The thrower's shoulder

Current Opinion in Orthopaedics

Volumn 16, Issue 4, 2005, Pages 246-251

  Christoforetti, John J ^a   Carroll, Raymond M ^a,b  

^a GEORGETOWN UNIVERSITY HOSPITAL   (United States)

^b PHC Building ^*  (United States)

Author keywords

Impingement; Instability; Labrum; Shoulder; Thrower

Indexed keywords

ANTIINFLAMMATORY AGENT;

ATHLETE; BIOMECHANICS; CADAVER; CONSERVATIVE TREATMENT; HUMAN; JOINT CAPSULOTOMY; JOINT FUNCTION; JOINT MOBILITY; MUSCLE FATIGUE; MUSCLE FORCE; MUSCLE STRENGTH; MUSCLE STRETCHING; PHYSICAL EXAMINATION; PRIORITY JOURNAL; PROPRIOCEPTION; REVIEW; ROTATOR CUFF; SHOULDER GIRDLE; SHOULDER IMPINGEMENT SYNDROME; SPORT INJURY;

EID: 23344441755     PISSN: 10419918     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.bco.0000169386.23493.17     Document Type: Review

References (33)

1. Meister K. Injuries to the shoulder in the throwing athlete. Am J Sports Med 2000; 28:265-275.
2. Meister K. Injuries to the shoulder in the throwing athlete; part two: evaluation/treatment. Am J Sports Med 2000; 28:587-601.
3. Meister K, Seroyer S. Arthroscopic management of the thrower's shoulder: internal impingement. Orthop Clin North Am 2003; 34:539-547.
4. Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: spectrum of pathology part III: the SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation. Arthroscopy 2003; 19:641-661.
5. Kaplan LD, McMahon PJ, Towers J, et al. Internal impingement: findings on magnetic resonance imaging and arthroscopic evaluation. Arthroscopy 2004; 20:701-704. MRI and arthroscopic findings were present in nine patients being treated for internal impingement symptoms refractory to conservative management. MRI and arthroscopy both revealed an array of posterior labral pathology. MRI showed humeral head signal changes and arthroscopy identified partial-thickness articular-sided tears not visible on MRI.
6. Shepard MF, Dugas JR, Zeng N, et al. Differences in the ultimate strength of the biceps anchor and the generation of type II superior labral anterior posterior lesions in a cadaveric model. Am J Sports Med 2004; 32:1197-1201. Cadaveric modeling showed reproducible creation of type II SLAP tears with a posteriorly loaded biceps tendon.
7. Plancher KD, Peterson RK, Johnston JC, et al. The spinoglenoid ligament. Anatomy, morphology, and histological findings. J Bone Joint Surg Am 2005; 87A:361-365. This cadaveric study confirming the presence of the spinoglenoid ligament in proximity to the suprascapular nerve suggests an anatomic basis for infraspinatus muscle wasting.
8. Kuhn JE, Lindholm SR, et al. Failure of the biceps superior labral complex: a cadaveric biomechanical investigation comparing the late cocking and early deceleration positions of throwing. Arthroscopy 2003; 19:373-379.
9. Dover GC, Kaminski TW, Meister K, et al. Assessment of shoulder proprioception in the female softball athlete. Am J Sports Med 2003; 31:537-541.
10. Malliou PC, Giannakopoulos K, Beneka AG, et al. Effective ways of restoring muscular imbalances of the rotator cuff muscle group: a comparative study of various training methods. Br J Sports Med 2004; 38:766-772. Isokinetic strengthening was most effective at changing the ratio of external to internal rotation strength when compared with isotonic and multijoint dynamic resistance regimens.
11. Sethi PM, Tibone JE, Lee TQ. Quantitative assessment of glenohumeral translation in baseball players: a comparison of pitchers versus nonpitching athletes. Am J Sports Med 2004; 32:1711-1715. This study showed a normal increase in translational motion in the throwing arm compared with the contralateral shoulder in pitchers that was not apparent in non-pitchers. The authors conclude that examination of the contralateral shoulder to guide treatment may be inappropriate in competitive pitchers.
12. Manske RC, Tajchman CS, Stranghoner TA, et al. Difference in isokinetic torque acceleration energy of the rotator cuff: competitive male pitchers versus male nonathletes. J Strength Cond Res 2004; 18:447-450. No difference between pitchers and nonathletes was identified.
13. Cools AM, Witvrouw EE, Declercq GA, et al. Evaluation of isokinetic force production and associated muscle activity in the scapular rotators during a protraction-retraction movement in overhead athletes with impingement symptoms. Br J Sports Med 2004; 38:64-68. Significant weakness is present in scapular stabilizers in shoulders of overhead athletes suffering impingement symptoms.
14. Myers JB, Laudner KG, et al. Scapular position and orientation in throwing athletes. Am J Sports Med 2005; 33:263-271. This study demonstrated differences in scapular motion between throwing asymptomatic athletes and control subjects during isometric scapular elevation contractions using electromagnetic sensors. The Discussion section reviews literature concerning scapulothoracic adaptation in overhead athletes.
15. Noffal GJ. Isokinetic eccentric-to-concentric strength ratios of the shoulder rotator muscles in throwers and nonthrowers. Am J Sports Med 2003; 31: 537-541.
