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SPORTS MEDICINE :
SPORTS: INJURIES :
SPORTS: BASEBALL: PROFESSIONAL:
Rash of Oblique Strains
Lands Some of Game's Biggest Names on Disabled List

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Rash of Oblique Strains
Lands Some of Game's Biggest Names on Disabled List
By: Pat Graham 
The Associated Press
Posted: 07/23/2011 9:01 AM 
Winnepeg Free Press
http://www.winnipegfreepress.com/sports/baseball/126057318.html

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DENVER - The piercing twinge Minnesota Twins reliever Glen Perkins 
experienced each time he threw to the plate almost felt like a knife being 
plunged into his rib cage  and twisted.

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What started as mild discomfort in his right side as he warmed up in the 
bullpen had exploded into full fury after a few pitches on the mound.

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Finally, Perkins couldn't stand the agony and motioned to the dugout to be 
taken out of the game at Arizona in May.

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"I couldn't breathe. It hurt to walk. I couldn't sit down," Perkins said. 
"It was as bad of pain as I've ever been in."

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Plenty of players know exactly what he went through.

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There's been an outbreak of oblique strains this season that has landed 
some of the game's most familiar names on the disabled list, including 
Evan Longoria, Brian Wilson, Rafael Furcal, Travis Hafner and Jim Thome.

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The oblique muscles run along the ribs and allow the torso to bend and 
twist. Pitchers usually injure the side opposite their throwing arm, 
possibly as a result of the torque created from the coil of the delivery. 
For hitters, it's the side they lead with through their swing, the one 
that generates the extreme trunk rotation.

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Oblique injuries have been around for years, but before the arrival of MRI 
exams they were frequently listed on injury reports as abdominal, rib 
cage, intercostal or side strain.

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They're tricky to prevent and even tougher to treat, mostly requiring 
old-fashioned rest.

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So far this season, 40 players have gone on the disabled list for a 
strained oblique or other injuries related to the core, which are the 
muscles located deep within the abs and back.

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In comparison, there were a total of 26 in 2010.

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Most oblique strains happen in innocuous situations or on routine plays 
that players have made throughout their careers. Longoria and Hafner 
aggravated their oblique injuries in batting practice, while Furcal hurt 
his making a quick throw to third base while he was leaning in the 
opposite direction.

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snip

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Dr. Joshua Dines has been looking into the recent rash of core injuries. 
An orthopedic surgeon specializing in sports medicine and a consultant for 
the Dodgers, Dines just submitted a paper to the American Journal of 
Sports Medicine that examines all things associated with the oblique.

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Partnering with Dodgers trainer Stan Conte and another doctor, Matt 
Thompson, they had a few primary questions they were hoping to answer: Was 
it occurring more frequently? Were players likely to re-injure the 
oblique?

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The medical team pored through the data on disabled lists dating to 1991, 
trying to detect patterns.

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They discovered there were 393 abdominal muscle strains, comprising 5 per 
cent of all injuries to major leaguers over the 20-year span. The high 
mark for one year was 29 in 2007.

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That was until this season.

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And it's not just the average player being sidelined, either. The list 
also includes the likes of Angel Pagan, Marco Scutaro, Jon Garland, Derrek 
Lee and Ivan Rodriguez.

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The complete article may be read at the URL above.

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Selected Related Article Citations:

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Imaging and Ultrasound-Guided Steroid Injection of Internal Oblique Muscle 
Strains in Baseball Pitchers
Author:
Stevens, K. J.
Journal:
The American journal of sports medicine
ISSN:
0363-5465
Date:
03/2010
Volume:
38
Issue:
3
Page:
581
DOI:
10.1177/0363546509350105

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Sonographic Appearance of Side Strain Injury
Author:
Obaid, H.
Journal:
American journal of roentgenology (1976)
ISSN:
0361-803X
Date:
12/2008
Volume:
191
Issue:
6
Page:
W264
DOI:
10.2214/AJR.07.3381

