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Updated: Jun 23, 2026

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Measuring 3D In-vivo Shoulder Kinematics using Biplanar Videoradiography
Published on: March 12, 2021
Adolescent shoulder injuries: consensus and controversies.
Dean C Taylor1, Kevin L Krasinski
1Division of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA.
Summary
Adolescent athletes face high shoulder injury risks due to intense, year-round sports. This review examines evidence-based treatment options for these young athletes, addressing prevention and return-to-play protocols.
Area of Science:
- Orthopedics
- Sports Medicine
- Pediatric Sports Medicine
Background:
- Adolescent sports participation and intensity are increasing, leading to greater shoulder demands.
- Young athletes are at higher risk for shoulder injuries due to ongoing skeletal development.
- Specific considerations are necessary for treating shoulder injuries in this demographic.
Purpose of the Study:
- To review current literature on the treatment of shoulder injuries in adolescent athletes.
- To address controversies in injury prevention, surgical vs. nonsurgical treatment, and overuse injuries.
- To provide evidence-based recommendations for return to play after shoulder injuries.
Main Methods:
- Literature review of current evidence regarding adolescent shoulder injuries.
- Analysis of studies focusing on injury prevention strategies.
- Examination of treatment outcomes for surgical and nonsurgical interventions.
- Evaluation of factors influencing return to play after shoulder trauma.
Main Results:
- Evidence supports tailored injury prevention programs for young athletes.
- Nonsurgical management is often preferred for certain injuries, but surgical indications are evolving.
- Overuse injuries require specific diagnostic and management approaches.
- Return to play decisions must balance athlete recovery with potential re-injury risks.
Conclusions:
- A comprehensive, evidence-based approach is crucial for managing shoulder injuries in adolescent athletes.
- Further research is needed to resolve treatment controversies and optimize return-to-play guidelines.
- Individualized care considering skeletal maturity and sport demands is paramount.
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