Shoulder Problems in Tennis Players
A few common shoulder problems that occur in tennis players are:
-Rotator Cuff tear
Tennis players are clustered in warm weather states such as Florida and California to take advantage of year long playing capability. Both Florida and Southern California be it the major metropolitan or areas of San Diego or LA (Los Angeles), or South Florida, Tampa Bay, Sarasota, or Orlando, all have great tennis and golf weather. Whether the Tennis player serves right or left has some importance to their pain complaint. Dominant arms serve overhead placing great stress on the rotator cuff tendons, specifically the supraspinatus. The supraspinatus muscle is responsible for initiating arm elevation, and is at its weakest point with the arm elevated to 90 degrees (shoulder height), and external rotated above the head. This places the supraspinatus tendon (one of the four rotator cuff muscles), against the overlying acromio-clavicluclar (AC) joint. This is know frequently as a cause of shoulder pain. The AC joint often downslopes or points down from genetics or bone spurs of overuse. This leads to the development of impingement syndrome from repetitive overhead shoulder work such as serving or smashing the ball. Impingement of the rotator cuff, scarring known as tendinosis, or overt rotator cuff tears can occur. Lastly, the underlying the rotator cuff is the glenoid labrum, a cartilagagenous covering of the humeral head. Damage or wear to the rotator cuff can lead to wear of the glenoid labrum or frank labral tears. When all surfaces have been involved the bones show wear the glenoid rim and humerus head, known as gleno-humeral arthritis.
Dennis M.Lox MD. An expert in Sports and Regenerative Medicine practices in the Tampa Bay, Florida area, and in Beverly Hills, California.
Tampa Bay Metropolitan Area, Florida (727) 462-5582
Los Angeles Metropolitan Area, Beverly Hills, California (310) 975-7033