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Shoulder Injuries in the Young Tennis Athlete

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The Young Tennis Player

Part of the book series: Contemporary Pediatric and Adolescent Sports Medicine ((PASM))

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Abstract

As a truly global sport, tennis is played by tens of millions worldwide, both for fun and competitively at all age levels. As a result, many young tennis players are playing at high levels and tennis-specific training often begins at an early age. Tennis is a stressful game to the shoulder. It requires multiple repetitions of large ranges of motions and high forces during all strokes. Because of the repetitive nature of the sport, the shoulder is often injured through overuse, especially in competitive, elite tennis athletes. Early preventative measures can be taken in young tennis players to avoid specific injuries related to the sport. And early identification of injuries can allow for proper management and rehabilitation to give athletes the chance to not only continue playing but to do so at a high level.

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References

  1. Arciero RA, Wheeler JH, Ryan JB, McBride JT. Arthroscopic Bankart repair versus nonoperative treatment for acute, initial anterior shoulder dislocations. Am J Sports Med. 1994;22(5):589–94.

    Article  CAS  PubMed  Google Scholar 

  2. Bach HG, Goldberg BA. Posterior capsular contracture of the shoulder. J Am Acad Orthop Surg. 2006;14:265–77.

    Article  PubMed  Google Scholar 

  3. Baxter-Jones A, Maffulli N, Helms P. Low injury rates in elite athletes. Arch Dis Child. 1993;68:130–2.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Beachy G, Akau CK, Martinson M, et al. High school sports injuries. A longitudinal study at Punahou School: 1988 to 1996. Am J Sports Med. 1997;25:675–81.

    Article  CAS  PubMed  Google Scholar 

  5. Benjamin HJ, Briner Jr WW. Little league elbow. Clin J Sport Med. 2005;15:37–40.

    Google Scholar 

  6. Bishop JY, Flatow EL. Paediatric shoulder trauma. Clin Orthop Relat Res. 2005 Mar;(432):41–8.

    Google Scholar 

  7. Brenner D, Elliston C, Hall E, et al. Estimated risks of radiation-induced fatal cancer from pediatric CT. AJR Am J Roentgenol. 2001;176(2):289–96.

    Article  CAS  PubMed  Google Scholar 

  8. Bright RW, Burstein AH, Elmore SM. Epiphyseal-plate cartilage. A biomechanical and histological analysis of failure modes. J Bone Joint Surg. 1974;56A:688–703.

    Article  Google Scholar 

  9. Burkhart SS, Morgan CD. The peel-back mechanism: its role in producing and extending posterior type II SLAP lesions and its effect on SLAP repair rehabilitation. Arthroscopy. 1998;14:637–40.

    Article  CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  11. Bylak J, Hutchinson MR. Common sports injuries in young tennis players. Sport Med 1998;26:119–32.

    Google Scholar 

  12. Carofino BC, Mazzocca AD. The anatomic coracoclavicular ligament reconstruction: surgical technique and indications. J Shoulder Elbow Surg. 2010;19(2 Suppl):37–46.

    Article  PubMed  Google Scholar 

  13. Carson Jr WG, Gasser SI. Little Leaguer’s shoulder. A report of 23 cases. Am J Sports Med. 1998;26:575–80.

    PubMed  Google Scholar 

  14. Chandler TJ, Kibler WB, Stragener EC. Shoulder strength, power, and endurance in college tennis players. Am J Sports Med. 1992;20(4):455–8.

    Article  CAS  PubMed  Google Scholar 

  15. Cleeman E, Flatow EL. Shoulder dislocations in the young patient. Orthop Clin North Am. 2000;31(2):217–29.

    Article  CAS  PubMed  Google Scholar 

  16. Cohn BT, Froimson AL. Salter 3 fracture dislocation of glenohumeral joint in a 10-year-old. Orthop Rev. 1986;15:403–4.

    CAS  PubMed  Google Scholar 

  17. Cordischi K, Li X, Busconi B. Immediate outcomes after primary traumatic anterior shoulder dislocation in skeletally immature patients aged 10 to 13 years. Orthopedics. 2009;32(9):1.

