J Am Acad Orthop Surg 2018 Mar;26(6):204-213
From Elite Sports Medicine, Connecticut Children's Medical Center, Farmington, CT (Dr. Gelber), the Cleveland Indians Professional Baseball Organization, Cleveland, OH (Dr. Soloff), the Cleveland Clinic Sports Health Center, and the Orthopedic and Rheumatologic Institute, Cleveland (Dr. Schickendantz).
Overhead athletes subject their shoulders to extreme repetitive torque, compression, distraction, and translation stresses, resulting in adaptive changes of the soft tissues and osseous structures within and around the glenohumeral joint. These anatomic adaptations result in biomechanical enhancements, which improve performance. Understanding the difference between necessary and adaptive changes and pathologic findings is critical when making treatment decisions. Read More