Management of Rotator Cuff Injuries in the Elite Athlete

被引:36
作者
Weiss L.J. [1 ]
Wang D. [2 ]
Hendel M. [2 ]
Buzzerio P. [1 ]
Rodeo S.A. [3 ]
机构
[1] New York Football Giants, East Rutherford, NJ
[2] Hospital for Special Surgery, New York, NY
[3] Sports Medicine and Shoulder Service, Hospital for Special Surgery, 535 East 70th Street, New York, 10021, NY
关键词
Elite athlete; Rehabilitation; Rotator cuff; Shoulder;
D O I
10.1007/s12178-018-9464-5
中图分类号
学科分类号
摘要
Purpose of Review: Rotator cuff injuries are a common cause of pain and dysfunction for the elite athlete and can result in time loss from participation. This review highlights the current management of these injuries. Recent Findings: Conservative management of rotator cuff injuries continues to be the “gold standard” in the elite athlete. This includes a comprehensive rehabilitation program, anti-inflammatories, and corticosteroid injections. Newer treatment techniques such as intramuscular dry needling and the use of biologics such as platelet-rich plasma and stem cells demonstrate early promising results; however, these modalities require further investigation to determine their effectiveness. Summary: Rotator cuff injuries can range from contusions and tendinopathy to full-thickness tears. A comprehensive evaluation is needed to determine the extent of injury and appropriate plan of care. Management strategies can range from rehabilitation to operative intervention and are guided by the size of the tear, time of season, sport, performance limitations, and presence of concomitant pathology. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.
引用
收藏
页码:102 / 112
页数:10
相关论文
共 83 条
  • [1] Namdari S., Baldwin K., Ahn A., Huffman G.R., Sennett B.J., Performance after rotator cuff tear and operative treatment: a case-control study of major league baseball pitchers, J Athl Train, 46, 3, pp. 296-302, (2011)
  • [2] Blevins F.T., Hayes W.M., Warren R.F., Rotator cuff injury in contact athletes, Am J Sports Med, 24, 3, pp. 263-267, (1996)
  • [3] Mueller M., Hoy G., Branson R., Management of in-Season Concurrent Rotator Cuff Tear with Shoulder Instability in professional contact football athletes
  • [4] respect the career goals!, Asian journal of sports medicine, 7, 1, (2016)
  • [5] Cohen S.B., Towers J.D., Bradley J.P., Rotator cuff contusions of the shoulder in professional football players: epidemiology and magnetic resonance imaging findings, Am J Sports Med, 35, 3, pp. 442-447, (2007)
  • [6] Kaplan L.D., Flanigan D.C., Norwig J., Jost P., Bradley J., Prevalence and variance of shoulder injuries in elite collegiate football players, Am J Sports Med, 33, 8, pp. 1142-1146, (2005)
  • [7] Gibbs D.B., Lynch T.S., Gombera M.M., Saltzman M.D., Nuber G.W., Schroeder G.D., Labelle M., Hollett B.P., Preexisting rotator cuff tears as a predictor of outcomes in National Football League Athletes, Sports health, 8, 3, pp. 250-254, (2016)
  • [8] Matava M.J., Purcell D.B., Rudzki J.R., Partial-thickness rotator cuff tears, Am J Sports Med, 33, 9, pp. 1405-1417, (2005)
  • [9] Burkhart S.S., Morgan C.D., Kibler W.B., The disabled throwing shoulder: spectrum of pathology part II: evaluation and treatment of SLAP lesions in throwers, Arthroscopy: The Journal of Arthroscopic & Related Surgery., 19, 5, pp. 531-539, (2003)
  • [10] Burkhart S.S., Morgan C.D., Kibler W.B., The disabled throwing shoulder: spectrum of pathology part I: pathoanatomy and biomechanics, Arthroscopy: The Journal of Arthroscopic & Related Surgery., 19, 4, pp. 404-420, (2003)