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Updated: Mar 8, 2026

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Arthroscopic Debridement of the Thrower's Shoulder: Less Is More
Paul E Caldwell1, Dustin C Dyer2, Sara E Pearson2
1Orthopaedic Research of Virginia, Richmond, Virginia, U.S.A; Tuckahoe Orthopaedic Associates, Richmond, Virginia, U.S.A.
Abstract:
The thrower's shoulder has long been a topic of debate among shoulder specialists. The tremendous forces produced during the throwing motion coupled with the compilation of the pathology encountered in the thrower's shoulder have generated a complex treatment algorithm. Simplifying management options has been challenging and recommendations continue to evolve. Treatment of injuries to the thrower's shoulder most commonly involves addressing partial articular-sided rotator cuff tears. These can be isolated or more commonly associated with tearing of the posterior superior labrum. The understanding of the dramatic difference between the surgical treatment of shoulder injuries in overhead athletes and nonoverhead athletes is paramount to positive outcomes after surgery.
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