    Google Scholar 

  18. Curtis RJJ, Dameron Jr TB, Rockwood Jr CA. Fractures and dislocations of the shoulder in children. In: Rockwood CAJ, Wilkins KE, King RE, editors. Fractures in children. Philadelphia: JB Lippincott; 1991. p. 829–919.

    Google Scholar 

  19. Dameron Jr TB, Riebel DB. Fracture involving the proximal humeral epiphyseal plate. J Bone Joint Surg. 1969;51A:289–97.

    Article  Google Scholar 

  20. DeBerardino TM, Arciero RA, Taylor DC, Uhorchak JM. Prospective evaluation of arthroscopic stabilization of acute, initial anterior shoulder dislocations in young athletes: Two-to-five-year follow-up. Am J Sports Med. 2001;29(5):586–92.

    CAS  PubMed  Google Scholar 

  21. Deitch J, Mehlman CT, Foad SL, et al. Traumatic anterior shoulder dislocation in adolescents. Am J Sports Med. 2003;31(5):758–63.

    PubMed  Google Scholar 

  22. Dotter WB. Little leaguer’s shoulder: a fracture of the proximal epiphyseal cartilage of the humerus due to baseball pitching. Guthrie Clin Bull. 1953;23:58.

    Google Scholar 

  23. Elliot B. Biomechanics and tennis. Br J Sports Med. 2006;40(5):392–6.

    Article  Google Scholar 

  24. Elliott B, Fleisig G, Nicholls R, Escamilla R. Technique effects on upper limb loading in the tennis serve. J Sci Med Sport. 2003;6(1):76–87.

    Article  CAS  PubMed  Google Scholar 

  25. Elliott B, Reid M, Crespo M, editors. Biomechanics of advanced tennis. London: International Tennis Federation; 2003. p. 33–47.

    Google Scholar 

  26. Escamilla RF, Hooks TR, Wilk KE. Optimal management of shoulder impingement syndrome. J Sports Med. 2014;5:13–24.

    Google Scholar 

  27. Flatow EL, Duralde XA, Nicholson GP, Pollock RG, Bigliani LU. Arthroscopic resection of the distal clavicle with a superior approach. J Shoulder Elbow Surg. 1995;4(1 Pt 1):41–50.

    Article  CAS  PubMed  Google Scholar 

  28. Gomez JE. Upper extremity injuries in youth sports. Pediatr Clin North Am. 2002;49:593–626.

    Article  PubMed  Google Scholar 

  29. Gregg JR, Torg E. Upper extremity injuries in adolescent tennis players. Clin Sports Med. 1988;7(2):371–85.

    CAS  PubMed  Google Scholar 

  30. Gregg-Smith SJ, White SH. Salter-Harris III fracture-dislocation of the proximal humeral epiphysis. Injury. 1992;23:199–200.

    Article  CAS  PubMed  Google Scholar 

  31. Gstettner C, Tauber M, Hitzl W, Resch H. Rockwood type III acromioclavicular dislocation: surgical versus conservative treatment. J Shoulder Elbow Surg. 2008;17(2):220–5.

    Article  CAS  PubMed  Google Scholar 

  32. Hanchard NC, Lenza M, Handoll HH, Takwoingi Y. Physical tests for shoulder impingements and local lesions of bursa, tendon or labrum that may accompany impingement. Cochrane Database Syst Rev. 2013;4:CD007427.

    Google Scholar 

  33. Hennig EM. Influence of racket properties on injuries and performance in tennis. Exerc Sport Sci Rev. 2007;35:62–6.

    Article  PubMed  Google Scholar 

  34. Huber H, Gerber C. Voluntary subluxation of the shoulder in children. A long-term follow-up study of 36 shoulders. J Bone Joint Surg. 1994;76B:118–22.

    Google Scholar 

  35. Hutchinson MR, Laprade RF, Burnett 2nd QM, et al. Injury surveillance at the UTSA Boys’ Tennis Championships: a 6-year study. Med Sci Sports Exerc. 1995;27:826–30.

