Relationships between Physical Characteristics and Ultrasound and Physical Examination Findings of the Medial Epicondyle of the Humerus in Youth Baseball Players
Objectives: This study aimed to investigate the relationships between ultrasound (US) and physical examination findings of the medial epicondyle of humerus based on baseball elbow screening conducted in Hakodate City, Hokkaido, in 2019.Methods: The subjects were 259 elementary school baseball player...
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| Published in | Physical Therapy Japan Vol. 48; no. 4; pp. 370 - 378 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japanese Physical Therapy Association
2021
公益社団法人日本理学療法士協会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0289-3770 2189-602X |
| DOI | 10.15063/rigaku.11940 |
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| Abstract | Objectives: This study aimed to investigate the relationships between ultrasound (US) and physical examination findings of the medial epicondyle of humerus based on baseball elbow screening conducted in Hakodate City, Hokkaido, in 2019.Methods: The subjects were 259 elementary school baseball players. US findings were classified into positive and negative groups. The players were listening for their physical characteristics and conducted the physical examination. Items with significant differences between the two groups were investigated in a logistic regression analysis.Results: Results indicated that 30 and 205 players had positive and negative US findings, respectively. There were significant differences between the two groups in the age, height, position, history of elbow pain, pain at end-range elbow flexion/extension, tenderness of the medial epicondyle of humerus (TD), moving valgus test (MVT). The logistic regression analysis extracted age, TD, and MVT.Conclusions: Among players with positive US findings, high odds ratios were found for age, TD and MVT. |
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| AbstractList | Objectives: This study aimed to investigate the relationships between ultrasound (US) and physical examination findings of the medial epicondyle of humerus based on baseball elbow screening conducted in Hakodate City, Hokkaido, in 2019.Methods: The subjects were 259 elementary school baseball players. US findings were classified into positive and negative groups. The players were listening for their physical characteristics and conducted the physical examination. Items with significant differences between the two groups were investigated in a logistic regression analysis.Results: Results indicated that 30 and 205 players had positive and negative US findings, respectively. There were significant differences between the two groups in the age, height, position, history of elbow pain, pain at end-range elbow flexion/extension, tenderness of the medial epicondyle of humerus (TD), moving valgus test (MVT). The logistic regression analysis extracted age, TD, and MVT.Conclusions: Among players with positive US findings, high odds ratios were found for age, TD and MVT. Objectives: This study aimed to investigate the relationships between ultrasound (US) and physical