16. Wright RW, Palette GA Jr. Prevalence of the Bennett lesion of the shoulder in major league pitchers. Am J Sports Med 2004; 32:121-124. This is a thorough review of the treatment of posterior glenoid exostosis in baseball players and it reports a 12% prevalence of the lesion within a population of 55 asymptomatic major league baseball pitchers.
17. Miniaci A, Mascia AT, et al. Magnetic resonance imaging of the shoulder in asymptomatic professional baseball pitchers. Am J Sports Med 2002; 30: 66-71.
18. Yanagisawa O, Nitsu M, et al. Magnetic resonance imaging of the rotator cuff muscles after baseball pitching. J Sports Med Phys Fitness 2003; 43: 493-499.
19. Yanagisawa O, Miyanaga Y, et al. The effects of various therapeutic measures on shoulder range of motion and cross-sectional areas of rotator cuff muscles after baseball pitching. J Sports Med Phys Fitness 2003; 43:356-359.
20. Cummins CA, Messer TM, Schafer MF. Infraspinatus muscle atrophy in professional baseball players. Am J Sports Med 2004; 32:116-120. This survey of trainers and team physicians caring for 1491 Major League Baseball players identified 12 players with visible infraspinatus wasting. Affected players were more likely to be veteran starting pitchers (4.4%) and had no noticeable functional deficit.
21. Kelly BT, Barnes RP, et al. Shoulder injuries to quarterbacks in the National Football League. Am J Sports Med 2004; 32:328-331. This survey of the National Football League Injury Surveillance System offers a look at the epidemiology of injury in National Football League quarterbacks and shows most injuries are contact related.
22. Schmidt-Wiethoff R, Rapp W, Mauch F, et al. Shoulder rotation characteristics in professional tennis players. J Sports Med 2004; 25: 154-158. This study introduces real-time ultrasound assessment of glenohumeral range of motion and confirms decreased total range of rotational motion and increased external rotation with decreased internal rotation in 27 professional tennis players.
23. Bahr R, Reeser JC. Injuries among world-class professional beach Volleyball players. Am J Sports Med 2003; 31:119-125.
24. Mullaney MJ, McHugh MP, et al. Upper and lower extremity muscle fatigue after a baseball pitching performance. Am J Sports Med 2005; 33:108-113. Pre- and postgame strength measurements in college pitchers demonstrated increased baseline strength and postgame fatigue in internal rotators with decreased baseline strength and minimal fatigue in the supraspinatus.
25. Kim TK, McFarland EG. Internal impingement of the shoulder in flexion. Clin Orthop 2004; 421:112-119. Although this study suggests impingement in flexion may contribute to both SLAP lesions and rotator cuff disease, the authors admit the lack of an asymptomatic control group and compromised nature of an arthroscopic examination as major limitations to these conclusions.
26. Meister K, Buckley B, Batts J. The posterior impingement sign: diagnosis of rotator cuff and posterior labral tears secondary to internal impingement in overhand athletes. Am J Orthop 2004; 33:412-415. Use of the posterior impingement maneuver was highly specific for posterior rotator cuff or labral pathology in overhead athletes with posterior shoulder pain during athletic participation.
27. Onga T, Yamamoto T, Akisue T, et al. Biceps tendinitis caused by an osteochondroma in the bicipital groove: a rare cause of shoulder pain in a baseball player. Clin Orthop 2005; 431:241-244.
28. Mithofer K, Giza E. Pseudarthrosis of the first rib in the overhead athlete. Br J Sports Med 2004; 38:221-222.
29. Gehrmann RM, DeLuca PF, Bartolozzi AR. Humeral avulsion of the glenohumeral ligament caused by microtrauma to the anterior capsule in an over-hand throwing athlete: a case report. Am J Sports Med 2003; 31:617-619.
30. Ide J, Maeda S, Takagi K. Arthroscopic Bankart repair using suture anchors in athletes: patient selection and postoperative sports activity. Am J Sports Med 2004; 32:1899-1905. This technique was used for athletes without bone deficiency after acute glenohumeral dislocation and produced results comparable with open techniques. Return to full participation in overhead and contact athletes was slightly less predictable than in noncontact nonoverhead athletes.
31. D'Alessandro DF, Bradley JP, et al. Prospective evaluation of thermal capsulorrhaphy for shoulder instability: indications and results, two- to five-year follow-up. Am J Sports Med 2004; 32:21-33. This study reports marginal success with thermal capsulorraphy and the Discussion section reviews the varied results published for this technique. Subset analysis of throwers with multidirectional instability or subtle subluxation revealed even less satisfactory outcomes for these groups with unacceptable failure and axillary nerve dysfunction rates.
32. Sonnery-Cottet B, Edwards B, et al. Results of arthroscopic treatment of posterosuperior glenoid impingement in tennis players. Am J Sports Med 2002; 30:227-232.
33. Selby RM, O'Brien SJ, et al. Posterior inferior capsulotomy for glenohumeral internal rotation deficit in baseball pitchers (SS-19) [abstract]. Arthroscopy 2004; 20:e9. This abstract claims excellent results using an arthroscopic technique for restoration of glenohumeral internal rotation in 11 baseball pitchers.