HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:
Sign In to gain access to subscriptions and/or personal tools.

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Request Reprints Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Meister, K. Articles by Baumgartner, T. Search for Related Content PubMed PubMed Citation Articles by Meister, K. Articles by Baumgartner, T. Related Collections Shoulder

Symptomatic Thrower’s Exostosis

Arthroscopic Evaluation and Treatment

Keith Meister, MD^*,, James R. Andrews, MD, Joel Batts^*, Kevin Wilk, PT and Tom Baumgartner, MD

University of Florida Department of Orthopaedics, Division of Sports Medicine, Gainesville, Florida
Alabama Sports Medicine Institute, Birmingham, Alabama

Address correspondence and reprint requests to Keith Meister, MD, 200-B SW 62nd Boulevard, Gainesville, FL 32607

A long-term follow-up was performed on 22 patients treated for a posterior glenoid osteophyte and symptomatic posterior shoulder pain during either the late cocking, acceleration, or follow-through phases of throwing. Arthroscopic evaluation of these patients revealed undersurface tearing of the rotator cuff in all but one. Fifteen patients also had tearing of the posterior labrum. Anterior labral fraying was noted in four patients. Treatment consisted of debridement of the rotator cuff and labral tears. The posterior glenoid osteophyte was removed arthroscopically in 11 patients. Eighteen of 22 throwers treated were available for long-term follow-up at a mean of 6.3 years (range, 1 to 12). Only 10 of 18 (55%) throwers evaluated had returned to their premorbid level of throwing. All 10 were asymptomatic and had maintained a high level of performance for a mean of 3.6 years (range, 1 to 8). At the time of latest follow-up, five players were still participating at the major league level and five had retired. One patient had recurrence of the exostosis 8 years after surgery. Among our patients a trend existed toward a poorer result and failure of return to activity with a posterior osteophyte greater than 100 mm². A posterior glenoid exostosis, when identified in the symptomatic shoulder of the throwing athlete, can be considered a definite marker of internal impingement.

This article has been cited by other articles:

				R. W. Wright and G. A. Paletta Jr Prevalence of the Bennett Lesion of the Shoulder in Major League Pitchers Am. J. Sports Med., January 1, 2004; 32(1): 121 - 124. [Abstract] [Full Text]

				P. M. Connor, D. M. Banks, A. B. Tyson, J. S. Coumas, and D. F. D'Alessandro Magnetic Resonance Imaging of the Asymptomatic Shoulder of Overhead Athletes: A 5-Year Follow-up Study Am. J. Sports Med., September 1, 2003; 31(5): 724 - 727. [Abstract] [Full Text] [PDF]

				M. Yoneda, S. Nakagawa, K. Hayashida, S. Fukushima, and S. Wakitani Arthroscopic Removal of Symptomatic Bennett Lesions in the Shoulders of Baseball Players: Arthroscopic Bennett-plasty Am. J. Sports Med., September 1, 2002; 30(5): 728 - 736. [Abstract] [Full Text] [PDF]

				K. Meister Injuries to the Shoulder in the Throwing Athlete: Part Two: Evaluation/Treatment Am. J. Sports Med., July 1, 2000; 28(4): 587 - 601. [Abstract] [Full Text] [PDF]

				K. Meister Injuries to the Shoulder in the Throwing Athlete: Part One: Biomechanics/Pathophysiology/Classification of Injury Am. J. Sports Med., March 1, 2000; 28(2): 265 - 275. [Abstract] [Full Text] [PDF]