Ultrasound Study of Season-Long Joint Changes to College Baseball Players

NCT02343640 | Completed

• 1 other identifier: 1415-093
• Study Type: observational
• Target: 10
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of this study is to use ultrasound imaging to determine if there are certain frequencies, durations, and intensities of baseball pitching that expose a college baseball player to increased risk of injury to their ulnar collateral ligament of their elbow throughout one baseball season.

Conditions

Complete Tear Ulnar Collateral Ligament

Keywords

Baseball; Ulnar collateral ligament

Outcome Measures

Primary Outcomes (1)

• Joint distance

  Allows for a measurement of distance, in millimeters, of the UCL from the humerus to the ulna to be made using ultrasound imaging.

  18 weeks

Secondary Outcomes (1)

• Goniometry

  18 weeks

Study Arms (1)

Baseball players

Members of the baseball team, both pitchers and fielders, who participate in repetitive baseball throwing and are exposed to damage of the ulnar collateral ligament in the arm that is used for throwing.

Eligibility Criteria

• Age: 18 Years - 24 Years
• Sex: male
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Members of the CSU Northridge baseball team

You may qualify if:

• Must be a member of the CSU Northridge baseball team
• Able to provide written, informed consent
• Understand instruction in English
• Be between the age of 18 and 24 years

You may not qualify if:

• Is not a member of the CSU Northridge baseball team
• Experience pain or injury during testing procedures of the research study

Sponsors & Collaborators

• California State University, Northridge: lead

Related Publications (18)

• Ciccotti MG, Atanda A Jr, Nazarian LN, Dodson CC, Holmes L, Cohen SB. Stress sonography of the ulnar collateral ligament of the elbow in professional baseball pitchers: a 10-year study. Am J Sports Med. 2014 Mar;42(3):544-51. doi: 10.1177/0363546513516592. Epub 2014 Jan 28.

  PMID: 24473498 BACKGROUND

• Ciccotti MC, Hammoud S, Dodson CC, Cohen SB, Nazarian LN, Ciccotti MG. Stress ultrasound evaluation of medial elbow instability in a cadaveric model. Am J Sports Med. 2014 Oct;42(10):2463-9. doi: 10.1177/0363546514542805. Epub 2014 Aug 14.

  PMID: 25125692 BACKGROUND

• Sasaki J, Takahara M, Ogino T, Kashiwa H, Ishigaki D, Kanauchi Y. Ultrasonographic assessment of the ulnar collateral ligament and medial elbow laxity in college baseball players. J Bone Joint Surg Am. 2002 Apr;84(4):525-31. doi: 10.2106/00004623-200204000-00003.

  PMID: 11940610 BACKGROUND

• Smith W, Hackel JG, Goitz HT, Bouffard JA, Nelson AM. Utilization of sonography and a stress device in the assessment of partial tears of the ulnar collateral ligament in throwers. Int J Sports Phys Ther. 2011 Mar;6(1):45-50.

  PMID: 21655456 BACKGROUND

• Nazarian LN, McShane JM, Ciccotti MG, O'Kane PL, Harwood MI. Dynamic US of the anterior band of the ulnar collateral ligament of the elbow in asymptomatic major league baseball pitchers. Radiology. 2003 Apr;227(1):149-54. doi: 10.1148/radiol.2271020288. Epub 2003 Feb 28.

  PMID: 12616000 BACKGROUND

• Harada M, Takahara M, Sasaki J, Mura N, Ito T, Ogino T. Using sonography for the early detection of elbow injuries among young baseball players. AJR Am J Roentgenol. 2006 Dec;187(6):1436-41. doi: 10.2214/AJR.05.1086.

  PMID: 17114533 BACKGROUND

• Wilk KE, Macrina LC, Fleisig GS, Aune KT, Porterfield RA, Harker P, Evans TJ, Andrews JR. Deficits in glenohumeral passive range of motion increase risk of elbow injury in professional baseball pitchers: a prospective study. Am J Sports Med. 2014 Sep;42(9):2075-81. doi: 10.1177/0363546514538391. Epub 2014 Jun 18.

