Internal Impingement of the Shoulder in the Overhead Athlete
| Autor: | Jonas R. Rudzki, Mark C. Drakos, Hollis G. Potter, Answorth A. Allen, David W. Altchek |
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| Rok vydání: | 2009 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty business.industry education General Medicine musculoskeletal system Nonoperative treatment Physical medicine and rehabilitation medicine.anatomical_structure Shoulder Impingement Syndrome Orthopedic surgery medicine Physical therapy Humans Anterior instability Tears Biceps tendinitis Orthopedics and Sports Medicine Surgery Rotator cuff Range of motion business Throwing Sports |
| Zdroj: | The Journal of Bone & Joint Surgery. 91:2719-2728 |
| ISSN: | 0021-9355 |
| DOI: | 10.2106/jbjs.i.00409 |
| Popis: | Internal impingement of the shoulder refers to a constellation of pathologic conditions, including, but not limited to, articular-sided rotator cuff tears, labral tears, biceps tendinitis, anterior instability, internal rotation deficit, and scapular dysfunction. Physiologic adaptations to throwing include increased external rotation, increased humeral and glenoid retroversion, and anterior laxity, all of which may predispose an individual to internal impingement. Nonoperative treatment should always be attempted first, with a focus on increasing the range of motion and improving scapular function. When an operative intervention is chosen, it is important to address microinstability in order to have a good outcome and prevent failure. |
| Databáze: | OpenAIRE |
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