The overhead athlete typically places demands on his or her shoulder that far exceed
activities for the normal population. Intra-articular pathology in the overhead athlete
includes microinstability, SLAP tears, internal impingement, biceps tendinopathy,
and partial articular surface rotator cuff tears. The fact that these pathologies
are interrelated and often coexist creates a challenge in identifying specific etiologies.
The pathomechanics involved in the overhand throwing motion and the internal impingement
phenomenon in particular are complex. Treatment of these entities in the past has
produced mixed results. As the results of valuable research accumulate, more unified
models are evolving that begin to better explain the breadth of clinical findings.
With a more complete understanding comes the hope of more effective treatment strategies.
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© 2003 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
