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Following the January 17, 2002 catastrophic eruption of the Nyiragongo Volcano (Democratic Republic of Congo) located in the western branch of the East African Rift, a great effort has been devoted to the seismic surveillance of this volcanic area. The 2002 eruption destroyed one/tenth of the city of Goma, leaving more than 100,000 homeless. In order to correctly monitor the seismic activity at Nyiragongo volcano for both scientific and civil defence purposes, the Istituto Nazionale di Geofisica e Vulcanologia in cooperation with GVO (Goma Volcanological Observatory), between November 2003 and May 2004 installed a new telemetered seismic network consisting of seven digital stations. The network is operational and seismic signals are continuously recorded at the GVO. In this study, we focus mainly on two aspects: (1) the deployment, in the field, of this new digital seismic network and the related real-time data acquisition system, and (2) the first results from a preliminary data analysis based on 6-month seismic recordings. Based on the waveforms and spectral analysis, long-period and very long period events (both, tectonic and volcanic-tectonic earthquakes), have been detected. Furthermore, we succeeded in locating more than 100 earthquakes. These results should strongly encourage the use of such a network data for seismotectonic studies of the area. [ABSTRACT FROM AUTHOR]

The prevalence and severity of baseball-related injuries in the youth athlete population continue to escalate, despite efforts by health care professionals and sports organizations to quell this trend. This article reviews current research that has investigated the risk factors and possible prevention strategies for the most common injuries in young baseball players, including strengthening programs, pitch count guidelines, and throwing analysis., Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article., (© The Author(s) 2024.)

Purpose of Review: Arm care programs for baseball players are an increasingly popular area of interest for players, parents, coaches, sports performance staff, and team physicians. Once a general afterthought, the design of arm care programs is now heavily scrutinized in order to maximize performance and help reduce injury risk. Given the recent spike in interest for arm care programs for baseball players of all ages, the purpose of this work is to review the relevant literature regarding the efficacy of arm care programs and to discuss the authors' preferred, evidence-based principles for arm care programs., Recent Findings: Arm care programs appear to provide favorable results for performance, maintenance of strength and flexibility, and reduced injury risk. These programs should be tailored to the demands of the athlete, which can change based on the time of year and physical demands of the player's position. A good program will incorporate flexibility, strengthening, proprioception, and joint mobility for the entire kinetic chain. Appropriate warm-up and cool-down periods are also important. Arm care programs should start with basic movement patterns before progressing to more advanced, coordinated exercises. Arm care programs are an important piece of a holistic approach to caring for the throwing arm of baseball athletes. In general, they appear to be a safe and efficacious way to help prevent a portion of throwing arm injuries. Further research is needed to determine the optimal arm care program for each athlete.

The Calabrian Arc subduction-rollback system along the convergent Africa/Eurasia plate boundary is among the most active geological structures in the Mediterranean Sea. However, its seismogenic behaviour is largely unknown, mostly due to the lack of seismological observations. We studied low-to-moderate magnitude earthquakes recorded by the seismic network onshore, integrated by data from a seafloor observatory (NEMO-SN1), to compute a lithospheric velocity model for the western Ionian Sea, and relocate seismic events along major tectonic structures. Spatial changes in the depth distribution of earthquakes highlight a major lithospheric boundary constituted by the Ionian Fault, which separates two sectors where thickness of the seismogenic layer varies over 40 km. This regional tectonic boundary represents the eastern limit of a domain characterized by thinner lithosphere, arc-orthogonal extension, and transtensional tectonic deformation. Occurrence of a few thrust-type earthquakes in the accretionary wedge may suggest a locked subduction interface in a complex tectonic setting, which involves the interplay between arc-orthogonal extension and plate convergence. We finally note that distribution of earthquakes and associated extensional deformation in the Messina Straits region could be explained by right-lateral displacement along the Ionian Fault. This observation could shed new light on proposed mechanisms for the 1908 Messina earthquake.

