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International Journal of Computer Assisted Radiology and Surgery

Published in:

01-08-2015 | Original Article

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

Authors: Caecilia Charbonnier, Sylvain Chagué, Frank C. Kolo, Alexandre Lädermann

Published in: International Journal of Computer Assisted Radiology and Surgery | Issue 8/2015

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 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.

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Title: Shoulder motion during tennis serve: dynamic and radiological evaluation based on motion capture and magnetic resonance imaging
Authors: Caecilia Charbonnier
Sylvain Chagué
Frank C. Kolo
Alexandre Lädermann
Publication date: 01-08-2015
Publisher: Springer Berlin Heidelberg
Published in: International Journal of Computer Assisted Radiology and Surgery / Issue 8/2015
Print ISSN: 1861-6410
Electronic ISSN: 1861-6429
DOI: https://doi.org/10.1007/s11548-014-1135-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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