    CAS  PubMed  Google Scholar 

  36. Hyman M. Young athletes, big league pain. Business Week. 7 June 2004.

    Google Scholar 

  37. Iannoti J, et al. Disorders of the shoulder diagnosis and management: shoulder reconstruction. LWW;Philadelphia, PA. 3rd ed. 2014. p. 597.

    Google Scholar 

  38. Ide J, Maeda S, Takagi K. Sports activity after arthroscopic superior labral repair using suture anchors in overhead-throwing athletes. Am J Sports Med. 2005;33:507–14.

    Article  PubMed  Google Scholar 

  39. Ireland ML, Andrews JR. Shoulder and elbow injuries in the young athlete. Clin Sports Med. 1988;7:473–94.

    CAS  PubMed  Google Scholar 

  40. Ireland ML, Satterwhite YE. Shoulder injuries. In: Andrews JR, Zarins B, Wilk KE, editors. Injuries in baseball. Philadelphia: Lippincott-Raven; 1998. p. 271–81.

    Google Scholar 

  41. Itoi E, et al. Tensile properties of the supraspinatus tendon. J Orthop Res. 1995;13(4):578–84.

    Article  CAS  PubMed  Google Scholar 

  42. Jaberg H, Warner JJ, Jakob RP. Percutaneous stabilization of unstable fractures of the humerus. J Bone Joint Surg Am. 1992;74:508–15.

    Google Scholar 

  43. Jayanthi N, Sallay PI, Hunker P, et al. Skill-level related injuries in recreational competition tennis players. Med Sci Tennis. 2005;10:12–5.

    Google Scholar 

  44. Jobe FW, Motnes DR, Tibone JE. An EMG analysis of shoulder in pitching: a second report. Am J Sports Med. 1984;12:218–20.

    Article  CAS  PubMed  Google Scholar 

  45. Jobe FW. An EMG, analysis of the shoulder in throwing and pitching, a preliminary report. Am J Sports Med. 1983;11:3–5.

    Article  CAS  PubMed  Google Scholar 

  46. Plancher KD, Litchfield R, Hawkins RJ. Rehabilitation of the shoulder in tennis players. Clin Sports Med. 1995;14:111–37.

    CAS  PubMed  Google Scholar 

  47. Kibler W, Chandler J. Racquet sports. In: Fu FH, Sone DA, editors. Sports injuries – mechanism, prevention, and treatment. Baltimore: Williams & Wilkins; 1994. p. 278–92.

    Google Scholar 

  48. Kibler WB, Chandler TJ, Uhl TL, et al. A musculoskeletal approach to the preparticipation physical examination: preventing injury and improving performance. Am J Sports Med. 1989;17:525–31.

    Article  CAS  PubMed  Google Scholar 

  49. Kibler WB, Chandler TJ. Musculoskeletal adaptations and injuries associated with intense participation in youth sports. In: Cahill BR, Pearl AJ, editors. Intensive participation in children’s sports. Park Ridge: American Academy of Orthopedic Surgeons; 1993. p. 2–7.

    Google Scholar 

  50. Kibler WB, Chandler TJ. Range of motion in junior tennis players participating in an injury risk modification program. J Sci Med Sport. 2003;6:51–62.

    Article  CAS  PubMed  Google Scholar 

  51. Kibler WB, McQueen C, Uhl TL. Fitness evaluations and fitness findings in competitive junior tennis players. Clin Sports Med. 1988;7:403–16.

    CAS  PubMed  Google Scholar 

  52. Kibler WB. The role of the scapula in throwing motion. Contemp Orthop. 1991;22:525–32.

    Google Scholar 

  53. Kim HK, Crotty E. Post-traumatic osteolysis of the distal clavicle. Pediatr Radiol. 2010;40:784.

    Article  PubMed  Google Scholar 

  54. Kim SH, Ha KI, Kim SH, Choi HJ. Results of arthroscopic treatment of superior labral lesions. J Bone Joint Surg Am. 2002;84:981–5.

