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MRI-Arthroscopy Correlations in the Overhead Athlete

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MRI-Arthroscopy Correlations
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Abstract

Overhead or throwing athletes subject the shoulder joint to repetitive high forces. These forces can result in either adaptation of the shoulder or injury to the shoulder. Repetitive microtrauma can injure either the rotator cuff or labrum. Not all damages to labrum and rotator cuff in the throwing shoulder require surgery as MRI abnormalities are present in a significant percentage of asymptomatic shoulders in throwing athletes. This chapter evaluates some common arthroscopy findings and correlates these findings with magnetic resonance imaging (MRI). Surgical techniques to repair superior labrum and partial rotator cuff tears in this setting are discussed.

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References

  1. Dillman CJ, Fleisig GS, Andrews JR. Biomechanics of pitching with emphasis upon shoulder kinematics. J Orthop Sports Phys Ther. 1993;18(2):402–8.

    Article  CAS  PubMed  Google Scholar 

  2. Cohn RM, Jazrawi LM. The throwing shoulder: the orthopedist perspective. Magn Reson Imaging Clin N Am. 2012;20(2):261–75, x.

    Article  PubMed  Google Scholar 

  3. Economopoulos KJ, Brockmeier SF. Rotator cuff tears in overhead athletes. Clin Sports Med. 2012;31(4):675–92.

    Article  PubMed  Google Scholar 

  4. Bennett GE. Elbow and shoulder lesions of baseball players. Am J Surg. 1959;98:484–92.

    Article  CAS  PubMed  Google Scholar 

  5. Neer 2nd CS. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am. 1972;54(1):41–50.

    PubMed  Google Scholar 

  6. Tibone JE, Jobe FW, Kerlan RK, Carter VS, Shields CL, Lombardo SJ, et al. Shoulder impingement syndrome in athletes treated by an anterior acromioplasty. Clin Orthop Relat Res. 1985;198:134–40.

    PubMed  Google Scholar 

  7. Jobe FW, Giangarra CE, Kvitne RS, Glousman RE. Anterior capsulolabral reconstruction of the shoulder in athletes in overhand sports. Am J Sports Med. 1991;19(5):428–34.

    Article  CAS  PubMed  Google Scholar 

  8. Kvitne RS, Jobe FW. The diagnosis and treatment of anterior instability in the throwing athlete. Clin Orthop Relat Res. 1993;291:107–23.

    PubMed  Google Scholar 

  9. Lintner D, Mayol M, Uzodinma O, Jones R, Labossiere D. Glenohumeral internal rotation deficits in professional pitchers enrolled in an internal rotation stretching program. Am J Sports Med. 2007;35(4):617–21.

    Article  PubMed  Google Scholar 

  10. Myers JB, Laudner KG, Pasquale MR, Bradley JP, Lephart SM. Glenohumeral range of motion deficits and posterior shoulder tightness in throwers with pathologic internal impingement. Am J Sports Med. 2006;34(3):385–91.

    Article  PubMed  Google Scholar 

  11. Tokish JM, Curtin MS, Kim YK, Hawkins RJ, Torry MR. Glenohumeral internal rotation deficit in the asymptomatic professional pitcher and its relationship to humeral retroversion. J Sports Sci Med. 2008;7(1):78–83.

    PubMed Central  PubMed  Google Scholar 

  12. Burkhart SS. Internal impingement of the shoulder. Instr Course Lect. 2006;55:29–34.

    PubMed  Google Scholar 

  13. Drakos MC, Rudzki JR, Allen AA, Potter HG, Altchek DW. Internal impingement of the shoulder in the overhead athlete. J Bone Joint Surg Am. 2009;91(11):2719–28.

    Article  PubMed  Google Scholar 

  14. Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: spectrum of pathology part I: pathoanatomy and biomechanics. Arthroscopy. 2003;19(4):404–20.

    Article  PubMed  Google Scholar 

  15. Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: spectrum of pathology part III: the SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation. Arthroscopy. 2003;19(6):641–61.

    Article  PubMed  Google Scholar 

  16. Braun S, Kokmeyer D, Millett PJ. Shoulder injuries in the throwing athlete. J Bone Joint Surg Am. 2009;91(4):966–78.

    Article  PubMed  Google Scholar 

  17. McFarland EG, Tanaka MJ, Papp DF. Examination of the shoulder in the overhead and throwing athlete. Clin Sports Med. 2008;27(4):553–78.

    Article  PubMed  Google Scholar 

  18. Lesniak BP, Baraga MG, Jose J, Smith MK, Cunningham S, Kaplan LD. Glenohumeral findings on magnetic resonance imaging correlate with innings pitched in asymptomatic pitchers. Am J Sports Med. 2013;41(9):2022–7.

    Article  PubMed  Google Scholar 

  19. Connor PM, Banks DM, Tyson AB, Coumas JS, D’Alessandro DF. Magnetic resonance imaging of the asymptomatic shoulder of overhead athletes: a 5-year follow-up study. Am J Sports Med. 2003;31(5):724–7.

    PubMed  Google Scholar 

  20. Miniaci A, Mascia AT, Salonen DC, Becker EJ. Magnetic resonance imaging of the shoulder in asymptomatic professional baseball pitchers. Am J Sports Med. 2002;30(1):66–73.

