Current Concepts in the Shoulder of the Throwing Athlete
R
arely does an editor have an opportunity to publish material that completely changes concepts of pathoanatomy, diagnosis, nonsurgical and surgical treatment, and rehabilitation. I am sure that there will be those who will challenge the change in thought. This is healthy and will stimulate all of us to prove our point of view. In sports medicine, the throwing athlete has been a great challenge to all of us. The stress on their shoulder pushes the limit of human tolerance. Understanding the principles as presented by Drs. Burkhart, Morgan, and Kibler, the syndrome should be recognized earlier, thereby allowing earlier nonoperative treatment in the majority of cases. It is my
prediction that, as these principles are widely accepted and understood in sports medicine circles, the incidence of throwers who progress to the full-blown syndrome of the “dead arm” will decrease considerably. In this issue, we present Part I of “The Disabled Throwing Shoulder: Spectrum of Pathology.” Part I covers pathoanatomy and biomechanics. Part II, in Vol. 19, No. 5 (May-June) will cover the evaluation and treatment of SLAP lesions in throwers. Part III, in Vol. 19 No. 6 (July-August) will cover the “SICK” scapula, scapular dyskinesis, the kinetic chain, and rehabilitation. GARY G. POEHLING, M.D. Editor-in-Chief
Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 19, No 4 (April), 2003: p 339