    Article  PubMed  Google Scholar 

  55. Kocher MS, Waters PM, Micheli LJ. Upper extremity injuries in the paediatric athlete. Sports Med. 2000;2:117–35.

    Article  Google Scholar 

  56. Kovacs M, Ellenbecker T. An 8-stage model for evaluating the tennis serve: implications for performance enhancement and injury prevention. Sports Health. 2011;3(6):504–13.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Kubiak R, Slongo T. Operative treatment of clavicle fractures in children: a review of 21 year. J Pediatr Orthop. 2002;22:736–9.

    PubMed  Google Scholar 

  58. Kuhn JE, Plancher KD, Hawkins RJ. Scapular winging. J Am Acad Orthop Surg. 1995;3:319–25.

    Article  PubMed  CAS  Google Scholar 

  59. Lampert C, Baumgartner G, Slongo T, Kohler G, Horst M. Traumatic shoulder dislocation in children and adolescents: a multicenter retrospective analysis. Eur J Trauma. 2002;29(6):375–8.

    Google Scholar 

  60. Ledger M, Leeks N, Ackland T, Wang A. Short malunions of the clavicle: an anatomic and functional study. J Shoulder Elbow Surg. 2005;14:349–54.

    Article  PubMed  Google Scholar 

  61. Lefèvre Y, Journeau P, Angelliaume A, Bouty A, Dobremez E. Proximal humerus fractures in children and adolescents. Orthop Traumatol Surg Res. 2014;100(1 Suppl):S149–56.

    Article  PubMed  Google Scholar 

  62. Lehman RC. Shoulder pain in the competitive tennis player. Clin Sports Med. 1988;7:309–27.

    CAS  PubMed  Google Scholar 

  63. Leidel BA, Braunstein V, Kirschhoff C, Pilotto S, Mutschler W, Biberthaler P. Consistency of long-term outcome of acute Rockwood acromioclavicular joint separations after K-wire transfixation. J Trauma. 2009;66(6):1666–71.

    Article  PubMed  Google Scholar 

  64. Lenza M, Buchbinder R, Johnston RV, Belloti JC, Faloppa F. Surgical versus conservative interventions for treating fractures of the middle third of the clavicle. Cochrane Database Syst Rev. 2013;6(6).

    Google Scholar 

  65. Li X, Ma R, Nielsen N, Gulotta LV, Dines JS, Owens BD. Management of shoulder instability in the skeletally immature patient. J Am Acad Orthop Surg. 2013;21:529–37.

    PubMed  Google Scholar 

  66. Lieberman J. AAOS comprehensive review. American Academy of Orthopaedic Surgeons; Rosemont, Illinois: Vol. 2. Section 8. 2009. p. 793–804.

    Google Scholar 

  67. 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;35:617–21.

    Article  PubMed  Google Scholar 

  68. Lizaur A, Sanz-Reig J, Gonzalez-Parreno S. Long-term results of the surgical treatment of type III acromioclavicular dislocations: an update of a previous report. J Bone Joint Surg Br. 2011;93(8):1088–92.

    Article  CAS  PubMed  Google Scholar 

  69. Maenhout A, et al. Quantifying acromiohumeral distance in overhead athletes with glenohumeral internal rotation loss and the influence of a stretching program. Am J Sports Med. 2012;40(9):2105–12.

    Article  PubMed  Google Scholar 

  70. Manske RC, Grant-Nierman M, Lucas B. Shoulder posterior internal impingement in the overhead athlete. Int J Sports Phys Ther. 2013;8(2):194–204.

    PubMed  PubMed Central  Google Scholar 

  71. Maquirriain J, Ghisi JP, Amato S. Is tennis a predisposing factor for degenerative shoulder disease? A controlled study in former elite players. Br J Sports Med. 2006;40:447–50.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  72. Marans HJ, Angel KR, Schemitsch EH, et al. The fate of traumatic anterior dislocation of the shoulder in children. J Bone Joint Surg Am. 1992;74(8):1242–4.

    Article  CAS  PubMed  Google Scholar 

  73. McCann PD, Bigliani LU. Shoulder pain in tennis players. Sports Med. 1994;17(1):53–64.

    Article  CAS  PubMed  Google Scholar 

  74. McKee RC, Whelan DB, Schemitsch EH, McKee MD. Operative versus no care of displaced midshaft clavicular fractures: a meta-analysis of randomized clinical trials. J Bone Joint Surg Am. 2012;94:675–84.

