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Instability versus impingement syndrome in the throwing athlete
1Division of Orthopaedic Surgery, University of Southern California School of Medicine, Los Angeles.
The Orthopedic Clinics of North America
|January 1, 1993
Summary
Shoulder pain in throwing athletes often stems from overuse and can be treated with rest and rotator cuff exercises. Persistent impingement syndrome symptoms may indicate an underlying, unrecognized instability syndrome in the athlete.
Area of Science:
- Orthopedics
- Sports Medicine
- Athletic Training
Background:
- Shoulder pain is a common issue in throwing athletes.
- Overuse injuries are frequently diagnosed.
- Conservative treatment (rest, rotator cuff exercises) is standard.
Purpose of the Study:
- To investigate the underlying causes of persistent shoulder pain and impingement syndrome in throwing athletes.
- To highlight the potential role of unrecognized instability in these cases.
Main Methods:
- Clinical observation and experience with throwing athletes presenting with shoulder pain.
- Analysis of persistent symptoms despite conservative management.
Main Results:
- Many cases of persistent shoulder pain and impingement syndrome are linked to unrecognized instability.
- Instability may be a more common underlying factor than previously thought.
Conclusions:
- Persistent shoulder pain and impingement syndrome in throwing athletes may be indicative of an unrecognized instability syndrome.
- A thorough evaluation for instability is crucial for effective treatment.