  PMID: 24944295 BACKGROUND

• Davidson PA, Pink M, Perry J, Jobe FW. Functional anatomy of the flexor pronator muscle group in relation to the medial collateral ligament of the elbow. Am J Sports Med. 1995 Mar-Apr;23(2):245-50. doi: 10.1177/036354659502300220.

  PMID: 7778713 BACKGROUND

• Anz AW, Bushnell BD, Griffin LP, Noonan TJ, Torry MR, Hawkins RJ. Correlation of torque and elbow injury in professional baseball pitchers. Am J Sports Med. 2010 Jul;38(7):1368-74. doi: 10.1177/0363546510363402. Epub 2010 Apr 16.

  PMID: 20400752 BACKGROUND

• Wilk KE, Macrina LC, Fleisig GS, Porterfield R, Simpson CD 2nd, Harker P, Paparesta N, Andrews JR. Correlation of glenohumeral internal rotation deficit and total rotational motion to shoulder injuries in professional baseball pitchers. Am J Sports Med. 2011 Feb;39(2):329-35. doi: 10.1177/0363546510384223. Epub 2010 Dec 4.

  PMID: 21131681 BACKGROUND

• Dines JS, Frank JB, Akerman M, Yocum LA. Glenohumeral internal rotation deficits in baseball players with ulnar collateral ligament insufficiency. Am J Sports Med. 2009 Mar;37(3):566-70. doi: 10.1177/0363546508326712. Epub 2008 Dec 4.

  PMID: 19059890 BACKGROUND

• Garrison JC, Cole MA, Conway JE, Macko MJ, Thigpen C, Shanley E. Shoulder range of motion deficits in baseball players with an ulnar collateral ligament tear. Am J Sports Med. 2012 Nov;40(11):2597-603. doi: 10.1177/0363546512459175. Epub 2012 Sep 26.

  PMID: 23019251 BACKGROUND

• Bushnell BD, Anz AW, Noonan TJ, Torry MR, Hawkins RJ. Association of maximum pitch velocity and elbow injury in professional baseball pitchers. Am J Sports Med. 2010 Apr;38(4):728-32. doi: 10.1177/0363546509350067. Epub 2010 Jan 21.

  PMID: 20093420 BACKGROUND

• Aguinaldo AL, Chambers H. Correlation of throwing mechanics with elbow valgus load in adult baseball pitchers. Am J Sports Med. 2009 Oct;37(10):2043-8. doi: 10.1177/0363546509336721. Epub 2009 Jul 24.

  PMID: 19633230 BACKGROUND

• Posner M, Cameron KL, Wolf JM, Belmont PJ Jr, Owens BD. Epidemiology of Major League Baseball injuries. Am J Sports Med. 2011 Aug;39(8):1676-80. doi: 10.1177/0363546511411700. Epub 2011 Jun 27.

  PMID: 21709023 BACKGROUND

• Conte S, Requa RK, Garrick JG. Disability days in major league baseball. Am J Sports Med. 2001 Jul-Aug;29(4):431-6. doi: 10.1177/03635465010290040801.

  PMID: 11476381 BACKGROUND

• Azar FM, Andrews JR, Wilk KE, Groh D. Operative treatment of ulnar collateral ligament injuries of the elbow in athletes. Am J Sports Med. 2000 Jan-Feb;28(1):16-23. doi: 10.1177/03635465000280011401.

  PMID: 10653538 BACKGROUND

• Podesta L, Crow SA, Volkmer D, Bert T, Yocum LA. Treatment of partial ulnar collateral ligament tears in the elbow with platelet-rich plasma. Am J Sports Med. 2013 Jul;41(7):1689-94. doi: 10.1177/0363546513487979. Epub 2013 May 10.

  PMID: 23666850 BACKGROUND

Study Officials

• Johnathan A Erb

  CSU Northridge

  PRINCIPAL INVESTIGATOR

• Aimie Kachingwe

  CSU Northridge

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Year
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Student

Study Record Dates

• First Submitted: January 14, 2015
• First Posted: January 22, 2015
• Study Start: January 1, 2015
• Primary Completion: May 1, 2015
• Study Completion: May 1, 2015
• Last Updated: August 6, 2015

Record last verified: 2015-08