    Article  PubMed  Google Scholar 

  75. Neuman BJ, Boisvert CB, Reiter B, Lawson K, Ciccotti MG, Cohen SB. Results of arthroscopic repair of type II superior labral anterior posterior lesions in overhead athletes: assessment of return to preinjury playing level and satisfaction. Am J Sports Med. 2011;39(9):1883–8.

    Article  PubMed  Google Scholar 

  76. Nirschl RP. Rotator cuff tendinitis: basic concepts of pathoetiology. In: Barr JS, editor. Instructional course lectures 38. Park Ridge: American Academy of Orthopedic Surgeons; 1989. p. 439–45.

    Google Scholar 

  77. Oberlander MA, Chisar MA, Campbell B. Epidemiology of shoulder injuries in throwing and overhead athletes. Sports Med Arthrosc Rev. 2000;8:115–23.

    Article  Google Scholar 

  78. Ogden JA. Radiologic aspects. In: Ogden JA, editor. Skeletal injury in the child. Philadelphia: WB Saunders; 1990. p. 65–96.

    Google Scholar 

  79. Owens BD, Goss TP. The floating shoulder. J Bone Joint Surg Br. 2006;88-B:1419–24.

    Article  Google Scholar 

  80. Owens BD, DeBerardino TM, Nelson BJ, et al. Long-term follow-up of acute arthroscopic Bankart repair for initial anterior shoulder dislocations in young athletes. Am J Sports Med. 2009;37(4):669–73.

    Article  PubMed  Google Scholar 

  81. Palmer LM, Epler ME. Fundamentals of musculoskeletal assessment techniques. 2nd ed. Lippincott: Williams & Wilkins; 1998. p. 106–24.

    Google Scholar 

  82. Patel DR, Nelson TL. Sports injuries in adolescents. Med Clin North Am. 2000;84:983–1007.

    Article  CAS  PubMed  Google Scholar 

  83. Patel PR, Warner JJP. Shoulder injuries in the skeletally immature athlete. Sports Med Arthrosc Rev. 1996;4:99–113.

    Article  Google Scholar 

  84. Pluim BM, Staal JB, Windler GE, et al. Tennis injuries: occurrence, aetiology, and prevention. Br J Sports Med. 2006;40:415–23.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  85. Pluim BM, Staal JB. Tennis. In: Caine DJ, Harmer P, Schiff M, editors. Epidemiology of injury in Olympic sports. Oxford: Wiley Blackwell; 2010. p. 277–93.

    Google Scholar 

  86. Postacchini F, Gumina S, Cinotti G. Anterior shoulder dislocation in adolescents. J Shoulder Elbow Surg. 2000;9(6):470–4.

    Article  CAS  PubMed  Google Scholar 

  87. Price CT, Flynn JM. Management of fractures. In: Lovell WW, Winter RB, Morrissy RT, Weinstein SL, editors. Lovell and Winter’s pediatric orthopaedics. Philadelphia: Lippincott Williams and Wilkins; 2005. p. 1430–528.

    Google Scholar 

  88. Priest JD, Nagel DA. Tennis shoulder. Am J Sports Med. 1976;4:28–42.

    CAS  PubMed  Google Scholar 

  89. Ristevski B, Hall JA, Pearce D, Potter J, Farrugia M, McKee MD. The radiographic quantification of scapular malalignment after malunion of displaced clavicular shaft fractures. J Shoulder Elbow Surg. 2013;22:240–6.

    Article  PubMed  Google Scholar 

  90. Robinson CM, Dobson RJ. Anterior instability of the shoulder after trauma. J Bone Joint Surg Br. 2004;86(4):469–79.

    Article  CAS  PubMed  Google Scholar 

  91. Robinson CM, Goudie EB, Murray IR, Jenkins PJ, Ahktar MA, Read EO, Foster CJ, Clark K, Brooksbank AJ, Arthur A, Crowther MA, Packham I, Cheeser TJ. Open reduction and plate fixation versus nonoperative treatment for displaced midshaft clavicular fractures: a multicenter, randomized, controlled trial. J Bone Joint Surg Am. 2013;95:1576–84.

