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Batter's Shoulder: Diagnosis, Management, and Outcomes.

Joseph S Tramer1, Vincent A Lizzio, Mark S Schickendantz

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Batter's shoulder involves posterior shoulder instability in baseball players, often caused by a swing and miss. Surgical repair offers favorable outcomes and high return-to-competition rates for this rare condition.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Biomechanics

Background:

  • Batter's shoulder is posterior shoulder instability in the lead shoulder of athletes.
  • It commonly results from a swing and miss, causing shoulder subluxation.
  • Diagnosis relies on history, physical exam, and imaging.

Purpose of the Study:

  • To describe the characteristics, diagnosis, and treatment of batter's shoulder.
  • To evaluate the outcomes of surgical intervention for posterior labral tears in athletes.

Main Methods:

  • Review of clinical presentation, diagnostic tests (physical examination, MRI), and treatment strategies.
  • Analysis of surgical outcomes, including patient satisfaction and return to play.

Main Results:

  • Posterior labral tears and reverse Hill-Sachs lesions are common findings.
  • Nonsurgical treatment focuses on rotator cuff and scapular strengthening.
  • Arthroscopic posterior labral repair is often necessary for stabilization.

Conclusions:

  • Batter's shoulder is a rare but distinct diagnosis in batting athletes.
  • Surgical repair demonstrates favorable outcomes with high satisfaction and return to competition rates.