1. Risk kinds of sport:
Kinds of over head sport: Tennis, swimming, kinds of throwing sports2. Anatomy:
Ball joint, mainly muscularly led; see also “Luxations”3. Function:
Move the arm in all directions (lift, a lowering, sideways, horizontal, in and outward rotation)4. Injury mechanism:
- Consequence of volume instabilities (through e.g. repeated pulling). Thus over mobility of the joint by longlasting or high stress - shearing movement- mainly front instability
- particularly with over head loads
5. Symptoms:
- Musculature of the joint decreases- fear of luxation
- repeated sub luxations (joint nearly dislocates )
- Swelling the joint
- Pain after longer or high stress (above all over head)
6. First measures:
- with swelling or pain - cooling- Discharge of the joint by avoidance of stressing movements (particularly over head)
7. Diagnostics:
- clinical investigation by the physician- Roentgen
- Nuclear spin tomography usually with direct contrast liquid given in the joint
8. Therapy:
a) Conservative therapy- Antiphlogistika (entzündungshemmend, abschwellend)
- Injections possible
b) Operational therapy:
- Cap volume rationalization openly or arthroskopisch (decision dependant on individual case)
9. Physiotherapy / rehablitation:
- Strengthening the shoulder-stabilizing musculature by patient gymnastic- Electrical therapy
10. Prevention:
- Strengthening the shoulder-stabilizing musculature- Improvement of the mobility of the chest spinal column
- Improvement of the technology
- Improvement of the co-ordination