Background: There are many risk factors for shoulder and elbow injuries in professional baseball pitchers. The elbow carrying angle has not been studied as a potential risk factor., Purpose/hypothesis: The aim of this study was to determine whether elbow carrying angle is a risk factor for shoulder or elbow injuries in professional baseball pitchers. We hypothesized that pitchers with a higher elbow carrying angle would be less likely to sustain an injury during the season than pitchers with a lower elbow carrying angle., Study Design: Cohort study; Level of evidence, 2., Methods: All professional pitchers for a single baseball club during the 2018 season had the carrying angle of both elbows measured at spring training by a single examiner. The pitchers were followed prospectively throughout the season. Shoulder and elbow injuries were recorded prospectively., Results: A total of 52 pitchers (21 [40%] Major League Baseball and 31 [60%] Minor League Baseball) were included. During the season, 23 (44%) pitchers became injured. The mean carrying angle in the throwing arm was 12.5° ± 4.2° versus 9.9° ± 2.8° in the nonthrowing arm ( P < .001). Comparing the injured and noninjured groups, there were no differences in level of play ( P = .870), throwing hand dominance ( P = .683), batting hand dominance ( P = .554), throwing-side carrying angle ( P = .373), nonthrowing-side carrying angle ( P = .773), or side-to-side difference in carrying angle ( P = .481)., Conclusion: The elbow carrying angle was not associated with an injury risk during a single season in professional baseball pitchers., Competing Interests: One or more of the authors has declared the following potential conflict of interest or source of funding: B.J.E. has received research support from DePuy and Smith & Nephew. P.N.C. has received educational support from Tornier. J.J.E. has received educational support from Smith & Nephew. D.W.A. has received educational support from Arthrex and Stryker. J.S.D. has received consulting fees from Arthrex, Linvatec, DePuy, Merck Sharp & Dohme, Trice, and Wright Medical; speaking fees from Arthrex; research support from Arthrex; royalties from Wolters Kluwer Health–Lippincott Williams & Wilkins; and hospitality payments from Horizon Pharma. S.H.C. has received consulting fees from Stryker/Pivot Medical, speaking fees from Smith & Nephew, and royalties from Blue Belt Technologies and has stock/stock options in Blue Belt Technologies and CyMedica Orthopedics. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto.

Background: Biocomposite suture anchors containing osteoconductive materials have gained popularity in rotator cuff repairs. However, little is known about the influence of the addition of osteoconductive materials on implant resorption, bone reaction, tendon healing, and clinical outcomes scores., Questions/purposes: (1) What percentage of suture anchors were not completely resorbed 2 years after implantation? (2) What are the diameters of the bone bed in relation to the implant? (3) Is tendon integrity correlated with bone tunnel diameter? (4) Is there an association between tunnel widening, periimplant fluid film grade, biodegradation grade, and retear with clinical outcomes scores, such as the Western Ontario Rotator Cuff Index (WORC) and the Oxford Shoulder Score (OSS)?, Methods: Thirty-six patients were enrolled from August 2012 to January 2014. The following inclusion criteria were applied: (1) reparable full-thickness supraspinatus tendon tears, (2) double-row suture bridge techniques applied for supraspinatus repair, (3) use of biocomposites suture anchor implants composed of poly L-lactic acid (PLLA) and β-tricalcium phosphate (TCP) exclusively, and (4) a minimum of 2 years followup. Four patients met the exclusion criteria, and seven of 36 patients (19%) were lost to followup. Thereby, 25 patients (84 implants) were included in this retrospective study. To answer the study's questions, the following methods were applied: (1) The resorption of the implants and periimplant fluid film were assessed on MRI using a four-stage scale system, (2) bone bed diameter was measured on MRI at three different points on the longitudinal central axis of each anchor, (3) tendon integrity was evaluated on MRI according to the Sugaya classification and correlated to bone tunnel diameter, and (4) assessed tunnel diameters, periimplant fluid film grade, biodegradation grade, and tendon condition were related to clinical outcomes scores at the time of followup (2.3 ± 0.3 years). The intraobserver reliability was 0.981 (p < 0.001) and interobserver reliability was 0.895 (p < 0.001)., Results: At 2.3 ± 0.3 years, most analyzed suture anchors (76 of 84 [90%]) were, with varying degrees of degradation, still visible. Bone tunnels showed minor widening (0.4 ± 1.4 mm) at the base, but osseous ingrowth was detected as narrowing at the middle (0.1 ± 1.1 mm) and at the apex (1.4 ± 1.7 mm) of the implants. Patients with retears (Sugaya Grades 4-5) had narrower tunnels (3.6 ± 1.8 mm) than patients without retears (Sugaya Grades 1-3; 4.4 ± 1.6 mm; mean difference, 0.782 [95% confidence interval {CI}: 0.009-1.6]; p = 0.050). WORC and Oxford scores were not associated with the tunnel widening amount, fluid film grade, biodegradation grade, or tendon retear., Conclusions: In light of the results of the present study, surgeons should consider in their daily practice that the resorption process of these implants may be slower than assumed so far, but no association with severe implant-related complications has been found in the short term. Future studies should focus on the evaluation of the effects of osteoconductive materials on resorption, tendon healing, and clinical outcomes in the long term and on the integration process in different rotator cuff reconstruction techniques., Level of Evidence: Level IV, therapeutic study.

