Basketball

Shoulder injuries and diseases

Basketball and shoulder

 

Statistics of shoulder injuries in basketball:
The shoulder in basketball is most at risk during competitive games. The risk to be injured at the shoulder is nearly 4 times high in competitive games - compared to basketball training. The most typical injury is a direct blow to a shoulder by another player. The "center" is most at risk for a shoulder injury. About 16% of all shoulder injuries in a sports clinic might be due to basketball shoulder traumata.

 

Shoulder problems in wheelchair basketball:
Wheelchair basketball is a special theme. Due to the fact that the wheels have to be adressed with the arms and shoulder and combined throwing has to be performed, managing the basket ball, about 90% of all wheelchair basketball athletes have shoulder problems.

 

Shoulder instabilities in basketball:
Typical shoulder problems in basketball are instabilities. They might occur as an acute dislocation. In these cases the shoulder dislocates to the front and bottom most of the time. The cartilage labrum and the anterior capsular stabilizers / ligaments are torn. In professional athletes these complete dislocations have to be adressed by an arthroscopic stabilization operation. Even with the first shoulder dislocation, in professional athletes, a "Bankart procedure" suture of the torn structures / stabilizers has to be done. For more information: read here ...
Most of the instabilty problems in basketball athletes are due to chronic overuse performing the over head game for years. Because of permanent microtraumata the shoulder capsule is stressed and stretched and the ligamentous stabilizers are stretched. The labrum is worn off. The shoulder gets "loose" and unstable snapping phenomena, combined with shoulder pain, develop over month and years. Sportsphysiotherapy with muscle training is the first method of choice. If this does not work an arthroscopic operative stabilization is performed.

 

Unclear shoulder in baseketball:
Unclear shoulder pain, for month and years, is a common complaint in basketball athletes. In these cases we find partial tears of the rotator cuff, SLAP lesions or a posterosuperior impingement quite often. The number of articular side partial tears is high.
Quite often we see basketball athletes having unclear shoulder pain for month and years. Performing an arthrocopy we can observe partial tears of the rotator cuff, SLAP lesions or a posterosuperior impingement, regularly. Most of the times we observe and treat articular side partial tears in these patients. A classic is a traction injury at the basket while performing a dunking. In these players labral tears or SLAP lesions occur. These patients have shoulder pain with, sometimes, concomitant snapping or cracking in the shoulder joint.

 

Basketball and nerve entrapement at the shoulder:
A rare cause of shoulder pain in basketball is an entrapement of the suprascapular nerve. Shoulder pain is present on top and to the back side of the affected shoulder. Shoulder pain is deep and diffuse. Basketball athletes have problems with abduction and external rotation of the arm. Most of the time microtraumata, for month and years, are responsible for this development.

 

Basketball and shoulder mri:
Scientific studies with MRI imaging in basketball athletes have shown pathological changes in 93% of all these sportsmen / -women. Only 37% of these MRI changes are important and correlating with adequate clinical problems. A sophisticated and experienced shoulder examination is important in these patients to see whether the shoulder pain and problems fit with the MRI pictures.
 
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Other themes & sites arround the shoulder:

Diseases of the shoulder ( german ): http://www.schulterinfo.de , http://www.schulter.info

Diseases of the shoulder ( english ): http://www.shoulderinformation.com

Shoulder arthroplasty: http://www.schulterprothesen.net , http://www.schulterprothesen.com , http://www.shoulderprosthesis.com , http://www.prothesenatlas.de

Frozen shoulder ( german ): http://www.schultersteife.de

Shoulder specialists ( german ): http://www.schulterspezialisten.de

Shoulder examination ( german ): http://www.schulteruntersuchung.de

Shoulder videos ( german ): http://www.schultervideo.de