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Swimmer's Shoulder.

Scott M Koehler, David C Thorson

    The Physician and Sportsmedicine
    |December 26, 2017
    PubMed
    Summary
    This summary is machine-generated.

    Swimmer's shoulder, or subacromial impingement, is a common overuse injury in adolescent swimmers. Early diagnosis and treatment, including rest and physical therapy, are key to managing this condition.

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    Area of Science:

    • Sports Medicine
    • Orthopedics
    • Pediatric Sports Injuries

    Background:

    • Subacromial impingement is a frequent overuse injury in swimmers, particularly affecting skeletally immature adolescents with demanding training regimens.
    • Swimmer's shoulder impacts athletic performance and requires specific diagnostic and therapeutic approaches.

    Purpose of the Study:

    • To present a case study illustrating the diagnostic process for swimmer's shoulder in an adolescent.
    • To outline effective treatment strategies for managing shoulder pain in young swimmers.

    Main Methods:

    • Case presentation of a 14-year-old female swimmer with shoulder pain.
    • Diagnostic work-up including detailed history, physical examination (inspection, palpation), and assessment of strength, impingement, and instability.

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  • Review of treatment modalities focused on conservative management.

    • Main Results:

    • The case highlights a systematic approach to diagnosing swimmer's shoulder.
    • Treatment involved a combination of icing, relative rest, and tailored physical therapy.
    • Modification of swimming workouts was crucial to reduce overuse and impingement.

    Conclusions:

    • Adolescent swimmers are susceptible to swimmer's shoulder due to overuse and skeletal immaturity.
    • A comprehensive diagnostic evaluation is essential for accurate identification of the injury.
    • Conservative treatment, including physical therapy and activity modification, is effective in managing swimmer's shoulder.