van der Hoeven H, Kibler W B
Antonius Hospital, Nieuwegein 3992 BL, Netherlands.
Br J Sports Med. 2006 May;40(5):435-40; discussion 440. doi: 10.1136/bjsm.2005.023218.
The mechanism of the overhead action in throwing sports has been studied extensively. This motion is unnatural and highly dynamic, often exceeding the physiological limits of the joint. Owing to overload of various anatomical structures, the shoulder is susceptible to injury. Optimal shoulder function requires good kinetic chain function, optimal stability, and coordination of the scapula in the overhead action. A well balanced action of the rotator cuff muscles and capsular structures is necessary to obtain a stable centre of rotation during the overhead action. This review concerns shoulder injuries, related to the overhead motion in tennis players, which can be explained by the same mechanism as thrower's shoulder.
对于投掷类运动中过顶动作的机制已经进行了广泛研究。这种动作不自然且极具动态性，常常超出关节的生理极限。由于各种解剖结构的负荷过重，肩部容易受伤。在过顶动作中，最佳的肩部功能需要良好的动力链功能、最佳的稳定性以及肩胛骨的协调配合。在过顶动作期间，肩袖肌群和关节囊结构的良好平衡作用对于获得稳定的旋转中心是必要的。本综述关注与网球运动员过顶动作相关的肩部损伤，其可通过与投掷者肩部相同的机制来解释。
