Shoulder Flashcards
1
Q
What does GIRD stand for?
A
Glenohumeral internal rotation deficit
2
Q
What is GIRD?
A
A loss of internal rotation of the abducted throwing shoulder of greater than 25dg as compared to the non-throwing shoulder
3
Q
What is GIRD caused by?
A
Posterioinferior capsular contracture
4
Q
How should GIRD be addressed?
A
Focused anterior/posterior capsular stretches
5
Q
What is acceptable GIRD?
A
20dg IR deficit or 10dg less than the non-throwing arm.
6
Q
What is a stretch that can accomplish capsular stretching for GIRD?
A
Sleeper stretch more on p. 178 wilkes
7
Q
How long does it usually take to use the sleeper stretches to improve GIRD?
A
2 weeks
8
Q
If sleeper stretches don’t work on GIRD, what is done?
A
A selective posterioinferior capsulotomy. This is usually done with a SLAP repair
