Controversies in the Overhead Athlete's Shoulder (AANA22)-Surgical Approach to Throwing Shoulder

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Video Summary

The discussion focuses on shoulder external rotation issues in throwers, emphasizing careful diagnosis and treatment of labral injuries, particularly SLAP tears. Many tears are age-related and don't require surgery; clinical exam and patient history guide decisions. Prevention and rehab, including kinetic chain assessment, scapular strengthening, and capsule stretching, are vital. Surgical pearls stress tissue preservation, minimal anchors, avoiding knot prominence, and not "hog-tying" the biceps to preserve motion. Percutaneous portals and precise techniques improve outcomes. Internal impingement often benefits from scapular rehab, not surgery. Overall, individualized, conservative approaches prioritize function and avoid unnecessary procedures.

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John D. Kelly IV, M.D.

Keywords

shoulder external rotation

SLAP tears

labral injury treatment

scapular strengthening

conservative shoulder rehab