Purpose of Review: The purpose of this manuscript is twofold: (1) to review the literature related to rehabilitation after surgery for multiple ligament knee injury (MLKI) and after isolated surgery for the posterior cruciate ligament (PCL), posterolateral corner (PLC), and medial side of the knee and (2) to present a hierarchy of anatomic structures needing the most protection to guide rehabilitation., Recent Findings: MLKIs continue to be a rare but devastating injury. Recent evidence indicates that clinicians may be providing too much protection from early weight bearing and range of motion, but an accelerated approach has not been rigorously tested. Consideration of the nature and quality of surgical procedures (repair and reconstruction) can help clinicians determine the structures needing the most protection during the rehabilitation period. The biomechanical literature and prior clinical experience can aid clinicians to better structure rehabilitation after surgery for MLKI and improve clinical outcome for patients.

Purpose: To determine differences among healthy pitchers at various levels of competition regarding pitching history, pitching mechanics, and prevalence of breaking pitches., Methods: Demographic, anthropometric, pitching history, and kinematic data were collected on healthy youth pitchers using dual orthogonal high-speed video analysis. Players were grouped by maturity level (9 to 12 [prepubescent], 13 to 15 [pubescent], 16 to 17 [mature], and 18 to 22 years [adult]). Groups were compared regarding pitch counts, pitching mechanics, and use of breaking pitches. Mechanics were assessed for favorable observational parameters (e.g., closed foot orientation at foot-strike) and measurable parameters at cocking, foot-strike, and ball release (e.g., knee flexion)., Results: Two hundred ninety-five pitchers were included. Sixty-three were 9 to 12, 130 were 13 to 15, 78 were 16 to 17, and 24 were 18 to 22 years of age. Older pitchers threw more pitches per game (41, 52, 69, and 50 by age group; P < .001), per season (766, 975, 1,079, and 881; P = .017), and per year (901, 1,343, 2,064, and 1,302; P < .001). They were more likely to pitch for multiple teams, for more than 9 months, in showcases, and in violation of pitch count recommendations. Older pitchers were more likely to maintain their hand on top of the ball, maintain closed shoulders at foot-strike, achieve hip and shoulder separation, and lead with their hips. Older pitchers achieved greater relative stride-length, greater knee flexion at front-foot contact, and increased lead hip flexion at ball release. Pitchers began throwing curveballs and sliders at 12.6 and 13.5 years, respectively., Conclusions: As pitchers age, they throw more pitches per game, per season, and per year and are more likely than younger pitchers to violate pitch count recommendations. Older pitchers tend to pitch with improved mechanics and velocity. The proportion of pitchers throwing breaking pitches increases with age, with the greatest increase occurring between ages 12 and 13., Level of Evidence: Level II, cross-sectional study., (Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.)

