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[Tendon ruptures of the shoulder]
1Chirurgische Klinik Innenstadt und Chirurgische Poliklinik Ludwig-Maximilians-Universität München.
Der Orthopade
|August 1, 1989
Summary
Overhead sports can cause rotator cuff tendinitis due to impingement under the coracoacromial arch. Prevention focuses on proper mechanics, stretching, strengthening, and avoiding fatigue to manage overuse injuries.
Area of Science:
- Orthopedics
- Sports Medicine
- Biomechanics
Background:
- Overhead sports frequently lead to rotator cuff tendinitis.
- Impingement occurs when structures under the coracoacromial arch are compressed.
- Mechanisms include hypertrophy, inflammation, reduced subacromial space, and rotator cuff weakness.
Purpose of the Study:
- To outline the mechanisms of rotator cuff tendinitis in overhead athletes.
- To emphasize the importance of prevention strategies for overuse injuries.
- To highlight conservative treatment approaches for shoulder problems in athletes.
Main Methods:
- Review of common injury mechanisms in sports like throwing, racquet games, and swimming.
- Discussion of anatomical factors contributing to impingement.
- Emphasis on preventative exercises and proper training techniques.
Main Results:
- Rotator cuff tendinitis results from impingement due to increased structure size, decreased space, or muscle weakness.
- Associated conditions include glenohumeral laxity and labral tears.
- Prevention is key, involving stretching, strengthening, and understanding sport-specific mechanics.
Conclusions:
- Preventing overuse injuries in athletes requires a comprehensive approach.
- Strategies include warm-up, stretching, balanced strengthening (especially external rotators and scapular muscles), and avoiding extreme fatigue.
- Conservative treatment should be prioritized for athletic shoulder overuse problems.