Abstract
As pediatric sports participation increases, shoulder injuries in children and adolescents are becoming increasingly more common. In general, shoulder injuries fall into two categories: overuse injuries and traumatic injuries. The unique anatomy of the child and adolescent shoulder leads to a predictable pattern of injury. In addition, congenital anomalies can predispose a patient to certain injuries as well. The children’s orthopedist or sports medicine physician must understand the unique anatomy of the child’s shoulder in order to effectively treat the maladies of the immature shoulder. This chapter will review relevant development and anatomy of the immature shoulder as well as discuss several common injuries that arise in this unique population.
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References
Adams JE (1966) Little league shoulder: osteochondrosis of the proximal humeral epiphysis in boy baseball pitchers. Calif Med 105:22–25
Bae DS, Kocher MS, Waters PM et al (2006) Chronic recurrent anterior sternoclavicular joint instability: results of surgical management. J Pediatr Orthop 26:71–74
Bae DS, Shah AS, Kalish LA et al (2013) Shoulder motion, strength, and functional outcomes in children with established malunion of the clavicle. J Pediatr Orthop 33(5):544–550
Baker CL III, Mascarenhas R, Kline AJ et al (2009) Arthroscopic treatment of multidirectional shoulder instability in athletes: a retrospective analysis of 2- to 5-year clinical outcomes. Am J Sports Med 37(9):1712–1720
Banerjee R, Waterman B, Padalecki J (2011) Management of distal clavicle fractures. J Am Acad Orthop Surg 19:392–401
Bishop JA, Crall TS, Kocher MS (2011) Operative versus nonoperative treatment after primary traumatic anterior glenohumeral dislocation: expected-value decision analysis. J Shoulder Elbow Surg 20(7):1087–1094
Bottoni CR, Wilckens JH, De Berardino TM et al (2002) A prospective, randomized evaluation of arthroscopic stabilization versus nonoperative treatment in patients with acute, traumatic, first-time shoulder dislocations. Am J Sports Med 30(4):576–580
Canadian Orthopaedic Trauma Society (2007) Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures: a multicenter, randomized clinical trial. J Bone Joint Surg Am 89:1–10
Cleeman E, Flatow EL (2000) Shoulder dislocations in the young patient. Orthop Clin North Am 31(2):217–229
Davis JT, Limpisvasti O, Fluhme D et al (2009) The effect of pitching biomechanics on the upper extremity in youth and adolescent baseball pitchers. Am J Sports Med 37:1484–1491
Gartsman GM, Roddey TS, Hammerman SM (2001) Arthroscopic treatment of multidirectional glenohumeral instability: 2- to 5-year follow-up. Arthroscopy 17(3):236–243
Hovelius L, Olofsson A, Sandstrom B et al (2008) Nonoperative treatment of primary anterior shoulder dislocation in patients forty years of age and younger. a prospective twenty-five-year follow-up. J Bone Joint Surg Am 90(5):945–952
Jobe CM (1995) Posterior superior glenoid impingement: expanded spectrum. Arthroscopy 11:530–536
Jones KJ, Wiesel B, Ganley TJ et al (2007) Functional outcomes of early arthroscopic Bankart repair in adolescents aged 11 to 18 years. J Pediatr Orthop 27(2):209–213
Kocher MS, Waters PM, Micheli LJ (2000) Upper extremity injuries in the paediatric athlete. Sports Med 30(2):117–135
Kohler R, Trillaud JM (1983) Fracture and fracture separation of the proximal humerus in children: report of 136 cases. J Pediatr Orthop 3:326–332
Lee JT, Nasreddine AY, Black EM et al (2012) Posterior sternoclavicular joint injuries in skeletally immature patients. Paper presentation. American Academy of Orthopaedic Surgeons Annual Meeting, San Francisco
Leonard J, Hutchinson MR (2010) Shoulder injuries in skeletally immature throwers: review and current thoughts. Br J Sports Med 44(5):306–310
Maffulli N, Longo UG, Spiezia F et al (2010) Sports injuries in young athletes: long-term outcome and prevention strategies. Phys Sportsmed 38(2):29–34
Marans HJ, Angel KR, Schemitsch EH et al (1992) The fate of traumatic anterior dislocation of the shoulder in children. J Bone Joint Surg Am 74(8):1242–1244
Meister K, Buckley B, Batts J (2004) The posterior impingement sign: diagnosis of rotator cuff and posterior labral tears secondary to internal impingement in overhand athletes. Am J Orthop 33:412–415
Robinson CM, Cairns DA (2004) Primary nonoperative treatment of displaced lateral fractures of the clavicle. J Bone Joint Surg Am 86(4):778–782
Robinson CM, Howes J, Murdoch H et al (2006) Functional outcome and risk of recurrent instability after primary traumatic anterior shoulder dislocation in young patients. J Bone Joint Surg Am 88(11):2326–2336
Rockwood CA (1982) Fractures of outer clavicle in children and adults. J Bone Joint Surg Br 64:642–649
Wilk KE, Meister K, Andrews JR (2002) Current concepts in the rehabilitation of the overhead throwing athlete. Am J Sports Med 30:136–151
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Pendleton, A.M., Kocher, M.S. (2015). Shoulder Injuries in Pediatric Athletes. In: Doral, M.N., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36569-0_209
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DOI: https://doi.org/10.1007/978-3-642-36569-0_209
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