Giombini A, Rossi F, Pettrone F A, Dragoni S
Sports Medicine Department, Sports Science Institute, Rome, Italy.
J Sports Med Phys Fitness. 1997 Dec;37(4):273-8.
To further define the impingement occurring between the undersurface of the rotator cuff and the posterosuperior glenoid rim as a cause of shoulder pain in waterpolo athletes.
A prospective design was used in the last three years.
Data were collected in Science Sports Institute of Rome.
Eleven top level waterpolo players of both sexes all members of Italian National Waterpolo teams complaining of shoulder pain.
All the eleven cases were previously examined with clinical test and X-ray and MR imaging in conventional and functional views, and then underwent arthroscopy.
In four cases, X-ray showed erosions of the posterosuperior glenoid and in 5 cases, osteochondral defects on the posterior aspect of humeral head. In eleven cases, MR detected posterosuperior labral damages, partial tears of the undersurface of the rotator cuff and posterosuperior glenoid impingement. Furthermore arthroscopy detected in all cases the pathological findings associated with the posterosuperior glenoid impingement.
Even if the shoulder pain in the overhead athlete may be multifactorial, this study provides further evidence that the posterosuperior glenoid impingement may be the major cause of shoulder pain in waterpolo athletes.
进一步明确肩袖下表面与肩胛盂后上缘之间发生的撞击作为水球运动员肩部疼痛原因。
在过去三年采用前瞻性设计。
数据在罗马科学体育研究所收集。
11名男女顶级水球运动员，均为意大利国家水球队队员，主诉肩部疼痛。
所有11例患者之前均接受了临床检查、常规及功能位X线和磁共振成像检查，然后接受关节镜检查。
4例患者X线显示肩胛盂后上缘侵蚀，5例患者肱骨头后侧出现骨软骨缺损。11例患者磁共振检查发现肩胛盂后上唇损伤、肩袖下表面部分撕裂及肩胛盂后上缘撞击。此外，关节镜检查在所有病例中均发现了与肩胛盂后上缘撞击相关的病理表现。
即使过头运动运动员的肩部疼痛可能是多因素的，但本研究进一步证明肩胛盂后上缘撞击可能是水球运动员肩部疼痛的主要原因。
