Throwers shoulder pain
Internal impingement is seen in sports with repetitive throwing actions like volley ball, cricket, javelin throwers, baseball pitchers, and occupations like school teachers, Veena players. In Indians sports like volley ball,javelin, cricket are mor frequent causes. The symptoms are usually pain on elevation. The pain is felt at the back of the shoulder joint. There may be tenderness at the back aspect of the shoulder. There may be evidence an associated SLAP lesion.
Cause
Diagnosis
Is done by clinical examination. MRI and CT scans can confirm the soft tissue and bony problems. Shoulder arthroscopy can visulaize the interior and contribute valuable findings.
Treatment
. Rehabilitation of the shoulder blade msucles and the internal rotators of the arm bone are th e mainstay of treatment.Debridement of the frayed cuff and labrum may provide temporary relief witha a 50% chance of success. Thermal shrinkage of the anterior capsule is useful. Upper humeral osteotomy to increase the retroversion may be needed in resistant cases.
Thermal shrinkage.
These are arthrscopically applied to the shoulder. LASER and coblation are the two modes available. RAdio frequency current transfer heat under temperatures of 60 degrees. Connective tissue shrinks. This method is available at Chennai |
