Kinsella Stuart D, Thomas Stephen J, Huffman G Russell, Kelly John D
Department of Orthopaedic Surgery, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
Division of Nursing and Health Sciences, Neumann University, 1 Neumann Drive, Aston, PA 19104, USA.
Orthop Clin North Am. 2014 Jul;45(3):387-401. doi: 10.1016/j.ocl.2014.04.003.
Throwers, or athletes who engage in repetitive overhead motions, are a unique subset of athletes that experience distinct shoulder injuries. Athletes engaged in baseball comprise the majority of patients seeking orthopedic care for throwing related injuries. Injuries specific to throwers most commonly involve the labrum and the undersurface of the rotator cuff. In addition, tissue changes in both the anterior and posterior glenohumeral capsule are common with repetitive overhead motions. These capsular changes alter. This article will examine the pathomechanics of injuries to throwers, elaborate means of diagnoses of cuff and labral injury and discuss recent advances in both non-operative and operative interventions, including preventative principles.
投掷运动员，即从事重复性过顶动作的运动员，是经历独特肩部损伤的一类特殊运动员群体。从事棒球运动的运动员占因投掷相关损伤寻求骨科治疗患者的大多数。投掷运动员特有的损伤最常累及盂唇和肩袖下表面。此外，盂肱关节囊前后部的组织变化在重复性过顶动作中很常见。这些关节囊变化会改变。本文将研究投掷运动员损伤的病理力学，阐述肩袖和盂唇损伤的诊断方法，并讨论非手术和手术干预的最新进展，包括预防原则。
