Mechanics, Pathomechanics and Injury in the Overhead Athlete: A Case-Based Approach to Evaluation, Diagnosis and Management

Description

As clinical interest in overhead athletic injuries is on the upswing, so is greater interest in the factors for performance and injury risk in throwing and other overhead motion. This practical, case-based text is divided into two sections and will present the basic principles of overhead athletes followed by unique clinical case presentations describing different aspects of performance, injury and management in throwing and other overhead athletes. Part I discusses the mechanics and pathomechanics of the overhead motion, along with principles of evaluation, the physical exam, surgical management of both the shoulder and elbow, rehabilitation and return to play, injury risk modification, and the role of the scapula. Unique clinical cases comprise all of part II and follow a consistent format covering the history, exam, imaging, diagnosis and outcome of the chosen intervention. These cases illustrate a cross-section of sports and activities, from the baseball player to the swimmer, and a range of shoulder and elbow problems in pediatric and adult overhead athletes Providing a unique case-based approach to a growing hot topic, Mechanics, Pathomechanics and Injury in the Overhead Athlete is an ideal resource for orthopedic surgeons, sports medicine specialists, physiatrists, physical therapists, certified athletic trainers and allied medical professions treating active persons of all ages. Front Matter ....Pages i-xx Front Matter ....Pages 1-1 Mechanics of the Overhead Motion (Stephen J. Thomas)....Pages 3-23 Pathomechanics and Injury in the Overhead Motion (Charles Thigpen, Duncan T. Evans)....Pages 25-38 Understanding Load in Baseball and Tennis (Ellen Shanley, Natalie L. Myers)....Pages 39-48 Why Is the Athlete in Your Office? Making the Right Diagnosis in the Disabled Throwing Shoulder (John M. Tokish, W. Ben Kibler)....Pages 49-62 Principles of Physical Examination (Aaron D. Sciascia, W. Ben Kibler)....Pages 63-73 Principles of Surgical Evaluation and Techniques for the Shoulder in the Overhead Athlete (Geoffrey P. Stone, Felix H. Savoie III)....Pages 75-86 Principles of Surgical Evaluation and Techniques for the Elbow in the Overhead Athlete (Michael C. Ciccotti, Steven B. Cohen)....Pages 87-102 Principles of Rehabilitation in the Overhead Athlete (Kevin E. Wilk, Christopher A. Arrigo)....Pages 103-115 Criteria and Expectations for Return to Play (Aaron D. Sciascia, Tracy Spigelman, Robert Manske)....Pages 117-134 Principles of Injury Risk Modification: Identification of Parameters, Techniques, and Results in the Overhead Athlete (Todd S. Ellenbecker)....Pages 135-149 The Role of the Scapula in the Overhead Athlete (W. Ben Kibler, Stephen J. Thomas, Aaron D. Sciascia)....Pages 151-164 Front Matter ....Pages 165-165 A 12 Year Old Baseball Pitcher (Andrew Gregory)....Pages 167-169 A 15-Year-Old Tennis Player (Nicole Pitts, Jeremy Whitley, Neeru Jayanthi)....Pages 171-178 A 16-Year-Old Softball Pitcher with a Sore Shoulder (Jason L. Zaremski)....Pages 179-187 A 16-Year-Old Baseball Pitcher with a Sore Elbow (Neil K. Bakshi, Michael T. Freehill)....Pages 189-199 A 18-Year-Old Male Thrower with Acromioclavicular Joint Injury (Sheeba M. Joseph, Colin Uyeki, Jeremiah D. Johnson, Jessica Divenere, Augustus D. Mazzocca)....Pages 201-218 Pan Labral Tear in an Overhead Throwing Athlete (Matthew T. Provencher, Ryan F. McClellan, Liam A. Peebles, Anthony Sanchez)....Pages 219-226 A 19-Year-Old Thrower with an In-Season Shoulder Injury (Michael C. Ciccotti, Michael G. Ciccotti)....Pages 227-233 Shoulder Pain in a Female College Swimmer (Scott Rodeo)....Pages 235-241 Elbow Pain in a Throwing Athlete (James B. Carr II, Joshua S. Dines)....Pages 243-250 Recurrent Anterior Glenohumeral Instability in an In-Season Athlete (Brandon J. Erickson, Ryan A. Mlynarek, David W. Altchek)....Pages 251-259 A 22-Year-Old Female Tennis Player with Shoulder Pain (Sarav S. Shah, Alan S. Curtis)....Pages 261-268 Posterior Instability/Posterior Labral Injury in an Overhead Athlete (Fotios Tjoumakaris, Richard Campbell, James P. Bradley)....Pages 269-275 A 24-Year-Old Thrower: First Time Dislocation Sliding into Second Base (Scott LaValva, Ann Marie Kelly, M. Patrick Kelly, John D. Kelly IV)....Pages 277-282 A 25-Year-Old Recreational Softball Athlete with Internal Impingement (Anirudh K. Gowd, Gregory L. Cvetanovich, Joseph N. Liu, Nikhil N. Verma)....Pages 283-291 A 27-Year-Old Thrower with Failed Labral Repair (W. Ben Kibler)....Pages 293-299 A 28-Year-Old High Level Volleyball Player with Sore Shoulder (Giovanni Di Giacomo, Nicola de Gasperis)....Pages 301-306 A 32-Year-Old Recreational Overhead Athlete with Tears of the Biceps, Labrum, and Rotator Cuff (Partial) (Michael D. Charles, Neal B. Naveen, David R. Christian, Joseph N. Liu, Taylor M. Southworth, Brian J. Cole)....Pages 307-317 A 60-Year-Old Recreational Athlete with a Rotator Cuff Tear and Repair (W. Ben Kibler)....Pages 319-322 A 50-Year-Old Female Masters Swimmer with Shoulder Pain (Klaus Bak)....Pages 323-328 A 65-Year-Old Recreational Athlete with Refractory Severe Glenohumeral Arthritis (David M. Dines, Michael C. Fu)....Pages 329-335 Back Matter ....Pages 337-346