IC 103-2022: Common Shoulder Problems in Overhead Sports: An Interactive, Round Table, Case-Based, Problem Solving Session-Common Shoulder Problems in Overhead Sports: An Interactive, Round Table, Case-Based, Problem Solving Session (3/4)

Common Shoulder Problems in Overhead Sports: An Interactive, Round Table, Case-Based, Problem Solving Session (3/4)

Video Transcription

Video Summary

In this video, a case of a 24-year-old pitcher with a history of shoulder pain is discussed. The pitcher experiences increasing pain in the posterior aspect of the shoulder during throwing and has a clicking sensation and difficulty controlling the intermediate border of his scapula. He has had therapy and injections which provide temporary relief, but the pain returns when he starts throwing again. His examination reveals tightness of internal rotation and weakness in forward flexion. He also has a positive DLS test for posterior labral injuries. The video emphasizes the importance of history and examination in diagnosing and treating shoulder injuries in athletes. Physical therapy is recommended to address deficits in hip and core stability and scapular control. Surgery may be considered if there is no improvement after therapy. The video concludes with a discussion on MRI imaging and the timing of treatment initiation.

Asset Caption

W. Ben Kibler, MD

Keywords

shoulder pain

pitcher

throwing

shoulder injuries

physical therapy