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An 18-Year Review of Sports Groin Injuries in the Elite Hockey Player: 
Clinical Presentation, New Diagnostic Imaging, Treatment, and Results
Author:
Brown, Rea A
Journal:
Clinical journal of sport medicine
ISSN:
1050-642X
Date:
05/2008
Volume:
18
Issue:
3
Page:
221
DOI:
10.1097/JSM.0b013e318172831a

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Sports hernias: a systematic literature review
Author:
Caudill, P
Journal:
British journal of sports medicine
ISSN:
0306-3674
Date:
11/2007
Volume:
42
Issue:
12
Page:
954
DOI:
10.1136/bjsm.2008.047373

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Complex Strain Injury Involving an Intercostal Hematoma in a Professional 
Baseball Player
Author:
O?Neal, Michael L
Journal:
Clinical journal of sport medicine
ISSN:
1050-642X
Date:
07/2008
Volume:
18
Issue:
4
Page:
372
DOI:
10.1097/JSM.0b013e31817d32c8

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Core muscle activation during swiss ball and traditional abdominal 
exercises
Author:
Escamilla, RF
Journal:
The journal of orthopaedic and sports physical therapy
ISSN:
0190-6011
Date:
2010
Volume:
40
Issue:
5
Page:
265

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Comparison of Lumbar and Abdominal Muscles Activation Pattern in two 
Different Skill Level Golf Players: An EMG Analysis
Author:
Shenoy, Shweta
Journal:
Medicina sportiva (Krako?w, Poland : English ed.)
ISSN:
1734-2260
Date:
12/2008
Volume:
12
Issue:
4
Page:
109
DOI:
10.2478/v10036-008-0021-y

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MRI Appearance of Chronic Stress Injury of the Iliac Crest Apophysis in 
Adolescent Athletes
Author:
Hebert, K. J.
Journal:
American journal of roentgenology (1976)
ISSN:
0361-803X
Date:
06/2008
Volume:
190
Issue:
6
Page:
1487
DOI:
10.2214/AJR.07.3399

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Core Training: Evidence Translating to Better Performance and Injury 
Prevention
Author:
McGill, Stuart
Journal:
Strength and conditioning journal
ISSN:
1524-1602
Date:
06/2010
Volume:
32
Issue:
3
Page:
33
DOI:
10.1519/SSC.0b013e3181df4521

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Injury patterns and biomechanics of the athlete's shoulder
Author:
Lintner, D
Journal:
Clinics in sports medicine
ISSN:
0278-5919
Date:
2008
Volume:
27
Issue:
4
Page:
527

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Successful endoscopic treatment of chronic groin pain in athletes
Author:
Veen, R. N.
Journal:
Surgical endoscopy
ISSN:
0930-2794
Date:
02/2007
Volume:
21
Issue:
2
Page:
189
DOI:
10.1007/s00464-005-0781-6

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Imaging pediatric sports injuries: lower extremity
Author:
Davis, KW
Journal:
The Radiologic clinics of North America
ISSN:
0033-8389
Date:
2010
Volume:
48
Issue:
6
Page:
1213

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Electromyography of the trunk and abdominal muscles in golfers with and 
without low back pain
Author:
Cole, MH
Journal:
Journal of science and medicine in sport
ISSN:
1440-2440
Date:
2008
Volume:
11
Issue:
2
Page:
174

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Common Lower Extremity Injuries in the Skeletally Immature Athlete
Author:
Grady, Matthew F.
Journal:
Current problems in pediatric and adolescent health care
ISSN:
1538-5442
Date:
08/2010
Volume:
40
Issue:
7
Page:
170
DOI:
10.1016/j.cppeds.2010.06.003

