The Disabled Throwing Shoulder: When and How to Operate

  • Nuno Gomes
  • Ricardo Aido
  • Joana Gomes


The throwing athletes provide a demanding challenge to the orthopedic surgeon. The repetitive overhead motion they are subjected places high forces on the shoulder, predisposing them to injuries. However, these pathologic changes do not necessarily have a clinical expression, and several factors may contribute to turn these asymptomatic shoulders into symptomatic.

A conservative approach is the mainstay of the treatment of a disabled throwing shoulder, and familiarity with the rehabilitation principles of this clinical entity by the physicians, namely, the orthopedic surgeon, is mandatory to be able to identify where the treatment should focus and avoid unnecessary or unsuccessful surgical interventions. Decision to operate on a thrower’s shoulder must only take place after exhausting the conservative alternatives.


Overhead athlete Throwing shoulder Biceps SLAP Scapular dyskinesis 


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Copyright information

© ESSKA 2018

Authors and Affiliations

  • Nuno Gomes
    • 1
    • 2
  • Ricardo Aido
    • 3
  • Joana Gomes
    • 4
  1. 1.Hospital Forças Armadas - Polo do PortoPortoPortugal
  2. 2.Hospital da Luz ArrábidaPortoPortugal
  3. 3.Centro Hospitalar Póvoa de Varzim – Vila do CondePóvoa de VarzimPortugal
  4. 4.Hospital Srª da OliveiraGuimarãesPortugal

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