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Related Experiment Videos

Shoulder instability in the overhand or throwing athlete

R S Kvitne1, F W Jobe, C M Jobe

  • 1Kerlan-Jobe Orthopaedic Clinic, Inglewood, California, USA.

Clinics in Sports Medicine
|October 1, 1995
PubMed
Summary

Glenohumeral joint instability is the main cause of shoulder pain in young throwing athletes. Anterior capsulolabral reconstruction effectively treats instability, allowing athletes to return to competition.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Biomechanics

Background:

  • Young throwing athletes frequently experience shoulder pain.
  • Glenohumeral joint instability, specifically occult subluxation, is often the primary pathology, not impingement.
  • Conservative management is effective for most chronic overuse injuries.

Purpose of the Study:

  • To highlight glenohumeral joint instability as the key pathology in throwing athletes with shoulder pain.
  • To present anterior capsulolabral reconstruction as a surgical solution for persistent instability.
  • To evaluate the efficacy of a novel surgical technique and rehabilitation program in returning athletes to competition.

Main Methods:

  • Review of cases involving young throwing athletes with shoulder pain.

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  • Diagnosis focused on identifying glenohumeral joint instability.
  • Surgical intervention using anterior capsulolabral reconstruction for persistent symptoms.
  • Implementation of a standardized postoperative rehabilitation program.

    • Main Results:

    • Anterior capsulolabral reconstruction effectively addresses capsular redundancy and labrum damage.
    • The described surgical technique and rehabilitation program show significant improvement in patient outcomes.
    • A more predictable and successful return to prior competitive levels for affected athletes.

    Conclusions:

    • Glenohumeral joint instability is the critical underlying issue in throwing athletes' shoulder pain.
    • Anterior capsulolabral reconstruction offers a viable surgical option for managing this instability.
    • The combined surgical and rehabilitation approach enhances the likelihood of successful return to sport.