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Shoulder Instability in the Overhead Athlete
Journal article   Open access

Shoulder Instability in the Overhead Athlete

Steven F DeFroda, Dhruv Goyal, Nimit Patel, Neel Gupta and Mary K Mulcahey
Current sports medicine reports, v 17(9), pp 308-314
Sep 2018
DOI: https://doi.org/10.1249/JSR.0000000000000517
PMID: 30204635
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1249/jsr.0000000000000517View
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze),  Open

Abstract

Athletes Athletic Injuries - diagnosis Athletic Injuries - therapy Humans Joint Instability - diagnosis Joint Instability - therapy Physical Examination Range of Motion, Articular Return to Sport Shoulder Joint - physiopathology Sports
Shoulder instability encompasses a spectrum of disease ranging from subluxation to dislocation, and is typically associated with collision athletes such as wrestlers and football players. Instability, however, also can be the result of repetitive microtrauma, as seen in overhead athletes (baseball, tennis, volleyball, swimming). The presentation of instability can be subtle, and difficult to diagnose in the absence of an acute traumatic event without the proper suspicion, physical examination, and diagnostic evaluation. Overhead athletes present the unique challenge of requiring the glenohumeral joint to exceed its physiologic limits during competition; therefore, injury in this population can be devastating. Additionally, athletes who experience instability, regardless of treatment, require rehabilitation (including periscapular strengthening) to maximize strength of the surrounding musculature. Specifically they will require coordinated throwing programs, and gradual return to play protocols dependent on their sport. This article reviews the specific physiology, diagnosis, and treatment of shoulder instability in this population.

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13 Record Views
20 citations in Web of Science
23 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Sport Sciences
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