IC 102-2023: Common Shoulder Problems in Overhead Athletes: Surgeon Beware- This Isn’t Always So Straight Forward An Interactive, Round Table, Case-Based, Problem Solving Session-IC 102 - Common Shoulder Problems in Overhead Athletes: Surgeon Beware- This Isn’t Always So Straight Forward An Interactive, Round Table, Case-Based, Problem Solving Session (1/3)

IC 102 - Common Shoulder Problems in Overhead Athletes: Surgeon Beware- This Isn’t Always So Straight Forward An Interactive, Round Table, Case-Based, Problem Solving Session (1/3)

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Video Transcription

Video Summary

In this video, a 19-year-old college pitcher with shoulder pain and decreased pitching velocity is discussed. The pitcher has a Type 8 slap tear, which was initially misdiagnosed as a dead arm. Physical examination reveals decreased range of motion and weakness in certain muscle groups. The speaker emphasizes the importance of assessing the hips, range of motion, and strength in both legs. The three key indicators in throwers are difficulty warming up, decreased pitching velocity, and loss of control. Various slap tests are discussed, including the active compression test and dynamic posterior instability test. The speaker also discusses the role of scapular dyskinesis in throwers. The pitcher's radiographs show deltoid dysplasia and increased retroversion. MRI findings confirm the presence of a slap tear. Treatment options for slap tears are discussed, including cortisone injection, debridement, slap repair, and tenodesis. The speaker recommends using knotless anchors and tape with polyethylene on the inside and polyester on the outside. He also discusses the concept of good slap tears and bad slap tears in throwers and the role of the superior labrum and biceps tendon. The speaker concludes by discussing the lambda tear and the need to fix both the upper and lower portions of the labrum. The speaker also mentions the importance of assessing and addressing glenohumeral external rotation deficits and discusses the role of the posterior inferior glenohumeral ligament in stabilizing the shoulder. The video ends with a discussion on the complexity of diagnosing and treating slap tears in athletes. No credits were given in the video.

Asset Caption

James Bradley, MD

Keywords

19-year-old

college pitcher

shoulder pain

slap tear

range of motion

muscle weakness