    PubMed  Google Scholar 

  21. Meister K, Thesing J, Montgomery WJ, Indelicato PA, Walczak S, Fontenot W. MR arthrography of partial thickness tears of the undersurface of the rotator cuff: an arthroscopic correlation. Skeletal Radiol. 2004;33(3):136–41.

    Article  PubMed  Google Scholar 

  22. Chandnani VP, Yeager TD, DeBerardino T, Christensen K, Gagliardi JA, Heitz DR, et al. Glenoid labral tears: prospective evaluation with MRI imaging, MR arthrography, and CT arthrography. AJR Am J Roentgenol. 1993;161(6):1229–35.

    Article  CAS  PubMed  Google Scholar 

  23. Iyengar JJ, Burnett KR, Nottage WM, Harwin SF. The abduction external rotation (ABER) view for MRI of the shoulder. Orthopedics. 2010;33(8):562–5.

    Article  PubMed  Google Scholar 

  24. Jung JY, Jee WH, Chun HJ, Ahn MI, Kim YS. Magnetic resonance arthrography including ABER view in diagnosing partial-thickness tears of the rotator cuff: accuracy, and inter- and intra-observer agreements. Acta Radiol. 2010;51(2):194–201.

    Article  PubMed  Google Scholar 

  25. Burkhart SS, Morgan CD, Kibler WB. Shoulder injuries in overhead athletes. The “dead arm” revisited. Clin Sports Med. 2000;19(1):125–58.

    Article  CAS  PubMed  Google Scholar 

  26. Burkhart SS, Morgan C. SLAP lesions in the overhead athlete. Orthop Clin North Am. 2001;32(3):431–41, viii.

    Article  CAS  PubMed  Google Scholar 

  27. Provencher MT, McCormick F, Dewing C, McIntire S, Solomon D. A prospective analysis of 179 type 2 superior labrum anterior and posterior repairs: outcomes and factors associated with success and failure. Am J Sports Med. 2013;41(4):880–6.

    Article  PubMed  Google Scholar 

  28. Gorantla K, Gill C, Wright RW. The outcome of type II SLAP repair: a systematic review. Arthroscopy. 2010;26(4):537–45.

    Article  PubMed  Google Scholar 

  29. Knesek M, Skendzel JG, Dines JS, Altchek DW, Allen AA, Bedi A. Diagnosis and management of superior labral anterior posterior tears in throwing athletes. Am J Sports Med. 2013;41(2):444–60.

    Article  PubMed  Google Scholar 

  30. Brockmeier SF, Voos JE, Williams 3rd RJ, Altchek DW, Cordasco FA, Allen AA. Outcomes after arthroscopic repair of type-II SLAP lesions. J Bone Joint Surg Am. 2009;91(7):1595–603.

    Article  PubMed Central  PubMed  Google Scholar 

  31. McCormick F, Bhatia S, Chalmers P, Gupta A, Verma N, Romeo AA. The management of type II superior labral anterior to posterior injuries. Orthop Clin North Am. 2014;45(1):121–8.

    Article  PubMed  Google Scholar 

  32. Abbot AE, Li X, Busconi BD. Arthroscopic treatment of concomitant superior labral anterior posterior (SLAP) lesions and rotator cuff tears in patients over the age of 45 years. Am J Sports Med. 2009;37(7):1358–62.

    Article  PubMed  Google Scholar 

  33. Franceschi F, Longo UG, Ruzzini L, Rizzello G, Maffulli N, Denaro V. No advantages in repairing a type II superior labrum anterior and posterior (SLAP) lesion when associated with rotator cuff repair in patients over age 50: a randomized controlled trial. Am J Sports Med. 2008;36(2):247–53.

    Article  PubMed  Google Scholar 

  34. Miniaci A, Dowdy PA, Willits KR, Vellet AD. Magnetic resonance imaging evaluation of the rotator cuff tendons in the asymptomatic shoulder. Am J Sports Med. 1995;23(2):142–5.

    Article  CAS  PubMed  Google Scholar 

  35. Brockmeier SF, Dodson CC, Gamradt SC, Coleman SH, Altchek DW. Arthroscopic intratendinous repair of the delaminated partial-thickness rotator cuff tear in overhead athletes. Arthroscopy. 2008;24(8):961–5.

    Article  PubMed  Google Scholar 

  36. Conway JE. Arthroscopic repair of partial-thickness rotator cuff tears and SLAP lesions in professional baseball players. Orthop Clin North Am. 2001;32(3):443–56.

    Article  CAS  PubMed  Google Scholar 

  37. Reynolds SB, Dugas JR, Cain EL, McMichael CS, Andrews JR. Debridement of small partial-thickness rotator cuff tears in elite overhead throwers. Clin Orthop Relat Res. 2008;466(3):614–21.

    Article  PubMed Central  PubMed  Google Scholar 

  38. Mazoue CG, Andrews JR. Repair of full-thickness rotator cuff tears in professional baseball players. Am J Sports Med. 2006;34(2):182–9.

    Article  PubMed  Google Scholar 

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Disclosure

The senior author (SCG) is a consultant for Biomet.

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Correspondence to Seth C. Gamradt MD .

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Gamradt, S.C. (2015). MRI-Arthroscopy Correlations in the Overhead Athlete. In: Brockmeier, S. (eds) MRI-Arthroscopy Correlations. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2645-9_16

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  • DOI: https://doi.org/10.1007/978-1-4939-2645-9_16

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-2644-2

  • Online ISBN: 978-1-4939-2645-9

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