In recent years, increased attention has been paid to injuries occurring in Major League Baseball (MLB) players. Although most of the current orthopedic literature regarding baseball injuries pertains to the shoulder and elbow, lumbar spine injuries are another common reason for time out of play. Back and core injuries may represent as many as 12% of all injuries that result in time out of play from MLB. This high rate of injury is likely related to the critical role that the spine plays in every major baseball-related movement. Linking the upper extremities to the hips and lower extremities, a healthy, strong, and stable spine and core is a prerequisite for performance in all levels of baseball. It has been well documented that baseball players with poor spinal control and stabilization are at increased risk for future injury. Common etiologies of lumbar injuries include stress fractures, muscle injury, annular tears with or without disc herniation, facet joint pain, sacroiliac joint pain, and stenosis. This review discusses the epidemiology of spinal injuries in baseball. Special attention is paid to the role of the spine in baseball-related activities, common injuries, tips for making the correct diagnosis, treatment options, outcomes, rehabilitation, and injury prevention.

Background: Shoulder and elbow injuries are a common cause of pain, dysfunction, and inability to play in overhead throwers. Pitch velocity plays an integral part in the etiology of these injuries; however, the demographic and biomechanical correlates with throwing velocity remain poorly understood. We hypothesized that pitchers with higher velocity would have shared demographic and kinematic characteristics., Methods: Normal preseason youth and adolescent pitchers underwent dual-orthogonal high-speed video analysis while pitch velocity was collected with a radar gun. Demographic and pitching history data were also collected. Kinematic data and observational mechanics were recorded. Multivariate regression analysis was performed., Results: A total of 420 pitchers were included, with a mean pitching velocity of 64 ± 10 mph. After multivariate logistic regression analysis, the most important correlates with pitch velocity were age (P < .001; R(2) = 0.658), height (P < .001; R(2) = 0.076), separation of the hips and shoulders (P < .001; R(2) = 0.027), and stride length (P < .001; R(2) = 0.016); in combination, these 4 variables explained 78% of the variance in pitch velocity. Each year of age was associated with a mean 1.5 mph increase in velocity; each inch in height, with 1.2 mph; separation of the hips and shoulders, with 2.6 mph; and a 10% increase in stride length, with 1.9 mph., Conclusion: Pitch velocity is most strongly correlated with age, height, separation of the hips and shoulders, and stride length., (Copyright © 2015 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.)

Purpose: To determine the factors within pitcher demographic characteristics, pitching history, and pitch kinematics, including velocity, that correlate with a history of pitching-related injury., Methods: Demographic and kinematic data were collected on healthy youth and adolescent pitchers aged 9 to 22 years in preseason training during a single preseason using dual orthogonal high-speed video analysis. Pitchers who threw sidearm and those who had transitioned to another position were excluded. Players were asked whether they had ever had a pitching-related shoulder or elbow injury. Multivariate logistic regression analysis was performed on those variables that correlated with a history of injury., Results: Four hundred twenty pitchers were included, of whom 31% had a history of a pitching-related injury. Participant height (P = .009, R(2) = 0.023), pitching for more than 1 team (P = .019, R(2) = 0.018), and pitch velocity (P = .006, R(2) = 0.194) served as independent correlates of injury status. A model constructed with these 3 variables could correctly predict 77% of injury histories. Within our cohort, the presence of a 10-inch increase in height was associated with an increase in a history of injury by 20% and a 10-mph increase in velocity was associated with an increase in the likelihood of a history of injury by 12%. Playing for more than 1 team increased the likelihood of a history of injury by 22%., Conclusions: Pitch velocity, pitcher height, and pitching for more than 1 team correlate with a history of shoulder and elbow injury. Current recommendations regarding breaking pitches may not prevent injury. Pitchers should be cautioned about pitching for more than 1 team. Taller pitchers and high-velocity pitchers may be at risk of injury., (Copyright © 2015 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.)