    Article  CAS  PubMed  Google Scholar 

  92. Robinson CM, Howes J, Murdoch H, Will E, Graham C. Functional outcome and risk of recurrent instability after primary traumatic anterior shoulder dislocation in young patients. J Bone Joint Surg Am. 2006;88(11):2326–36.

    Article  PubMed  Google Scholar 

  93. Robinson CM, Kelly M, Wakefield AE. Redislocation of the shoulder during the first six weeks after a primary anterior dislocation: risk factors and results of treatment. J Bone Joint Surg Am. 2002;84(9):1552–9.

    Article  PubMed  Google Scholar 

  94. Rockwood C, Matsen F. The shoulder. Philadelphia: WB Saunders; 1990.

    Google Scholar 

  95. Rowe CR, Pierce DS, Clark JG. Voluntary dislocation of the shoulder: a preliminary report on a clinical, electromyographic and psychiatric study of twenty-six patients. J Bone Joint Surg. 1973;55A:445–60.

    Article  Google Scholar 

  96. Rowe CR. Prognosis in dislocations of the shoulder. J Bone Joint Surg Am. 1956;38-A(5):957–77.

    Article  CAS  PubMed  Google Scholar 

  97. Ryhanen J, Niemela E, Kaarela O, Raatikainen T. Stabilization of acute, complete acromioclavicular joint dislocations with a new C hook implant. J Shoulder Elbow Surg. 2003;12(5):442–5.

    Article  PubMed  Google Scholar 

  98. Schwarzkopf R, Ishak C, Elman M, Gelber J, Strauss DN, Jazrawi LM. Distal clavicular osteolysis: a review of the literature. Bull NYU Hosp Jt Dis. 2008;66(2):94–101.

    PubMed  Google Scholar 

  99. Seybold D, Schildhauer TA, Muhr G. Rare anterior shoulder dislocation in a toddler. Arch Orthop Trauma Surg. 2009;129(3):295–8.

    Article  PubMed  Google Scholar 

  100. Shepard MF, Dugas JR, Zeng N, Andrews JR. Differences in the ultimate strength of the biceps anchor and the generation of the type II superior labral anterior posterior lesions in a cadaveric model. Am J Sports Med. 2004;32(5):1197–201.

    Article  PubMed  Google Scholar 

  101. Silva R, et al. Clinical and ultrasonographic correlation between scapular dyskinesia and subacromial space measurement among junior elite tennis players. Br J Sports Med. 2010;44:407–10.

    Article  CAS  PubMed  Google Scholar 

  102. Silva RT, Takahashi R, Berra B, et al. Medical assistance at the Brazilian juniors tennis circuit – a one-year prospective study. J Sci Med Sport. 2003;6:14–8.

    Article  CAS  PubMed  Google Scholar 

  103. Simonet WT, Cofield RH. Prognosis in anterior shoulder dislocation. Am J Sports Med. 1984;12(1):19–24.

    Article  CAS  PubMed  Google Scholar 

  104. Smith R, et al. Anatomical characteristics of the upper serratus anterior: cadaver dissection. J Orthop Sports Phys Ther. 2003;33:449–53.

    Article  PubMed  Google Scholar 

  105. Snyder SJ, Karzel RP, Del Pizzo W, et al. SLAP lesions of the shoulder. Arthroscopy. 1990;6:274–9.

    Article  CAS  PubMed  Google Scholar 

  106. Taylor DC, Arciero RA. Pathologic changes associated with shoulder dislocations: arthroscopic and physical examination findings in first-time, traumatic anterior dislocations. Am J Sports Med. 1997;25(3):306–11.

    Article  CAS  PubMed  Google Scholar 

  107. Torres RR, Gomes JL. Measurement of glenohumeral internal rotation in asymptomatic tennis players and swimmers. Am J Sports Med. 2009;37(5):1017–23.

    Article  PubMed  Google Scholar 

  108. Tsur A, Gillson S. Brachial biceps tendon injuries in young female high-level tennis players. Croat Med J. 2000;41:184–5.

