Skip to main content

Shoulder: Sports-Related Injuries in Children and Adolescents

  • Chapter
  • First Online:
Sports Injuries in Children and Adolescents

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

  • 1607 Accesses

Abstract

Pediatric shoulder sports injuries may be due to acute macrotrauma or repetitive microtrauma. Anterior glenohumeral joint dislocations as well as associated Hill-Sachs, Bankart and multiple Bankart variant lesions such as Perthes, GLAD and ALPSA may occur acutely. Posterior glenohumeral joint dislocations, as well as associated reverse Hill-Sachs, reverse Bankart and POLPSA may also occur. Skeletally immature individuals may sustain fracture injuries to the open physes (Salter–Harris fractures) of the humeral head, glenoid, coracoid and acromion. Children also sustain clavicle fractures, acromioclavicular joint separations, and less likely, osteolysis of the distal clavicle and sternoclavicular joint separations. Myotendinous and myofascial strains, as well as soft tissue hematomas also occur in children and adolescents. Chronic overuse injuries include proximal humeral epiphysiolysis (little league shoulder), rotator cuff tendinopathy and impingement as well as rotator cuff tears. Anterior, posterior and multidirectional instability may also occur.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

AC:

Acromioclavicular

ALPSA:

Anterior labroligamentous periosteal sleeve avulsion

CC:

Coracoclavicular

GLAD:

Glenolabral articular disruption

MRI:

Magnetic resonance imaging

POLPSA:

Posterior labroscapular periosteal sleeve avulsion

SC:

Sternoclavicular

SH:

Salter–Harris

References

  • Alyas F, Curtis M, Speed C, Saifuddin A, Connell D (2008) MR imaging appearances of acromioclavicular joint dislocation. Radiographics 28(2):463–479, quiz 619

    Article  PubMed  Google Scholar 

  • Cassas KJ, Cassettari-Wayhs A (2006) Childhood and adolescent sports-related overuse injuries. Am Fam Physician 73(6):1014–1022

    PubMed  Google Scholar 

  • Chen FS, Diaz VA (2005) Shoulder and elbow injuries in the skeletally immature athlete. J Am Acad Orthop Surg 13(3):172–185

    PubMed  Google Scholar 

  • DiGiovine NM, Jobe FW, Pink M, Perry J (1992) An electromyographic analysis of the upper extremity in pitching. J Shoulder Elbow Surg 1:15–25

    Article  Google Scholar 

  • Escobedo EM, Richarson ML, Schulz YB et al (2007) Increased risk of posterior glenoid labrum tears in football players. AJR Am J Roentgenol 188:193–197

    Article  PubMed  Google Scholar 

  • Fronek J, Warren RF, Bowen M (1989) Posterior subluxation of the glenohumeral joint. J Bone Joint Surg Am 71:205–216

    PubMed  CAS  Google Scholar 

  • Greenspan A (2004) Orthopedic imaging: a practical approach, 4th edn. Lippincott Williams & Wilkins, Philadelphia, pp 93–133

    Google Scholar 

  • Gomez JE (2002) Upper extremity injuries in youth sports. Pediatr Clin N Am 49:593–626

    Article  Google Scholar 

  • Havranek P (1989) Injuries of distal clavicular physis in children. J Pediatr Orthop 9(2):213–215

    PubMed  CAS  Google Scholar 

  • Helms CA, Major NM, Anderson MW, Kaplan P, Dussault R (2001) Musculoskeletal MRI. Saunders, Philadelphia, pp 169–223

    Google Scholar 

  • Herring JA (2008) Tachdjian’s pediatric orthopaedics from the Texas Scottish Rite Hospital for Children, vol 3, 4th edn. Saunders, Canada, pp 2423–2451

    Google Scholar 

  • Iannotti JP (1990) Growth plate physiology and pathology. Orthop Clin North Am 21:1–17

    PubMed  CAS  Google Scholar 

  • Ireland ML, Andrews JR (1988) Shoulder and elbow injuries in the young athlete. Clin Sports Med 7:473–494

    PubMed  CAS  Google Scholar 

  • Itoi E, Kuechle DK, Newman SR, Morrey BF, An KN (1993) Stabilising function of the biceps in stable and unstable shoulders. J Bone Joint Surg Br 75:546–550