examination findings of the medial epicondyle of humerus based on baseball elbow screening conducted in Hakodate City, Hokkaido, in 2019.Methods: The subjects were 259 elementary school baseball players. US findings were classified into positive and negative groups. The players were listening for their physical characteristics and conducted the physical examination. Items with significant differences between the two groups were investigated in a logistic regression analysis.Results: Results indicated that 30 and 205 players had positive and negative US findings, respectively. There were significant differences between the two groups in the age, height, position, history of elbow pain, pain at end-range elbow flexion/extension, tenderness of the medial epicondyle of humerus (TD), moving valgus test (MVT). The logistic regression analysis extracted age, TD, and MVT.Conclusions: Among players with positive US findings, high odds ratios were found for age, TD and MVT. 【目的】2019 年に北海道函館市で実施した野球肘検診の結果から，上腕骨内側上顆の超音波所見（以下，US 所見）と身体的特性・理学所見の関連性を検討すること。【方法】軟式小学生野球選手259 名を対象とし，US 所見に応じてUS 陽性群とUS 陰性群に分けた。身体的特性を質問紙にて聴取し，各理学検査を実施した。各項目にて2 群間で有意差を認めた項目を，ロジスティック回帰分析にて検討した。【結果】解析対象はUS 陽性群30 名，US 陰性群205 名。身体的特性・理学所見は年齢，身長，ポジション，過去の投球時痛，肘関節屈曲/ 伸展最終域での疼痛， 上腕骨内側上顆の圧痛（以下，TD），Moving Valgus Test（以下，MVT）で2 群間に有意差を認めた。ロジスティック回帰分析の結果，年齢，TD，MVT が抽出された。【結論】年齢，TD，MVT がUS 所見と関連のある因子であることが示唆された。 |
| Author | SATOH, Osamu SATOH, Daiki FUKAKI, Ryosuke YOSHIKAWA, Tatsuki AKASAKA, Shigeru NAKAGAMA, Takashi |
| Author_FL | 深木 良祐 佐藤 攻 吉川 達己 中釜 郁 赤坂 茂 佐藤 大樹 |
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| Author_xml | – sequence: 1 fullname: SATOH, Osamu organization: Hakodate Goryokaku Hospital – sequence: 1 fullname: YOSHIKAWA, Tatsuki organization: Hakodate Goryokaku Hospital – sequence: 1 fullname: SATOH, Daiki organization: Hakodate Goryokaku Hospital – sequence: 1 fullname: NAKAGAMA, Takashi organization: Hakodate Goryokaku Hospital – sequence: 1 fullname: FUKAKI, Ryosuke organization: Hakodate Goryokaku Hospital – sequence: 1 fullname: AKASAKA, Shigeru organization: Hakodate Goryokaku Hospital |
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| References | 15) 鈴木 昌，西中直也，他：関東圏シニアリーグ野球チームにおける現場での肘関節障害発症の現状．日本肘関節学会雑誌．2016; 23: 398–401 21) O'Dricoll SWM, Lawton RL, et al.: The “Moving Valgus Stress Test” for Medial Collateral Ligament Tears of the Elbow. Am J Sports Med. 2005; 33: 231–239 27) Fleisig GS, Andrews JR, et al.: Kinetics of Baseball Pitching with Implications About Injury Mechanisms. Am J Sports Med. 1995; 23: 233–239. 10) Haraldsson S: On osteochondrosis deformas juvenilis capituli humeri including investigation of intra —osseous vasculature in distal humerus. Acta Orthop Scand. 1959; 38(suppl): 1–232. 9) 岡田知佐子，柏口新二，他：少年サッカー選手における離断性骨軟骨炎発症率の調査─上腕骨小頭離断性骨軟骨炎の発生因子についての検討─．日整外スポーツ医会誌．2011; 31: 219–224 2) 公益社団法人日本整形外科学会ホームページ マスコミ・行政の方へ スポーツ委員会：平成27 年度少年野球 （軟式・硬式）実態調査．https://www.joa.or.jp/media/comment/pdf/2016_survey_childrensbaseball.pdf（2020 年9 月5 日引用） 17) 木村公一，相澤 徹，他：小学生軟式野球選手の成長期肘関節障害発症とポジションの関連に関する検討─メディカルチェックの結果から─．関西臨床スポーツ医・科学研究会誌．2015; 25: 49–52 11) Takahara M, Mura N, et al.: Classification, Treatment, and Outcome of Osteochondritis Dissecans of the Humeral Capitellum. J Bone Joint Surg Am Ame. 2008; 90(suppl2 Part1): 47–62. 