Clinical Approaches for Shoulder Injuries in Sports

摘要

Shoulder injuries in sports can be divided roughly into two types, sports related injuries and injuries caused by overuse. For injuries such as dislocation, fracture, and injury of the soft tissues, ordinary treatment is effective and sufficient. However, in the case of overuse, the disorders cannot be healed completely without repairing damaged organic portions, and without a functional analysis of the mechanism by which it occurred. Conventional treatments for the disorders are not always satisfactory, because the rest alleviates symptoms in some subjects, and the symptom reoccurs after the patient returns to the sport. The reason why appropriate treatment is not provided, is the lack of understanding of the disorders by athletes, the people around them, and insufficient correspondence from the medical side. Their chief complaints are mainly pain and instability of the shoulder, however, the complaints can not be evaluated and understood easily with ordinary examinations. In this paper, we will discuss the diagnostic methods and treatments for main shoulder injuries in sports, including rotator interval lesion, tendinitis of the long head of the biceps tendon, infraspinatus tendon lesion, Bennett lesion, and latissimus dorsi syndrome.