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Updated: Dec 7, 2025

Author Spotlight: Integrating Mechanical and Biological Analysis in Tendinopathy Research
Published on: March 1, 2024
Tennis overuse injuries in the upper extremity.
Hanisha Patel1, Sonali Lala2, Brett Helfner3
1New York Presbyterian Hospital - Columbia University Medical Center, 622 W 168th Street, New York, NY, 10032, USA. hap9045@nyp.org.
Tennis players often develop upper extremity overuse injuries due to repetitive stress. Understanding tennis biomechanics and injury patterns aids radiologists in diagnosing these common tennis-related conditions.
Area of Science:
- Sports Medicine
- Radiology
- Biomechanics
Background:
- Tennis involves repetitive, high-velocity upper extremity movements.
- Overuse injuries are prevalent in both professional and recreational tennis players.
- Understanding injury mechanisms is crucial for effective diagnosis and management.
Purpose of the Study:
- To describe upper extremity overuse injuries in tennis related to biomechanics.
- To review imaging characteristics of common tennis injuries.
- To discuss implications for injury management in tennis athletes.
Main Methods:
- Review of tennis biomechanics and injury mechanisms.
- Analysis of imaging findings for various upper extremity injuries.
- Correlation of imaging patterns with clinical presentation and management.
Main Results:
- Detailed review of imaging patterns for: internal impingement, scapular dyskinesis, epicondylitis (lateral and medial), ulnar collateral ligament insufficiency, valgus extension overload, capitellar osteochondritis dissecans, extensor carpi ulnaris tendinosis/instability, tenosynovitis, triangular fibrocartilage complex injuries, and carpal stress injuries.
- Emphasis on the link between specific tennis strokes and injury development.
- Discussion of diagnostic imaging modalities and their role.
Conclusions:
- Repetitive overloading in tennis frequently causes upper extremity injuries.
- Radiologists can improve diagnosis by understanding injury mechanisms and characteristic imaging patterns.
- Accurate diagnosis aids in effective management for all levels of tennis players.
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