Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY, USA.
Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY, USA.
J Shoulder Elbow Surg. 2014 Aug;23(8):e173-8. doi: 10.1016/j.jse.2013.11.027. Epub 2014 Feb 20.
Tearing of the anterior capsule of the shoulder is a rare but debilitating injury for throwing athletes. However, there is very little in the literature to guide its diagnosis and treatment. In this case series, we outline our experience with anterior capsular tears of the shoulder in professional baseball players.
Five professional baseball players were diagnosed with midsubstance tears of their anterior capsule. A trial of rest and rehabilitation failed in all patients, and they eventually underwent surgery. These patients were retrospectively reviewed. The presenting symptoms and findings were documented, and outcomes were assessed by the player's ability to return to play.
The mean age was 33.5 years (range, 31-37 years), and all patients presented with anterior shoulder pain and the inability to throw. No patient had an acute traumatic injury. Magnetic resonance imaging provided the correct diagnosis in 4 patients, and the diagnosis was made with diagnostic arthroscopy in the fifth. Three underwent arthroscopic repair, and 2 underwent open repair of the anterior capsule. Of the 5 players, 4 (80%) returned to their preinjury level by a mean of 13.3 months (range, 8-18 months).
Anterior capsular tears can occur in older throwing athletes. Surgical repair, whether arthroscopic or open, can yield good results in most patients.
肩部前囊撕裂是投掷运动员中一种罕见但使人虚弱的损伤。然而，文献中几乎没有关于其诊断和治疗的指导。在本病例系列中，我们概述了我们在职业棒球运动员中治疗肩部前囊撕裂的经验。
5 名职业棒球运动员被诊断为前囊中部撕裂。所有患者均经休息和康复治疗失败，最终接受了手术。对这些患者进行了回顾性分析。记录了患者的主要症状和检查结果，并通过运动员重返比赛的能力来评估结果。
平均年龄为 33.5 岁（范围，31-37 岁），所有患者均表现为肩部前侧疼痛和无法投掷。没有患者有急性创伤性损伤。4 名患者的磁共振成像提供了正确的诊断，第 5 名患者通过诊断性关节镜检查做出了诊断。3 例行关节镜下修复，2 例行前囊切开修复。5 名运动员中，4 名（80%）在平均 13.3 个月（范围，8-18 个月）后恢复到受伤前的水平。
前囊撕裂可发生于年龄较大的投掷运动员。关节镜或开放修复手术均可使大多数患者获得良好的结果。
