Overload and neovascularization of shoulder tendons in volleyball players

BMC Research Notes

Biagio Moretti¹  Silvio Tafuri³  Pasquale Pignataro⁴  Lorenzo Moretti¹  Donato Gallone²  Francesco Fischetti²  Angela Notarnicola¹ 

[1] Orthopedics Section, Department of Neuroscience and Organs of Sense, Faculty of Medicine and Surgery, University of Study of Bari, General Hospital, Piazza Giulio Cesare 11, 70124, Bari, Italy;Course of Motor and Sports Sciences, Faculty of Medicine and Surgery, University of Study of Bari, Lungomare Starita 1, 70123, Bari, Italy;Department of Biomedical Sciences and Human Oncology, Faculty of Medicine and Surgery, University of Study of Bari, General Hospital, Piazza Giulio Cesare 11, 70124, Bari, Italy;Radiology Section, Faculty of Medicine and Surgery, University of Study of Bari, General Hospital, Piazza Giulio Cesare 11, 70124, Bari, Italy

关键词: Volleyball;    Overuse;    Shoulder;   

Others  :  1166033
DOI  :  10.1186/1756-0500-5-397

 received in 2012-01-06, accepted in 2012-06-20,  发布年份 2012

【 摘 要 】

Background

In overhead sports like volleyball, the onset of a rotator cuff tendinopathy due to functional overload is a common observation. An angiofibroblastic etiopathogenesis has been hypothesized, whereby a greater anaerobic metabolism occurs in critical zones of the tendon with a lower degree of vascularization; this would induce collagen and extracellular matrix degradation, that could then trigger a compensatory neovascularization response. We performed a clinical observational study of 80 elite volleyball players, monitoring the perfusion values of the supraspinatus tendons by oximetry.

Results

No statistically significant differences were found between the oximetry data and age, sex or years of sports activity, nor when comparing the right and left arm or the dominant and non-dominant arm. A statistically significant difference was found for the dominant arm values in relation to the competitive role, higher values being obtained in outside hitters (62.7%) than middle hitters (53.7%) (p = 0.01), opposite hitters (55.5%) (p = 0.02) and libero players (54.4%) (p = 0.008), whereas there were no differences in setters (56.2%) (p > 0.05).

Conclusions

The different tendon vascularization values found in players with different roles in the team may be attributed to a response to the specific biomechanical demands posed by the different overhead throwing roles.

【 授权许可】

   
2012 Notarnicola et al.; licensee BioMed Central Ltd.

【 图 表 】

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