrome in overhead athlete. Int J Sports Phys Ther 6(1):51–58
Reid M, Elliott B, Alderson J (2007) Shoulder joint loading in the high performance flat and kick tennis serves. Br J Sports Med 41:884–889
Roux E, Bouilland S, Godillon-Maquinghen AP, Bouttens D (2002) Evaluation of the global optimisation method within the upper limb kinematics analysis. J Biomech 35:1279–1283
Sakurai S, Reid M, Elliott B (2013) Ball spin in the tennis serve: spin rate and axis of rotation. Sports Biomech 12(1):23–29
Salvia P, Jan SVS, Crouan A, Vanderkerken L, Moiseev F, Sholukha V, Mahieu C, Snoeck O, Rooze M (2009) Precision of shoulder anatomical landmark calibration by two approaches: a CAST-like protocol and a new anatomical palpator method. Gait Posture 29(4):587–591
Schneider P, Eberly D (2003) Geometric Tools for Computer Graphics. The Morgan Kaufmann Series in Computer Graphics and Geometric Modeling
Snyder S, Pachelli A, Pizzo WD, Friedman M, Ferkel R, Pattee G (1991) Partial thickness rotator cuff tears: results of arthroscopic treatment. Arthroscopy 7(1):1–7
Timmons M, Lopes-Albers AD, Borgsmiller L, Zirker C, Ericksen J, Michener L (2013) Differences in scapular orientation, subacromial space and shoulder pain between the full can and empty can tests. Clin Biomech 28:395–401
Walch G, Boileau P, Noel E, Donell S (1992) Impingement of the deep surface of the supraspinatus tendon on the posterior glenoid rim: an arthroscopic study. J Shoulder Elb Surg 1:238–245
Waldt S, Burkart A, Imhoff A, Bruegel M, Rummeny E, Woertler K (2005) Anterior shoulder instability: accuracy of MR arthrography in the classification of anteroinferior labroligamentous injuries. Radiology 237(2):578–583
Warner M, Chappell P, Stokes M (2012) Measuring scapular kinematics during arm lowering using the acromion marker cluster. Hum Mov Sci 31:386–396
Whiteside D, Elliott B, Lay B, Reid M (2014) The effect of racquet swing weight on serve kinematics in elite adolescent female tennis players. J Science Med Sport 17(1):124–128
Wong F, Keung J, Lau N, Ng D, Chung J, Chow D (2014) Effects of body mass index and full body kinematics on tennis serve speed. J Hum Kinet 40:21–28
Wu G, van der Helm F, Veegerc H, Makhsouse M, Royf PV, Angling C, Nagelsh J, Kardunai A, McQuadej K, Wangk X, Wernerl F, Buchholzm B (2005) ISB recommendation on definitions of joint coordinate systems of various joints for the reporting of human joint motion—part II: shoulder, elbow, wrist and hand. J Biomech 38:981–992
Acknowledgments
This work was supported by grants from La Tour Hospital, Geneva, Switzerland, and from the European Society for Surgery of the Shoulder and the Elbow (ESSSE).
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The authors declare that they have no conflict of interest.
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Charbonnier, C., Chagué, S., Kolo, F.C. et al. Shoulder motion during tennis serve: dynamic and radiological evaluation based on motion capture and magnetic resonance imaging. Int J CARS 10, 1289–1297 (2015). https://doi.org/10.1007/s11548-014-1135-4
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DOI: https://doi.org/10.1007/s11548-014-1135-4