Sportorthopädie

Overhead and throwing sports can result in structural longterm damage to the athletes shoulder due to their specific movement pattern. An effective throwing technique necessarily requires extreme abduction and external rotation of the shoulder joint, which results in a permanent overload of capsular...

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Autores principales:	Beitzel K, Reuter S, Imhoff AB, Braun S
Formato:	article
Lenguaje:	DE EN
Publicado:	Dynamic Media Sales Verlag 2016
Materias:	Sports medicine RC1200-1245
Acceso en línea:	https://doaj.org/article/8d6a96e4d628433a9c82d53f9d76513a
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id	oai:doaj.org-article:8d6a96e4d628433a9c82d53f9d76513a
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spelling	oai:doaj.org-article:8d6a96e4d628433a9c82d53f9d76513a2021-11-16T19:01:42ZSportorthopädie0344-59252510-526410.5960/dzsm.2016.226https://doaj.org/article/8d6a96e4d628433a9c82d53f9d76513a2016-05-01T00:00:00Zhttps://www.germanjournalsportsmedicine.com/archive/archive-2016/issue-5/die-sportlerschulter-der-5-punkte-check-zum-therapieerfolg/https://doaj.org/toc/0344-5925https://doaj.org/toc/2510-5264Overhead and throwing sports can result in structural longterm damage to the athletes shoulder due to their specific movement pattern. An effective throwing technique necessarily requires extreme abduction and external rotation of the shoulder joint, which results in a permanent overload of capsular and muscular structures. The changes associated may also lead to structural damagesor shortterm consequences in terms of acute injury. The pathology is complex and requires a differentiated diagnosis and therapy. Several theories exist for the development of pathology of a throwers shoulder. The known theoretical models can be generally combined to basic principles. Shortening of the dorsal capsular structures results in a decreased internal rotation in high abduction and appears already in the early stages as a glenohumeral internal rotation deficit (GIRD). Repetitive distention of the anterior capsule withsimultaneous shortening of the dorsal capsular structures lead to a decentralization and superior translation of the humeral head. This results in internalimpingement in the area of the posteriorsuperior glenoid (PSI) and detachment of the biceps tendon anchor (SLAP). Unequal distribution of training loads lead to a weakening of the external rotating muscles of the rotator cuff. The presented 5 point check is based on the usual explanatory models for pathology of athletes shoulders. In clinical practice, this approach allows a practical evaluation of this complex pathology. The focus is on addressing the identified functional deficits. If there are any structural damages to the rotator cuff, the labrum, the biceps tendon or conservatively not treatable movement restrictions, a surgical procedure is indicated in rare cases.KEY WORDS: Athletes Shoulder, Throwers Shoulder, Posterior Superior Inpingement, PSI, GIRDBeitzel KReuter SImhoff ABBraun SDynamic Media Sales VerlagarticleSports medicineRC1200-1245DEENDeutsche Zeitschrift für Sportmedizin, Vol 67, Iss 5 (2016)
institution	DOAJ
collection	DOAJ
language	DE EN
topic	Sports medicine RC1200-1245
spellingShingle	Sports medicine RC1200-1245 Beitzel K Reuter S Imhoff AB Braun S Sportorthopädie
description	Overhead and throwing sports can result in structural longterm damage to the athletes shoulder due to their specific movement pattern. An effective throwing technique necessarily requires extreme abduction and external rotation of the shoulder joint, which results in a permanent overload of capsular and muscular structures. The changes associated may also lead to structural damagesor shortterm consequences in terms of acute injury. The pathology is complex and requires a differentiated diagnosis and therapy. Several theories exist for the development of pathology of a throwers shoulder. The known theoretical models can be generally combined to basic principles. Shortening of the dorsal capsular structures results in a decreased internal rotation in high abduction and appears already in the early stages as a glenohumeral internal rotation deficit (GIRD). Repetitive distention of the anterior capsule withsimultaneous shortening of the dorsal capsular structures lead to a decentralization and superior translation of the humeral head. This results in internalimpingement in the area of the posteriorsuperior glenoid (PSI) and detachment of the biceps tendon anchor (SLAP). Unequal distribution of training loads lead to a weakening of the external rotating muscles of the rotator cuff. The presented 5 point check is based on the usual explanatory models for pathology of athletes shoulders. In clinical practice, this approach allows a practical evaluation of this complex pathology. The focus is on addressing the identified functional deficits. If there are any structural damages to the rotator cuff, the labrum, the biceps tendon or conservatively not treatable movement restrictions, a surgical procedure is indicated in rare cases.KEY WORDS: Athletes Shoulder, Throwers Shoulder, Posterior Superior Inpingement, PSI, GIRD
format	article
author	Beitzel K Reuter S Imhoff AB Braun S
author_facet	Beitzel K Reuter S Imhoff AB Braun S
author_sort	Beitzel K
title	Sportorthopädie
title_short	Sportorthopädie
title_full	Sportorthopädie
title_fullStr	Sportorthopädie
title_full_unstemmed	Sportorthopädie
title_sort	sportorthopädie
publisher	Dynamic Media Sales Verlag
publishDate	2016
url	https://doaj.org/article/8d6a96e4d628433a9c82d53f9d76513a
work_keys_str_mv	AT beitzelk sportorthopadie AT reuters sportorthopadie AT imhoffab sportorthopadie AT brauns sportorthopadie
_version_	1718426188798492672

Sportorthopädie

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