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Internal Impingement and SLAP Lesions

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Sports Injuries

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Abstract

Internal impingement is the most common cause of posterior shoulder pain in overhead throwing athletes. Anterior instability, posterior capsular tightness, and humeral retroversion were proposed to explain the pathomechanics. History of the patient is the most important step in diagnosis. Anterior instability, posterior shoulder pain, and positive impingement tests are frequently present. MRI is also valuable in aiding diagnosis by detecting the radiological changes and SLAP lesion. Conservative treatment of these patients should focus on restoration of normal shoulder kinematics and range of motion while preserving glenohumeral stability. Surgical treatment is reserved for patients who are unresponsive to conservative treatment. Arthroscopic debridement, SLAP lesion repair, capsular reconstruction, and derotation osteotomy are options in surgical intervention.

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Authors and Affiliations

  1. Orthopaedic and Trauma Clinic, GATA Military Medical Academy, Gn. Tevfik Saglam Cad, 06018, Etlik Ankara, Turkey

    İbrahim Yanmiş

  2. Orthopaedic and Trauma Clinic, K?r?kkale University Medical Faculty, Sa?l?k cad No. 1, 71100, Kirikkale, Turkey

    Mehmet Türker

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  1. İbrahim Yanmiş
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  2. Mehmet Türker
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Correspondence to İbrahim Yanmiş .

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Editors and Affiliations

  1. Fac. Medicine, Dept. Orthopedics & Traumatology, Hacettepe University, Hasyrcylar Caddesi, Ankara, 94110, Turkey

    Mahmut Nedim Doral

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© 2012 Springer-Verlag Berlin Heidelberg

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Yanmiş, İ., Türker, M. (2012). Internal Impingement and SLAP Lesions. In: Doral, M. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-15630-4_17

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  • DOI: https://doi.org/10.1007/978-3-642-15630-4_17

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-15629-8

  • Online ISBN: 978-3-642-15630-4

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