The Orthobullets Podcast Foundations⎪Shoulder & Elbow⎪Glenohumeral Internal Rotation Deficit (GIRD)
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Apr 27, 2025 Dive into the nuances of Glenohumeral Internal Rotation Deficit (GIRD) and its impact on athletes, particularly those in throwing sports. Discover key diagnostic techniques and a repertoire of evidence-based treatments, including targeted stretching and rehabilitation strategies. This engaging discussion sheds light on effective management practices to help athletes recover and thrive, emphasizing practical knowledge for frontline healthcare providers.
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Diagnosing and Treating GIRD
- Diagnose GIRD by noting decreased internal rotation and increased external rotation compared to the opposite shoulder.
- Treat mainly with physical therapy focused on posterior inferior capsular stretching and rest from throwing activities.
Surgery Only if PT Fails
- Reserve operative options like posterior inferior capsular release or anterior stabilization only when extensive physical therapy fails.
- Most patients improve substantially with non-operative management and structured rehab.
Comprehensive Rehab for Overhead Athletes
- For overhead athletes with GIRD, combine posterior capsule stretching with periscapular muscle strengthening.
- Include pectoralis minor stretches to relieve scapular malposition and related pain.