Abstract
Prologue: Several years ago, when we began to question microinstability as the universal cause
of the disabled throwing shoulder, we knew that we were questioning a sacrosanct tenet
of American sports medicine. However, we were comfortable in our skepticism because
we were relying on arthroscopic insights, clinical observations, and biomechanical
data, thereby challenging unverified opinion with science. In so doing, we assembled
a unified concept of the disabled throwing shoulder that encompassed biomechanics,
pathoanatomy, kinetic chain considerations, surgical treatment, and rehabilitation.
In developing this unified concept, we rejected much of the conventional wisdom of
microinstability-based treatment in favor of more successful techniques (as judged
by comparative outcomes) that were based on sound biomechanical concepts that had
been scientifically verified. Although we have reported various components of this
unified concept previously, we have been urged by many of our colleagues to publish
this information together in a single reference for easy access by orthopaedic surgeons
who treat overhead athletes. We are grateful to the editors of Arthroscopy for allowing us to present our view of the disabled throwing shoulder. Part I: Pathoanatomy
and Biomechanics is presented in this issue. Part II: Evaluation and Treatment of
SLAP Lesions in Throwers will be presented in the May-June issue. Part III: The “SICK”
Scapula, Scapular Dyskinesis, the Kinetic Chain, and Rehabilitation will be presented
in the July-August issue. We hope you find it thought-provoking and compelling.
Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 19, No 4 (April),
2003: pp 404–420
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Article Info
Footnotes
*Address correspondence and reprint requests to Stephen S. Burkhart, M.D., 540 Madison Oak Dr, Suite 620, San Antonio, TX 78258, U.S.A.
Identification
Copyright
© 2003 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
