Batter's Shoulder: Diagnosis, Management, and Outcomes

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.