Arthroscopic decompression of the shoulder in athletes

A careful history, a detailed physical examination, appropriate radiographs, and additional diagnostic tests, when indicated, usually can isolate a specific diagnosis in athletes with shoulder pain. An individual rehabilitation program frequently alleviates symptoms and allows athletes to return to their sporting activities. When nonoperative approaches fail, arthroscopic treatment with acromioplasty and coracoacromial ligament release, as appropriate, allows patients to follow through with a successful rehabilitation program. The success rate for return to non-throwing sports is very good. High-caliber athletes participating in throwing sports should be counseled regarding the possibility of a less successful outcome.