Skip to main content
SpringerLink
Log in

Shoulder motion during tennis serve: dynamic and radiological evaluation based on motion capture and magnetic resonance imaging

  • Original Article
  • Published:
International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

Notes

  1. 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.

  2. A video summarizing the method and complementary information about this work can be found at http://www.artanim.ch/Shoulder3D.

References

  1. Abrams G, Renstrom P, Safran M (2012) Epidemiology of musculoskeletal injury in the tennis player. Br J Sports Med 46:492–498

    Article  PubMed  Google Scholar 

  2. Bankart A (1923) Recurrent or habitual dislocation of the shoulder-joint. Br Med J 2(3285):1132–1133

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  3. Carey J, Small C, Pichora D (2000) In situ compressive properties of the glenoid labrum. J Biomed Mater Res 51(4):711–716

    Article  CAS  PubMed  Google Scholar 

  4. 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

    Article  Google Scholar 

  5. 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

    Article  PubMed  Google Scholar 

  6. 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

  7. 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

  8. 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

    Article  PubMed  Google Scholar 

  9. Cohen J (1960) A coefficient of agreement for nominal scales. Educ Psychol Meas 20:37–46

    Article  Google Scholar 

  10. 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

    Article  CAS  PubMed  Google Scholar 

  11. 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

    Google Scholar 

  12. 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

    Article  CAS  Google Scholar 

  13. 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

    Article  Google Scholar 

  14. 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

    Article  CAS  PubMed  Google Scholar 

  15. Hallstrom E, Karrholm J (2006) Shoulder kinematics in 25 patients with impingement and 12 controls. Clin Orthop Relat Res 448:22–27

  16. Lädermann A, Chagué S, Kolo F, Charbonnier C (2014) Kinematics of the shoulder joints in tennis players. J Sci Med Sport (in Press)

  17. 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

    Article  PubMed  Google Scholar 

  18. Ludewig P, Cook T (2002) Translations of the humerus in persons with shoulder impingement symptoms. J Orthop Sports Phys Ther 32(6):248–259

    Article  PubMed  Google Scholar 

  19. 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

    Article  PubMed  Google Scholar 

  20. 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

    PubMed Central  PubMed  Google Scholar 

  21. 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

    Article  PubMed Central  PubMed  Google Scholar 

  22. 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

    Article  PubMed  Google Scholar 

  23. Meister K (2000) Internal impingement in the shoulder of the overhand athlete: pathophysiology, diagnosis, and treatment. Am J Orthop 29(6):433–438

    CAS  PubMed  Google Scholar 

  24. 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

    CAS  PubMed  Google Scholar 

  25. Neer C (1972) Anterior acromioplasty for chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am 54:41–50

    PubMed  Google Scholar 

  26. 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

    Article  PubMed  Google Scholar 

  27. Page P (2011) Shoulder muscle imbalance and subacromial impingement syndrome in overhead athlete. Int J Sports Phys Ther 6(1):51–58

    PubMed Central  PubMed  Google Scholar 

  28. 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

    Article  PubMed Central  PubMed  Google Scholar 

  29. 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

  30. 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

    Article  PubMed  Google Scholar 

  31. 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

    Article  CAS  PubMed  Google Scholar 

  32. Schneider P, Eberly D (2003) Geometric Tools for Computer Graphics. The Morgan Kaufmann Series in Computer Graphics and Geometric Modeling

  33. 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

    Article  CAS  PubMed  Google Scholar 

  34. 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

    Article  Google Scholar 

  35. 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

    Article  CAS  Google Scholar 

  36. 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

    Article  PubMed  Google Scholar 

  37. Warner M, Chappell P, Stokes M (2012) Measuring scapular kinematics during arm lowering using the acromion marker cluster. Hum Mov Sci 31:386–396

    Article  CAS  PubMed  Google Scholar 

  38. 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

    Article  Google Scholar 

  39. 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

    Article  PubMed Central  PubMed  Google Scholar 

  40. 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

    Article  CAS  PubMed  Google Scholar 

Download references

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).

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Medical Research Department, Artanim Foundation, 41b route des Jeunes, Carouge, 1227, Geneva, Switzerland

    Caecilia Charbonnier & Sylvain Chagué

  2. Rive Droite Radiology Center, Geneva, Switzerland

    Frank C. Kolo

  3. Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Geneva, Switzerland

    Alexandre Lädermann

  4. Faculty of Medicine, University of Geneva, Geneva, Switzerland

    Alexandre Lädermann

Authors
  1. Caecilia Charbonnier
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sylvain Chagué
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Frank C. Kolo
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Alexandre Lädermann
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Caecilia Charbonnier.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11548-014-1135-4

Keywords

Search

Navigation