Management of Rotator Cuff Injuries in the Elite Athlete.

Curr Rev Musculoskelet Med

Sports Medicine and Shoulder Service, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.

Published: March 2018

AI Article Synopsis

  • Rotator cuff injuries are common in elite athletes, leading to pain and time away from sports, which makes effective management crucial.
  • Conservative treatments like rehabilitation, anti-inflammatories, and corticosteroid injections remain the most recommended approach, with newer methods such as dry needling and biologics showing potential but needing more research.
  • Evaluation of the injury is essential to tailor management strategies, which can include either rehabilitation or surgery, based on factors like the severity of the tear and the athlete's specific needs.

Article Abstract

Purpose Of Review: Rotator cuff injuries are a common cause of pain and dysfunction for the elite athlete and can result in time loss from participation. This review highlights the current management of these injuries.

Recent Findings: Conservative management of rotator cuff injuries continues to be the "gold standard" in the elite athlete. This includes a comprehensive rehabilitation program, anti-inflammatories, and corticosteroid injections. Newer treatment techniques such as intramuscular dry needling and the use of biologics such as platelet-rich plasma and stem cells demonstrate early promising results; however, these modalities require further investigation to determine their effectiveness. Rotator cuff injuries can range from contusions and tendinopathy to full-thickness tears. A comprehensive evaluation is needed to determine the extent of injury and appropriate plan of care. Management strategies can range from rehabilitation to operative intervention and are guided by the size of the tear, time of season, sport, performance limitations, and presence of concomitant pathology.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5825345PMC
http://dx.doi.org/10.1007/s12178-018-9464-5DOI Listing

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