Return to Play After Shoulder Surgery in Throwers

Thorsness, Robert; Alland, Jeremy A.; McCulloch, Colin B.; Romeo, Anthony A.

doi:10.1016/j.csm.2016.05.003

Cited by 13 publications

(14 citation statements)

References 42 publications

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“…In general, return-to-play rates after arthroscopic shoulder surgery in throwers are only fair, 79 – 81 and surgery is recommended only for throwers that have exhausted nonsurgical treatment. Certain authors would argue that the goal of arthroscopic surgery in the high-level throwing athlete should be to restore them to their functional baseline with the minimum amount of intervention possible.…”

Section: Treatment and Outcomesmentioning

confidence: 99%

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Glenohumeral internal rotation deficit in throwing athletes: current perspectives

Rose¹,

Noonan²

2018

OAJSM

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Glenohumeral internal rotation deficit (GIRD) is an adaptive process in which the throwing shoulder experiences a loss of internal rotation (IR). GIRD has most commonly been defined by a loss of >20° of IR compared to the contralateral shoulder. Total rotational motion of the shoulder is the sum of internal and external rotation and may be more important than the absolute value of IR loss. Pathologic GIRD has been defined as a loss of IR combined with a loss of total rotational motion. The leading pathologic process in GIRD is posterior capsular and rotator-cuff tightness, due to the repetitive cocking that occurs with the overhead throwing motion. GIRD has been associated with numerous pathologic conditions, including posterior superior labral tears, partial articular-sided rotator-cuff tears, and superior labral anterior-to-posterior tears. The mainstay of treatment for patients with GIRD is posterior capsular stretching and strengthening to improve scapular mechanics. In patients who fail nonoperative therapy, shoulder arthroscopy can be performed. Arthroscopic surgery in the high-level throwing athlete should be to restore them to their functional baseline with the minimum amount of intervention possible.

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Section: Treatment and Outcomesmentioning

confidence: 99%

“… 88 As opposed to fixing SLAP tears in throwing athletes, some authors have recently advocated for biceps tenodesis. 79 , 89 …”

Section: Treatment and Outcomesmentioning

confidence: 99%

Glenohumeral internal rotation deficit in throwing athletes: current perspectives

Rose¹,

Noonan²

2018

OAJSM

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“…21 A return to throwing program is recommended to guide the athlete to minimize the risk of reinjury. 38 Thorsness et al developed an interval throwing program that gradually increases volume and distance, but not both variables simultaneously. 38 The 12-step throwing program and transition to position-specific and pitching program is found in Appendix C, Figures 4 and 5.…”

Section: Overhead Athletesmentioning

confidence: 99%

“…38 Thorsness et al developed an interval throwing program that gradually increases volume and distance, but not both variables simultaneously. 38 The 12-step throwing program and transition to position-specific and pitching program is found in Appendix C, Figures 4 and 5. 38 Thorsness et al recommends supervision during this program to ensure sound throwing mechanics and monitor fatigue; both can potentially increase reinjury risk.…”

Section: Overhead Athletesmentioning

confidence: 99%

“…38 Thorsness et al recommends supervision during this program to ensure sound throwing mechanics and monitor fatigue; both can potentially increase reinjury risk. 38 This program also allows each athlete to progress at their respective pace by following soreness rules developed by the authors. 38 These soreness rules are included in Appendix C, Figure 3.…”

Section: Overhead Athletesmentioning

confidence: 99%

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Rotator cuff repair rehabilitation considerations and respective guidelines: a narrative review

Ezell¹,

Malcarney²

2021

JSES Reviews, Reports, and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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A 32-Year-Old Recreational Overhead Athlete with Tears of the Biceps, Labrum, and Rotator Cuff (Partial)

Charles

Naveen

Christian

et al. 2019

Mechanics, Pathomechanics and Injury in the Overhead Athlete

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Return to Play After Shoulder Surgery in Throwers

Cited by 13 publications

References 42 publications

Glenohumeral internal rotation deficit in throwing athletes: current perspectives

Glenohumeral internal rotation deficit in throwing athletes: current perspectives

Rotator cuff repair rehabilitation considerations and respective guidelines: a narrative review

A 32-Year-Old Recreational Overhead Athlete with Tears of the Biceps, Labrum, and Rotator Cuff (Partial)

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