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Orthop Clin North Am. 2010 Jul;41(3):309-23. doi: 10.1016/j.ocl.2010.03.001.

Management of the throwing shoulder: cuff, labrum and internal impingement.

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  • 1Department of Orthopaedic Surgery, Center for Shoulder, Elbow, and Sports Medicine, Columbia-Presbyterian Hospital, Columbia University, 622 West 168th Street, PH-11-Center, New York, NY 10032, USA.


Repetitive throwing or other overhead activity places great stress on the shoulder. As a result, the shoulder is a common site of injury in athletes. Addressing throwing-related injuries requires an understanding of throwing biomechanics and pathology. Nonoperative treatment is directed at restoring strength, flexibility, and neuromuscular control to the entire kinetic chain. Surgery is indicated when nonoperative treatment fails, and is directed at correcting labral, capsular, and rotator cuff pathology.

Copyright 2010 Elsevier Inc. All rights reserved.

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