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Shoulder Injuries in the Throwing Athlete by Sepp Braun, Dirk Kokmeyer, and Peter J. Millett J Bone Joint Surg Am Volume 91(4):966-978 April 1, 2009 ©2009.

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Presentation on theme: "Shoulder Injuries in the Throwing Athlete by Sepp Braun, Dirk Kokmeyer, and Peter J. Millett J Bone Joint Surg Am Volume 91(4):966-978 April 1, 2009 ©2009."— Presentation transcript:

1 Shoulder Injuries in the Throwing Athlete by Sepp Braun, Dirk Kokmeyer, and Peter J. Millett J Bone Joint Surg Am Volume 91(4):966-978 April 1, 2009 ©2009 by The Journal of Bone and Joint Surgery, Inc.

2 The six phases of the throwing motion. Sepp Braun et al. J Bone Joint Surg Am 2009;91:966-978 ©2009 by The Journal of Bone and Joint Surgery, Inc.

3 The arc of motion of the throwing shoulder is shifted posteriorly, with increased external rotation and decreased internal rotation of the abducted shoulder. Sepp Braun et al. J Bone Joint Surg Am 2009;91:966-978 ©2009 by The Journal of Bone and Joint Surgery, Inc.

4 For the cross-body stretch, the individual places the involved shoulder against a wall to prevent the scapula from rotating. Sepp Braun et al. J Bone Joint Surg Am 2009;91:966-978 ©2009 by The Journal of Bone and Joint Surgery, Inc.

5 For the sleeper stretch, the individual lies on the involved side with the shoulder in approximately 90° of forward elevation. Sepp Braun et al. J Bone Joint Surg Am 2009;91:966-978 ©2009 by The Journal of Bone and Joint Surgery, Inc.

6 SLAP lesions caused by a “peel-back” mechanism. Sepp Braun et al. J Bone Joint Surg Am 2009;91:966-978 ©2009 by The Journal of Bone and Joint Surgery, Inc.

7 Internal impingement of the undersurface of the rotator cuff against the posterior aspect of the labrum in maximum external rotation and abduction. Sepp Braun et al. J Bone Joint Surg Am 2009;91:966-978 ©2009 by The Journal of Bone and Joint Surgery, Inc.

8 Left: With the arm in a position of abduction and external rotation, the humeral head and the proximal humeral calcar produce a substantial cam effect of the anteroinferior aspect of the capsule, tensioning the capsule by virtue of the space-occupying effect. Sepp Braun et al. J Bone Joint Surg Am 2009;91:966-978 ©2009 by The Journal of Bone and Joint Surgery, Inc.


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