Skip to main content
main-content

22.08.2020 | Sports Injuries and Rehabilitation: Getting Athletes Back to Play (R Gallo, Section Editor) | Ausgabe 6/2020

Current Reviews in Musculoskeletal Medicine 6/2020

Scapular Dyskinesis and the Kinetic Chain: Recognizing Dysfunction and Treating Injury in the Tennis Athlete

Zeitschrift:
Current Reviews in Musculoskeletal Medicine > Ausgabe 6/2020
Autoren:
Sundeep S. Saini, Sarav S. Shah, Alan S. Curtis
Wichtige Hinweise
This article is part of the Topical Collection on Sports Injuries and Rehabilitation: Getting Athletes Back to Play

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Abstract

Purpose of Review

This article aims to provide a comprehensive understanding of the evaluation, diagnosis, and management of scapular dyskinesis and its impact on the kinetic chain in tennis athletes.

Recent Findings

Optimal glenohumeral biomechanics are intimately associated with proper scapular motion and function. The tennis serve requires the scapula to act as a force transducer in the kinetic chain to convert potential energy generated in the lower extremities to kinetic energy in the upper extremity. Any aberration within this complex kinetic chain will result in force uncoupling and increases the potential for injury through compensatory mechanisms. Specifically, scapular dyskinesis has been associated with an increased risk of shoulder pain of up to 43% in overhead athletes. These pathologies include rotator cuff disease, subacromial and posterior impingement, labral injuries, and SLAP tears. Although the direct causality of these injuries remains controversial, multiple kinematic studies have demonstrated altered scapular positioning increasing the predilection for soft tissue pathology.

Summary

The diagnosis of scapular dyskinesis is predicated upon a thorough history, physical examination, and observational analysis of key nodes in the kinetic chain during tennis activity. Conservative management remains the mainstay of treatment and consists of a graduated physical therapy regimen. Although shoulder pain in the overhead athletes is often multifactorial, early recognition and treatment of scapular dyskinesis generally carry a favorable prognosis and result in improved patient outcomes.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

★ PREMIUM-INHALT
e.Med Interdisziplinär

Für Ihren Erfolg in Klinik und Praxis - Die beste Hilfe in Ihrem Arbeitsalltag als Mediziner*in

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de.

Jetzt e.Med zum Sonderpreis bestellen!
Das Angebot gilt nur bis 24.10.2021

Weitere Produktempfehlungen anzeigen
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 6/2020

Current Reviews in Musculoskeletal Medicine 6/2020 Zur Ausgabe

Sports Injuries and Rehabilitation: Getting Athletes Back to Play (R Gallo, Section Editor)

Rotator Cuff Injuries in Tennis Players

Reverse Shoulder Arthroplasty (C Chambers and E Craig, Section Editors)

Baseplate Options for Reverse Total Shoulder Arthroplasty

The Use of Technology in Orthopaedic Surgery—Intraoperative and Post-Operative Management (C Krueger and S Bini, Section Editors)

What Is the Learning Curve for New Technologies in Total Joint Arthroplasty? A Review

Reverse Shoulder Arthroplasty (C Chambers and E Craig, Section Editors)

Periprosthetic Infection After Reverse Shoulder Arthroplasty: a Review

Compressive Neuropathies in the Upper Extremity (E Shin, Section Editor)

Severe Cubital Tunnel Syndrome: Considerations for Nerve Transfer Surgery

  1. Sie können e.Med Orthopädie & Unfallchirurgie 14 Tage kostenlos testen (keine Print-Zeitschrift enthalten). Der Test läuft automatisch und formlos aus. Es kann nur einmal getestet werden.

Arthropedia

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, DICOM-Daten, Videos und Abbildungen. » Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Orthopädie und Unfallchirurgie und bleiben Sie gut informiert – ganz bequem per eMail.

Bildnachweise