Abstract
The infraspinatus tear often occurs as a normal variant in the overhead athlete. Jobe, Walch, and Andrews have separately described different mechanisms for the injury, including anterior subluxation, mechanical internal impingement, and tension tearing of the infraspinatus. Occasionally, additional pathology will become severe enough to warrant treatment such as a coexisting SLAP tear. The primary surgical indication for injuries in the throwing athlete is failure of an adequate and extensive rehabilitation program and nonoperative modalities. In patients with concomitant SLAP tear and partial infraspinatus tear, the surgical treatment of a partial infraspinatus tear should be limited to debridement. Repair of the infraspinatus is associated with a lower return to play. Presence of a rotator cuff tear that required repair was a negative predictor of ability to return to play.
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1 Electronic Supplementary Material
The Whipple test is performed with the patient seated, placing the hand in front of the patient with the shoulder in its normal, at rest position. A downward force is applied, and buckling and scapular winging represent a positive test. The scapula is then manually retracted and the test repeated (MPG 3072 kb)
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Hill, K.L., Savoie, F.H. (2019). The Adolescent Overhead Athlete with SLAP Tear and Partial Infraspinatus Tear. In: Imhoff, A.B., Savoie, F.H. (eds) Rotator Cuff Across the Life Span. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58729-4_7
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DOI: https://doi.org/10.1007/978-3-662-58729-4_7
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