Posterior Shoulder Instability in Tennis Players: Aetiology, Classification, Assessment and Management

# Background Micro-traumatic posterior shoulder instability (PSI) is an often missed and misdiagnosed pathology presenting in tennis players. The aetiology of micro-traumatic PSI in tennis players is multifactorial, including congenital factors, loss of strength and motor control, and sport-specif...

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Main Authors: Lyn Watson, Gregory Hoy, Timothy Wood, Tania Pizzari, Simon Balster, Shane Barwood, Sarah Ann Warby
Format: Article
Language:English
Published: North American Sports Medicine Institute 2023-06-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.75371
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author Lyn Watson
Gregory Hoy
Timothy Wood
Tania Pizzari
Simon Balster
Shane Barwood
Sarah Ann Warby
author_facet Lyn Watson
Gregory Hoy
Timothy Wood
Tania Pizzari
Simon Balster
Shane Barwood
Sarah Ann Warby
author_sort Lyn Watson
collection DOAJ
description # Background Micro-traumatic posterior shoulder instability (PSI) is an often missed and misdiagnosed pathology presenting in tennis players. The aetiology of micro-traumatic PSI in tennis players is multifactorial, including congenital factors, loss of strength and motor control, and sport-specific repetitive microtrauma. Repetitive forces placed on the dominant shoulder, particularly combinations of flexion, horizontal adduction, and internal rotation contribute to the microtrauma. These positions are characteristic for kick serves, backhand volleys, and the follow-through phase of forehands and serves. The aim of this clinical commentary is to present an overview of the aetiology, classification, clinical presentation, and treatment of micro-traumatic PSI, with a particular focus on tennis players. # Level of Evidence 5
format Article
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institution Kabale University
issn 2159-2896
language English
publishDate 2023-06-01
publisher North American Sports Medicine Institute
record_format Article
series International Journal of Sports Physical Therapy
spelling doaj-art-59c5fbecf5264c43a05854e37e8c8f3e2025-02-11T20:27:11ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962023-06-01183Posterior Shoulder Instability in Tennis Players: Aetiology, Classification, Assessment and ManagementLyn WatsonGregory HoyTimothy WoodTania PizzariSimon BalsterShane BarwoodSarah Ann Warby# Background Micro-traumatic posterior shoulder instability (PSI) is an often missed and misdiagnosed pathology presenting in tennis players. The aetiology of micro-traumatic PSI in tennis players is multifactorial, including congenital factors, loss of strength and motor control, and sport-specific repetitive microtrauma. Repetitive forces placed on the dominant shoulder, particularly combinations of flexion, horizontal adduction, and internal rotation contribute to the microtrauma. These positions are characteristic for kick serves, backhand volleys, and the follow-through phase of forehands and serves. The aim of this clinical commentary is to present an overview of the aetiology, classification, clinical presentation, and treatment of micro-traumatic PSI, with a particular focus on tennis players. # Level of Evidence 5https://doi.org/10.26603/001c.75371
spellingShingle Lyn Watson
Gregory Hoy
Timothy Wood
Tania Pizzari
Simon Balster
Shane Barwood
Sarah Ann Warby
Posterior Shoulder Instability in Tennis Players: Aetiology, Classification, Assessment and Management
International Journal of Sports Physical Therapy
title Posterior Shoulder Instability in Tennis Players: Aetiology, Classification, Assessment and Management
title_full Posterior Shoulder Instability in Tennis Players: Aetiology, Classification, Assessment and Management
title_fullStr Posterior Shoulder Instability in Tennis Players: Aetiology, Classification, Assessment and Management
title_full_unstemmed Posterior Shoulder Instability in Tennis Players: Aetiology, Classification, Assessment and Management
title_short Posterior Shoulder Instability in Tennis Players: Aetiology, Classification, Assessment and Management
title_sort posterior shoulder instability in tennis players aetiology classification assessment and management
url https://doi.org/10.26603/001c.75371
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