skip to main content

Glenohumeral internal rotation deficit — MRCEM SBA MCQ

Instant feedback + full explanation. One question, done properly.

HardShoulder InjuriesGlenohumeral internal rotation deficitMRCEM SBA

A 28-year-old javelin thrower has posterior shoulder tightness and reduced internal rotation on the throwing side. Symptoms occur during late cocking without frank apprehension. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Glenohumeral internal rotation deficit

Throwers commonly develop side-to-side adaptation in shoulder rotation. Symptomatic loss of internal rotation with posterior tightness is termed GIRD. It can contribute to internal impingement and labral-cuff overload.

Reference: BJSM throwing shoulder; Brukner & Khan