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Shoulder pain in tennis players
1Insall Scott Kelly Institute for Orthopaedics and Sports Medicine, New York, New York.
Sports Medicine (Auckland, N.Z.)
|January 1, 1994
Summary
Tennis players frequently experience shoulder pain due to impingement syndrome or glenohumeral instability. Treatment involves addressing deficits and surgery if nonoperative care fails, emphasizing muscle strengthening for prevention.
Area of Science:
- Orthopedics
- Sports Medicine
- Biomechanics
Background:
- Shoulder pain is a prevalent issue for tennis players.
- The complex shoulder girdle anatomy complicates diagnosis of specific pathologies.
- Impingement syndrome and glenohumeral instability are the leading causes of shoulder pain in this population.
Purpose of the Study:
- To outline the common causes of shoulder pain in tennis players.
- To describe diagnostic methods and treatment strategies for these conditions.
- To highlight injury prevention methods for tennis-related shoulder pain.
Main Methods:
- Review of common pathologies in tennis players.
- Description of clinical presentation and diagnostic tests (e.g., impingement test).
- Overview of treatment approaches, including nonoperative and operative interventions.
Main Results:
- Impingement syndrome presents with pain during overhead actions; treatment involves motion/strength restoration and potentially surgery.
- Glenohumeral instability causes pain and a 'slipping' sensation; treatment focuses on muscle strengthening and surgical stabilization if needed.
- Both conditions require tailored rehabilitation and surgical consideration based on patient response.
Conclusions:
- Effective management of shoulder pain in tennis players requires accurate diagnosis of impingement syndrome or instability.
- Treatment strategies range from conservative rehabilitation to surgical repair and stabilization.
- Injury prevention hinges on maintaining glenohumeral and scapular muscle flexibility, strength, and synchrony.