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Muscle activation patterns in football code athletes with chronic groin 
pain: a case control study
Author:
Graham, J.
Journal:
British journal of sports medicine
ISSN:
0306-3674
Date:
02/2011
Volume:
45
Issue:
2
Page:
e1
DOI:
10.1136/bjsm.2010.081554.9

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Functional Rehabilitation of Lumbar Spine Injuries in the Athlete
Author:
Krabak, Brian
Journal:
Sports medicine and arthroscopy review
ISSN:
1062-8592
Date:
03/2008
Volume:
16
Issue:
1
Page:
47
DOI:
10.1097/JSA.0b013e318164c431

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Athletic Pubalgia (Sports Hernia)
Author:
Litwin, DEM
Journal:
Clinics in sports medicine
ISSN:
0278-5919
Date:
2011
Volume:
30
Issue:
2
Page:
417

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Abdominal wall injuries: rectus abdominis strains, oblique strains, rectus 
sheath hematoma
Author:
Johnson, R
Journal:
Current sports medicine reports
ISSN:
1537-890X
Date:
2006
Volume:
5
Issue:
2
Page:
99

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Training to prevent golf injury
Author:
Brandon, B
Journal:
Current sports medicine reports
ISSN:
1537-890X
Date:
2009
Volume:
8
Issue:
3
Page:
142

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Uncommon abdominal muscle injury in a tennis player: internal oblique 
strain
Author:
Maquirriain, J
Journal:
British journal of sports medicine
ISSN:
0306-3674
Date:
05/2006
Volume:
40
Issue:
5
Page:
462
DOI:
10.1136/bjsm.2005.023457

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Traumatic Injuries of the Hip
Author:
Marshall, N
Journal:
Magnetic resonance imaging clinics of North America
ISSN:
1064-9689
Date:
2009
Volume:
17
Issue:
4
Page:
681

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Injury Prevention: Avoiding One of Golf's More Painful Hazards
Author:
Versteegh, Theo H
Journal:
International journal of sports science & coaching
ISSN:
1747-9541
Date:
09/2009
Volume:
4
Issue:
0
Page:
129
DOI:
10.1260/174795409789577452

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Ultrasonography of the Hip and Lower Extremity
Author:
Malanga, GA
Journal:
Physical medicine and rehabilitation clinics of North America
ISSN:
1047-9651
Date:
2010
Volume:
21
Issue:
3
Page:
533

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Sport-Specific Characteristics of Trunk Muscles in Collegiate Wrestlers 
and Judokas
Author:
Iwai, Kazunori
Journal:
Journal of strength and conditioning research
ISSN:
1064-8011
Date:
03/2008
Volume:
22
Issue:
2
Page:
350
DOI:
10.1519/JSC.0b013e3181635d25

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Profiles of Trunk and Thigh Muscularity in Youth and Professional Soccer 
Players
Author:
Kubo, Takahiro
Journal:
Journal of strength and conditioning research
ISSN:
1064-8011
Date:
06/2010
Volume:
24
Issue:
6
Page:
1472
DOI:
10.1519/JSC.0b013e3181d32eb1

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Imaging of groin pain
Author:
MacMahon, PJ
Journal:
Magnetic resonance imaging clinics of North America
ISSN:
1064-9689
Date:
2009
Volume:
17
Issue:
4
Page:
655

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Chapter:
Thoracic and Abdominal Wall Injuries in Sports
Author:
Gielen, Jan L.
Book:
Imaging of orthopedic sports injuries
ISBN:
3-540-26014-5, 978-3-540-26014-1
Date:
2007
Page:
415
Place:
Berlin, Heidelberg
Publisher:
Springer
DOI:
10.1007/978-3-540-68201-1_25

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Sports-Related Muscle Injury in the Lower Extremity
Author:
ARMFIELD, D
Journal:
Clinics in sports medicine
ISSN:
0278-5919
Date:
10/2006
Volume:
25
Issue:
4
Page:
803
DOI:
10.1016/j.csm.2006.06.011

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