    CAS  PubMed  Google Scholar 

  109. Tyler TF, et al. Correction of posterior shoulder tightness is associated with symptom resolution in patients with internal impingement. Am J Sports Med. 2010;38(1):114–9.

    Article  PubMed  Google Scholar 

  110. Tyler TF, Nicholas SJ, Roy T, Gleim GW. Quantification of posterior capsule tightness and motion loss in patients with shoulder impingement. Am J Sports Med. 2000;28:668–73.

    CAS  PubMed  Google Scholar 

  111. Visser CP, Coene LN, Brand R, Tavy DL. the incidence of nerve injury in anterior dislocation of the shoulder and its influences on functional recovery: a prospective clinical and EMG study. J Bone Joint Surg Br. 1999;81(4):679–85.

    Article  CAS  PubMed  Google Scholar 

  112. Voight ML, Thomson BC. The role of the scapula in the rehabilitation of shoulder injuries. J Athl Train. 2000;35(3):364–72.

    CAS  PubMed  PubMed Central  Google Scholar 

  113. Warner JD, Micheli LJ, Arlanian LE, et al. Patterns of flexibility, laxity, and strength in normal shoulders and shoulders with instability and impingement. Am J Sports Med. 1990;18:366–75.

    Article  CAS  PubMed  Google Scholar 

  114. Wei SH, Chiang JY, Shiang TY, et al. Comparison of shock transmission and forearm electromyography between experienced and recreational tennis players during backhand strokes. Clin J Sport Med. 2006;16:129–35.

    Article  PubMed  Google Scholar 

  115. Weiss JM, Arkader A, Wells LM, Ganley TJ. Rotator cuff injuries in adolescent athletes. J Pediatr Orthop B. 2013;22:133–7.

    Article  PubMed  Google Scholar 

  116. Wick M, Muller EJ, Kollig E, Muhr G. Midshaft fractures of the clavicle with a shortening of more than 2 cm predispose to nonunion. Arch Orthop Trauma Surg. 2001;121:207–11.

    Article  CAS  PubMed  Google Scholar 

  117. Winge S, Jørgensen U, Lassen Nielsen A. Epidemiology of injuries in Danish championship tennis. Int J Sports Med. 1989;10:368–71.

    Article  CAS  PubMed  Google Scholar 

  118. Yang S, Werner BC, Gwathmey Jr FW. Treatment trends in adolescent clavicle fractures. J Pediatr Orhtop. 2015;35(3):229–33.

    Google Scholar 

  119. Yoneda M. Arthroscopic capsular release for painful throwing shoulder with posterior capsular tightness. Arthroscopy. 2006;22(7):801.e1–5.

    Article  Google Scholar 

  120. Zattara M, Bouisset S. Posturo-kinetic organization during the early phase of voluntary upper limb movement. J Neurol Neurosurg Psychiatry. 1988;5:956–65.

    Article  Google Scholar 

  121. Zawadsky M, Marra G, Wiater JM, Levine WN, Pollock RG, Flatow EL, Bigliani LU. Osteolysis of the distal clavicle: long-term results of arthroscopic resection. Arthroscopy. 2000;16(6):600–5.

    Article  CAS  PubMed  Google Scholar 

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  1. Department of Orthopaedic Surgery, Mount Sinai Medical Center, New York, NY, USA

    Steven M. Koehler MD, Kristen M. Meier MD & James N. Gladstone MD

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  1. Steven M. Koehler MD
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  2. Kristen M. Meier MD
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  1. Department of Orthopaedic Surgery, Mount Sinai Medical Center, New York, New York, USA

    Alexis C. Colvin

  2. Department of Orthopaedic Surgery, Mount Sinai Medical Center, New York, New York, USA

    James N. Gladstone

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Koehler, S.M., Meier, K.M., Gladstone, J.N. (2016). Shoulder Injuries in the Young Tennis Athlete. In: Colvin, A., Gladstone, J. (eds) The Young Tennis Player. Contemporary Pediatric and Adolescent Sports Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-27559-8_8

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