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Related Experiment Videos

Special considerations in the athletic throwing shoulder

J S Arroyo1, S J Hershon, L U Bigliani

  • 1Shoulder Service, New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, New York, USA.

The Orthopedic Clinics of North America
|January 1, 1997
PubMed
Summary
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Overhead athletes often develop rotator cuff injuries from repetitive stress. Rehabilitation programs can help young athletes with subtle instability, while older athletes may face injuries due to anatomical changes.

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Biomechanics

Background:

  • Overhead athletes experience significant shoulder stress, leading to common injuries.
  • Rotator cuff injuries, including tendinitis and impingement, are prevalent in this population.
  • Injury mechanisms differ between young and older athletes.

Purpose of the Study:

  • To outline the mechanisms of rotator cuff injury in overhead athletes.
  • To describe an approach for managing shoulder problems in this group.
  • To differentiate injury causes based on athlete age.

Main Methods:

  • Review of injury mechanisms in overhead athletes.
  • Discussion of diagnostic considerations for rotator cuff issues.
  • Outline of a coordinated rehabilitation strategy.

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  • Consideration of age-related anatomical changes.

    • Main Results:

    • Repetitive overhead motions predispose athletes to rotator cuff injuries.
    • Impingement (primary or secondary) is a frequent cause of rotator cuff injury.
    • Subtle instability often underlies rotator cuff tendinitis in young athletes.
    • Anatomic changes in the coracoacromial arch contribute to injuries in older athletes.

    Conclusions:

    • Understanding injury mechanisms is crucial for effective management.
    • Rehabilitation programs are key for addressing rotator cuff tendinitis in young athletes.
    • Age-related anatomical factors influence rotator cuff injury risk in older athletes.