28) Ahmad CS, Lee TQ, et al.: Biomechanical Evaluation of a New Ulnar Collateral Ligament Reconstruction Technique with Interference Screw Fixation. Am J Sports Med. 2003; 31: 332–337. 14) Kida Y, Morihara T, et al.: Prevalence and clinical characteristics of osteochondritis dissecans of the humeral capitellum among adolescent baseball players. Am J Sports Med. 2014; 42: 1963–1971. 25) 林 典雄：運動療法のための機能解剖学的触診技術 上肢．青木隆明（監），MEDICAL VIEW，東京，2011，pp. 134–135 29) 坂田 淳，中村絵美，他：少年野球選手における肘内側障害の危険因子に関する前向き研究．整形外科臨床スポーツ医学会誌．2016; 36: 43–53 16) 小田智之，酒井忠博，他：小学生を対象とした少年野球検診の実際．東海スポーツ傷害研究会会誌．2015; 33: 15–17 4) 堀内俊樹，西田裕介，他：野球肘検診の調査結果と今後の展望．理学療法科学．2018; 33: 969–973 18) Matsuura T, Suzuki N, et al.: Elbow injuries in Youth Baseball Players Without Prior Elbow Pain: A 1-Year Prospective Study. Orthop J Sports Med. 2013; 1: 2325967113509948. 22) Landis JR, Koch GG: The Measurement of Observer Agreement for Categorical Data. Biometrics. 1977; 33: 159–174. 1) 大国真彦：青少年の野球障害に対する提言．日本臨床スポーツ医学会学術委員会，整形外科専門部会．日本臨床スポーツ医学会誌．2005; 13(suppl): 241–242 13) Harada M, Takahara M, et al.: Using Sonography for the Early Detection of Elbow Injuries Among Young Baseball Players. AJR Am J Roentgenol. 2006; 187: 1436–1441. 24) Karbach LE, Elfar J: Elbow Instability: Anatomy, Biomechanics, Diagnostic Maneuvers, and Testing. J of Hand Surg Am. 2017; 42: 118–126. 5) 福島 崇，笹沼秀幸，他：栃木県における広域野球肘検診の結果と2 次検診受診率の調査．日本肘関節学会誌．2015; 22: 75–79 7) 長澤 誠，石田康行，他：野球検診で発見された上腕骨小頭離断性骨軟骨炎例の特徴．肩関節．2018; 42: 552–554 26) 峯 博子，萩本晋作，他：成長期野球競技者における上腕骨内側上顆下端裂離の病態．整形外科と災害外科．2015; 64: 102–105 23) Matsuura T, Iwase T, et al.: Risk factors of for shoulder and elbow pain in youth baseball players. Phys Sportsmed. 2017; 45: 140–144 3) 柏口新二：肘実践講座 よくわかる野球肘 離断性骨軟骨炎．岩瀬毅信，他（編），全日本病院出版会，東京，2013， pp. 2–8, 93–117, 236–248 6) 和田哲宏，巽 志伸，他：奈良県における野球肘検診の試み─検診を通じたスポーツ障害に対する取り組みと継続的な組織運営について─．関西臨床スポーツ医・科学研究会誌．2014; 24: 13–16 20) 渡辺千聡：特集 運動器の超音波診断 野球肘の超音波診断．関節外科．2012; 31: 49–56 8) 仙石英史，村上典央，他：岐阜市野球肘検診の調査結果．東海スポーツ傷害研究会会誌．2016; 34: 44–46. 19) 柏口新二，岡田知佐子：野球肘診療ハンドブック─肘の診断から治療，検診まで─．柏口新二，他（編），全日本病院出版会，東京，2014，p. 7, 34, 161 12) 宇野智洋，原田幹生，他：小学・中学野球選手に対する野球肘検診における超音波検査の有用性．日本肘関節学会雑誌．2015; 22: 80–82 |
| References_xml | – reference: 1) 大国真彦：青少年の野球障害に対する提言．日本臨床スポーツ医学会学術委員会，整形外科専門部会．日本臨床スポーツ医学会誌．2005; 13(suppl): 241–242． – reference: 14) Kida Y, Morihara T, et al.: Prevalence and clinical characteristics of osteochondritis dissecans of the humeral capitellum among adolescent baseball players. Am J Sports Med. 2014; 42: 1963–1971. – reference: 12) 宇野智洋，原田幹生，他：小学・中学野球選手に対する野球肘検診における超音波検査の有用性．日本肘関節学会雑誌．2015; 22: 80–82． – reference: 22) Landis JR, Koch GG: The Measurement of Observer Agreement for Categorical Data. Biometrics. 1977; 33: 159–174. – reference: 19) 柏口新二，岡田知佐子：野球肘診療ハンドブック─肘の診断から治療，検診まで─．柏口新二，他（編），全日本病院出版会，東京，2014，p. 7, 34, 161． – reference: 26) 峯 博子，萩本晋作，他：成長期野球競技者における上腕骨内側上顆下端裂離の病態．整形外科と災害外科．2015; 64: 102–105． – reference: 8) 仙石英史，村上典央，他：岐阜市野球肘検診の調査結果．東海スポーツ傷害研究会会誌．2016; 34: 44–46. – reference: 9) 岡田知佐子，柏口新二，他：少年サッカー選手における離断性骨軟骨炎発症率の調査─上腕骨小頭離断性骨軟骨炎の発生因子についての検討─．日整外スポーツ医会誌．