Department of Orthopaedic Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Department of Orthopaedic Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
J Shoulder Elbow Surg. 2017 Dec;26(12):2187-2192. doi: 10.1016/j.jse.2017.07.014. Epub 2017 Sep 20.
It is known that the humeral retroversion of baseball players is greater in the throwing arm than in the nonthrowing arm. An investigation measuring dry bone specimens also showed that the right humerus had greater retroversion than the left. Considering these facts, it was hypothesized that humeral retroversion would differ between right- and left-handed players. This study aimed to compare the bilateral humeral retroversion between right- and left-handed skeletally mature baseball players.
We investigated 260 (196 right-handed and 64 left-handed) male baseball players who belonged to a college or amateur team. Bilateral humeral retroversion was assessed using an ultrasound-assisted technique (humeral torsion angle [HTA]) as described by previous studies. Analysis of covariance, adjusted for handedness and baseball position, assessed the effect of throwing arm dominance on HTA.
In comparison of the throwing arm, HTA was significantly smaller in left-handed (left humerus) than in right-handed (right humerus) players (77° vs. 81°; P < .001). In comparison of the nonthrowing arm, HTA was significantly greater in left-handed (right humerus) than in right-handed (left humerus) players (73° vs. 69°; P < .001). The mean side-to-side difference of HTA was significantly smaller in left-handed than in right-handed players (3° vs. 12°; P < .001).
Humeral retroversion of left-handed skeletally mature baseball players was significantly smaller in the throwing arm, greater in the nonthrowing arm, and smaller in side-to-side differences than that of right-handed players. These findings may be key to understanding some of the biomechanical differences between right- and left-handed baseball players.
众所周知,棒球运动员的肱骨后旋在投球臂中大于非投球臂。对干骨标本的研究也表明,右肱骨的后旋大于左肱骨。考虑到这些事实,可以假设肱骨后旋在右撇子和左撇子球员之间会有所不同。本研究旨在比较右撇子和左撇子骨骼成熟的棒球运动员双侧肱骨后旋。
我们调查了 260 名(196 名右撇子和 64 名左撇子)男性棒球运动员,他们属于大学或业余球队。如先前的研究所述,使用超声辅助技术(肱骨扭转角[HTA])评估双侧肱骨后旋。协方差分析,调整惯用手和棒球位置,评估投球臂优势对 HTA 的影响。
与投球臂相比,左撇子(左肱骨)的 HTA 明显小于右撇子(右肱骨)(77° vs. 81°;P < .001)。与非投球臂相比,左撇子(右肱骨)的 HTA 明显大于右撇子(左肱骨)(73° vs. 69°;P < .001)。左撇子和右撇子之间 HTA 的平均侧差明显较小(3° vs. 12°;P < .001)。
骨骼成熟的左撇子棒球运动员的投球臂肱骨后旋明显小于右撇子,非投球臂的后旋较大,侧差较小。这些发现可能是理解右撇子和左撇子棒球运动员之间一些生物力学差异的关键。