Kinematics of the shoulder joint in tennis players

Risk Factors for Upper Limb Injury in Tennis Players: A Systematic Review

“…This study used ultrasonographic evaluation to measure subacromial space, confirming the hypothesis that tennis players may develop subacromial impingement. The impact of shoulder and scapular kinematics to shoulder impingement was studied by Lädermann and colleagues [33]. Their findings indicated that nine out of 10 ex-professional tennis players were found to have posterosuperior shoulder impingement, especially when serving, strengthening the theory that this stroke is the most harmful stroke in tennis.…”

“…Type of Study Participants Sample Size Risk Factor Examined [22] Cross-sectional study Competitive junior tennis players N = 35, (M = 19, F = 16) Scapulothoracic position, muscle strength, flexibility [27] Cross-sectional study Competitive adult tennis players N = 59, (M = 31, F = 28) Age-related shoulder/scapular adaptions [32] Controlled laboratory study Collegiate tennis players N = 16' (M) Racket grip size [24] Cross-sectional study Competitive adult tennis players N = 55, (M) Racket properties [13] Prospective 2-year study Competitive junior tennis players N = 55, (M = 35, F = 20) Previous injury [23] Laboratory-based study Competitive junior tennis players N = 51, (M = 29, F = 22) Flexibility and range of motion [33] Laboratory study Ex-professional senior tennis players N = 10, (M = 9, F = 1) Glenohumeral instability and shoulder impingement [21] Cross Influence of fatigue on scapular kinematics [35] Laboratory-based study Competitive adult tennis players N = 8, (M = 8) Scapulothoracic kinematics [26] Laboratory-based study Competitive adult tennis players N = 8, (M = 8) Racket polar moment of inertia [36] Cross-sectional study Competitive junior tennis players N = 40, (M = 26, F = 14) Shoulder rotational muscle imbalances [37] Cross-sectional study Competitive junior tennis players N = 53, (M = 31, F = 22) Correlation between scapular dyskinesia and subacromial space [25] Cross-sectional study Competitive adult tennis players N = 400, (M = 323, F = 77) Racket grip N = number of participants; M = male participants; F = female participants. [29] Effect of prolonged tennis to shoulder muscle fatigue 13 (26) [20] Effect of prolonged tennis to shoulder range of motion 10 (26) [31] Prolonged tennis may affect shoulder articular cartilage 12 (26) [28] Effect of prolonged tennis on glenohumeral rotation 14 (26) [13] Previous injury 11 (26) 2 [34] 13 (26…”

Shoulder motion during tennis serve: dynamic and radiological evaluation based on motion capture and magnetic resonance imaging

“…Subacromial impingement remained low. We did not note shoulder instability in this population, as demonstrated in our previous study [7,16]. Moreover, all subjects had a competent rotator cuff.…”

Options Before Reverse Total Shoulder Replacement

“…Complete anterior acromioplasty should be avoided in the setting of a massive tear as it may put coracoacromial ligament at risk and lead to postoperative anterosuperior subluxation of humeral head [50]. As it is reported that lateral acromion might be responsible for more impingement than the anterior part [51] some recommend lateral acromioplasty in addition to limited anterior acromioplasty [52,53]. Despite these concerns, however, when Rockwood et al [54] first proposed open debridement for treatment of massive cuff tears in 1995, he performed it with aggressive acromioplasty and complete release of the coracoacromial ligament.…”