Rotator Cuff Tears in the Throwing Athlete

Background: Rotator cuff tears (RCTs) are common injuries among throwing athletes that significantly impact their performance and career longevity. These injuries can result from acute trauma or chronic overuse due to repetitive overhead activities that place substantial stress on the rotator cuff tendons. The prevalence of RCTs in this population underscores the need for effective management strategies that address both acute injury and long-term athletic performance. Understanding the biomechanical factors involved in these injuries, such as tensile overload and internal impingement, is crucial for developing preventive measures and rehabilitation protocols. Methods: This study reviews the published literature from ۲۰۰۸ to ۲۰۲۲ regarding the management of rotator cuff tears, particularly in throwing athletes. It discusses various treatment methods, including conservative management techniques and surgical options. The review emphasizes the importance of a comprehensive assessment that considers the athlete's specific conditions, including the type of tear, level of sport, and individual rehabilitation goals. It also examines advancements in imaging technology that aid in the diagnosis of RCTs and the evaluation of treatment outcomes. Results: Findings indicate that most throwing athletes present with partial-thickness rotator cuff tears, which often occur in the supraspinatus tendon. Non-surgical management is the primary treatment approach for these athletes, focusing on physiotherapy to restore shoulder function and strength while reducing pain. Surgical interventions, such as arthroscopic debridement or repair, are reserved for cases where conservative treatment fails or for more severe tears. This review shows that while surgical options can be effective, they do not always guarantee a return to pre-injury performance levels. Additionally, tailored rehabilitation protocols for athletes are essential to optimize recovery and prevent future injuries. The study also notes that adhering to proper throwing mechanics is critical for reducing the risk of re-injury. Conclusion: Consequently, managing rotator cuff tears in throwing athletes requires a multifaceted approach that balances effective treatment with the athlete's desire to return to competition. While non-surgical strategies are often successful, surgical options remain important for specific cases. Early intervention and appropriate rehabilitation programs are vital for restoring function and minimizing long-term complications. Ongoing research into prevention strategies and advanced surgical techniques will enhance the care of athletes facing rotator cuff injuries.

کلیدواژه ها:

Rotator cuff tears ، throwing athletes ، conservative management ، surgical intervention ، rehabilitation