Thrower's Shoulder

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Search Strategy[edit | edit source]

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Definition/Description[edit | edit source]

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Epidemiology /Etiology[edit | edit source]

While many sports involve overhead throwing, baseball pitchers compromise a plurality of those throws and over half of the throws made in a baseball game[1].

Characteristics/Clinical Presentation[edit | edit source]

  • Thrower's Paradox - The balance between mobility and functional stability. -JM_Wilk Article

Differential Diagnosis [2][edit | edit source]

  • Rotator Cuff Tear
  • Rotator Cuff Tendonosis/itis
  • SLAP Tear
  • Internal Impingement 

Examination[edit | edit source]

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Medical Management (current best evidence)[edit | edit source]

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Physical Therapy Management (current best evidence)[3][4] [edit | edit source]

"The Stretch" vs "The Wind-up"

Pitchers have the option of throwing from "The Stretch" or "The Wind-up" positions. It is important for them to be comfortable with both deliveries and for both to be mechanically similar during the follow-through phase[5].

Image:Pitching_angle_foot_and_leg.png

Key Research[edit | edit source]

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Resources
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Clinical Bottom Line[edit | edit source]

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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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  1. ↑ Whiteley R. Baseball Throwing Mechanics as They Relate to Pathology and Performance – A Review. J Sports Sci & Med 2007 6:1-20.
  2. ↑ Wilk et al. Shoulder Injuries in the Overhead Athlete. J Orthop Sports Phys Ther. 2009;39(2):38-54. Article
  3. ↑ Wilk KE, Meister K, Andrews JR. Current Concepts in the Rehabilitation of the Overhead Throwing Athlete. Am J Sports Med 2002 30:136.
  4. ↑ Meister K. Injuries to the Shoulder in the Throwing Athlete: Part Two: Evaluation/Treatment. Am J Sports Med 2000 28:587.
  5. ↑ Whiteley R. Baseball Throwing Mechanics as They Relate to Pathology and Performance – A Review. J Sports Sci & Med 2007 6:1-20.
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