2011; 31: 219–224． – reference: 21) O'Dricoll SWM, Lawton RL, et al.: The “Moving Valgus Stress Test” for Medial Collateral Ligament Tears of the Elbow. Am J Sports Med. 2005; 33: 231–239． – reference: 16) 小田智之，酒井忠博，他：小学生を対象とした少年野球検診の実際．東海スポーツ傷害研究会会誌．2015; 33: 15–17． – reference: 25) 林 典雄：運動療法のための機能解剖学的触診技術 上肢．青木隆明（監），MEDICAL VIEW，東京，2011，pp. 134–135． – reference: 2) 公益社団法人日本整形外科学会ホームページ マスコミ・行政の方へ スポーツ委員会：平成27 年度少年野球 （軟式・硬式）実態調査．https://www.joa.or.jp/media/comment/pdf/2016_survey_childrensbaseball.pdf（2020 年9 月5 日引用） – reference: 29) 坂田 淳，中村絵美，他：少年野球選手における肘内側障害の危険因子に関する前向き研究．整形外科臨床スポーツ医学会誌．2016; 36: 43–53． – reference: 27) Fleisig GS, Andrews JR, et al.: Kinetics of Baseball Pitching with Implications About Injury Mechanisms. Am J Sports Med. 1995; 23: 233–239. – reference: 17) 木村公一，相澤 徹，他：小学生軟式野球選手の成長期肘関節障害発症とポジションの関連に関する検討─メディカルチェックの結果から─．関西臨床スポーツ医・科学研究会誌．2015; 25: 49–52． – reference: 23) Matsuura T, Iwase T, et al.: Risk factors of for shoulder and elbow pain in youth baseball players. Phys Sportsmed. 2017; 45: 140–144． – reference: 15) 鈴木 昌，西中直也，他：関東圏シニアリーグ野球チームにおける現場での肘関節障害発症の現状．日本肘関節学会雑誌．2016; 23: 398–401． – reference: 18) Matsuura T, Suzuki N, et al.: Elbow injuries in Youth Baseball Players Without Prior Elbow Pain: A 1-Year Prospective Study. Orthop J Sports Med. 2013; 1: 2325967113509948. – reference: 28) Ahmad CS, Lee TQ, et al.: Biomechanical Evaluation of a New Ulnar Collateral Ligament Reconstruction Technique with Interference Screw Fixation. Am J Sports Med. 2003; 31: 332–337. – reference: 10) Haraldsson S: On osteochondrosis deformas juvenilis capituli humeri including investigation of intra —osseous vasculature in distal humerus. Acta Orthop Scand. 1959; 38(suppl): 1–232. – reference: 3) 柏口新二：肘実践講座 よくわかる野球肘 離断性骨軟骨炎．岩瀬毅信，他（編），全日本病院出版会，東京，2013， pp. 2–8, 93–117, 236–248． – reference: 5) 福島 崇，笹沼秀幸，他：栃木県における広域野球肘検診の結果と2 次検診受診率の調査．日本肘関節学会誌．2015; 22: 75–79． – reference: 4) 堀内俊樹，西田裕介，他：野球肘検診の調査結果と今後の展望．理学療法科学．2018; 33: 969–973． – reference: 13) Harada M, Takahara M, et al.: Using Sonography for the Early Detection of Elbow Injuries Among Young Baseball Players. AJR Am J Roentgenol. 2006; 187: 1436–1441. – reference: 20) 渡辺千聡：特集 運動器の超音波診断 野球肘の超音波診断．関節外科．2012; 31: 49–56． – reference: 24) Karbach LE, Elfar J: Elbow Instability: Anatomy, Biomechanics, Diagnostic Maneuvers, and Testing. J of Hand Surg Am. 2017; 42: 118–126. – reference: 7) 長澤 誠，石田康行，他：野球検診で発見された上腕骨小頭離断性骨軟骨炎例の特徴．肩関節．2018; 42: 552–554． – reference: 6) 和田哲宏，巽 志伸，他：奈良県における野球肘検診の試み─検診を通じたスポーツ障害に対する取り組みと継続的な組織運営について─．関西臨床スポーツ医・科学研究会誌．2014; 24: 13–16． – reference: 11) Takahara M, Mura N, et al.: Classification, Treatment, and Outcome of Osteochondritis Dissecans of the Humeral Capitellum. J Bone Joint Surg Am Ame. 2008; 90(suppl2 Part1): 47–62. |
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| SubjectTerms | Baseball elbow injuries Medial epicondyle of the humerus Medical checkup Ultrasonography 上腕骨内側上顆 検診 超音波 野球肘 |
| Title | Relationships between Physical Characteristics and Ultrasound and Physical Examination Findings of the Medial Epicondyle of the Humerus in Youth Baseball Players |
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| ispartofPNX | Physical Therapy Japan, 2021, Vol.48(4), pp.370-378 |
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