Clinical Presentation and Diagnosis of the Thrower's Shoulder

Description

In this informative presentation, medical director W. Ben Kibler discusses the clinical presentation and diagnosis of a condition known as the disabled throwing shoulder (DTS) at a Boston meeting. Kibler provides an overview of how the DTS was first identified in a 2003 paper and updated in subsequent studies, elucidating that the condition stems from issues like loss of shoulder stability, muscle imbalance, and structural anomalies, leading to significant dysfunction in throwing athletes.



He emphasizes the importance of a comprehensive evaluation process, including an examination of not just the shoulder, but also the kinetic chain involving the hip, core, and core muscles that play a critical role in shoulder function.



Through several case studies, Kibler shares detailed insights into the diagnoses and treatments required for athletes suffering from shoulder pain, highlighting the necessity for localized evaluations and dynamic assessments rather than solely relying on traditional imaging techniques. He points out how common mistakes such as misdiagnosing shoulder pain as an impingement can lead to insufficient treatments, while focusing on scapular control, integrated strength training, and rehabilitation strategies can often yield successful non-operative outcomes.



The talk culminates in a call for pathoanatomical understanding and comprehensive rehabilitation approaches tailored to each athlete's specific dysfunctions, reinforcing the principle that effective treatment is closely aligned with restoring functional capabilities.

DOI: 10.1302/3114-210611

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