2021 AANA/ASES Specialty Session-Panel Cases

Video Transcription

Video Summary

In this panel discussion featuring Dr. Buddy Savoy and colleagues, experts analyze shoulder pain in throwing athletes, focusing on diagnostic challenges and treatment options. They emphasize that most shoulder pain originates from bursal inflammation and mechanical irritation due to labrum-cuff contact. MRI findings alone are insufficient; comprehensive physical exams and kinetic chain assessments guide management. For SLAP lesions, conservative therapy is prioritized, with surgery considered only if biomechanical issues persist. Knotless anchors are preferred for repair to avoid rotator cuff impingement, and partial rotator cuff tears are typically debrided rather than repaired. PRP use remains debated due to limited evidence, though steroids may aid symptom relief in-season. In complex elbow ligament injuries, decision-making between repair and reconstruction depends on tissue quality, athlete’s level, and timing, with newer techniques combining repair and graft reconstruction emerging. Overall, individualized assessment and a multidisciplinary approach guide optimal outcomes for young throwing athletes with shoulder and elbow injuries.

Asset Caption

Moderators: Michael Kissenberth, M.D.Josef K. Eichinger, M.D.
Provocateur: Felix H. Savoie III, M.D.
Panelists: Jon E. Conway, M.D., Anthony A. Romeo, M.D., Michael T. Freehill, M.D., Paul E. Caldwell, M.D.

Keywords

shoulder pain

throwing athletes

SLAP lesions

rotator cuff

elbow ligament injuries