    PubMed  CAS  Google Scholar 

  • Jobe FW, Kvitne RS, Giangarra CE (1989) Shoulder pain in the overhand or throwing athlete: The relationship of anterior instability and rotator cuff impingement. Orthop Rev 18:963–975

    PubMed  CAS  Google Scholar 

  • Jobe FW, Tibone JE, Pink MM et al (1998) The shoulder in sports. In: Rockwood CA, Matsen FA III (eds) The shoulder, 2nd edn. Saunders, Philadelphia, pp 1214–1238

    Google Scholar 

  • Kaplan PA, Resnick D (1986) Stress-induced osteolysis of the clavicle. Radiology 158(1):139–140

    PubMed  CAS  Google Scholar 

  • Kocher MS, Waters PM, Micheli LJ (2000) Upper extremity injuries in the paediatric athlete. Sports Med 30(2):117–135

    Article  PubMed  CAS  Google Scholar 

  • Krabak BJ, Alexander E (2008) Shoulder and elbow injuries in the adolescent athlete. Phys Med Rehabil Clin N Am 19(2):271–285

    PubMed  Google Scholar 

  • Kumar R, Madewell JE, Swischuk LE, Lindell MM, David R (1989) The clavicle: normal and abnormal. Radiographics 9(4):677–706

    PubMed  CAS  Google Scholar 

  • Levine AH, Pais MJ, Schwartz EE (1976) Post-traumatic osteolysis of the distal clavicle with emphasis on early radiologic changes. AJR Am J Roentgenol 127:781–784

    PubMed  CAS  Google Scholar 

  • Levine B, Pereira D (2005) Avulsion fractures of the lesser tuberosity of the humerus in adolescents: review of the literature and case report. J Orthop Trauma 19(5):349–352

    PubMed  Google Scholar 

  • Levine WN, Brandon ML, Stein BS et al (2006) Shoulder adaptive changes in youth baseball players. J Shoulder Elbow Surg 15:562–566

    Article  PubMed  Google Scholar 

  • Marans HJ, Angel KR (1992) The fate of traumatic anterior dislocation of the shoulder in children. J Bone Joint Surg Am 74(8):1242–1244

    PubMed  CAS  Google Scholar 

  • Meister K (2000) Injuries to the shoulder in the throwing athlete: I. Biomechanics/pathophysiology/classification of injury. Am J Sports Med 28:265–275

    PubMed  CAS  Google Scholar 

  • O’Brien SJ, Neves MC, Arnoczky SP et al (1990) The anatomy and histology of the inferior glenohumeral ligament complex of the shoulder. Am J Sports Med 18:449–456

    Article  PubMed  Google Scholar 

  • Pappas AM, Zawacki RM, Sullivan TJ (1985) Biomechanics of baseball pitching: a preliminary report. Am J Sports Med 13:216–222

    Article  PubMed  CAS  Google Scholar 

  • Paterson PD, Waters PM (2000) Shoulder injuries in the childhood athlete. Clin Sports Med 19(4):681–692

    Article  PubMed  CAS  Google Scholar 

  • Resnick D (2002a) Diagnosis of bone and joint disorders, vol 4, 4th edn. Saunders, Philadelphia, pp 4129–4273

    Google Scholar 

  • Resnick D (2002b) Diagnosis of bone and joint disorders, vol 5, 4th edn. Saunders, Philadelphia, pp 4696–4768

    Google Scholar 

  • Rogers LF, Poznanski AK (1994) Imaging of epiphyseal injuries. Radiology 191:297–308

    PubMed  CAS  Google Scholar 

  • Tarkin IS, Morganti CM (2005) Rotator cuff tears in adolescent athletes. Am J sports Med 33(4):596–601

    Article  PubMed  Google Scholar 

  • Wagner KT, Lyne ED (1983) Adolescent traumatic dislocations of the shoulder with open epiphyses. J Pediatr Orthop 3(1):61–62

    PubMed  Google Scholar 

  • Webb LX, Mooney JF (2003) Fractures and dislocations about the shoulder. In: Green NE, Swiontkowski MF (eds) Skeletal trauma in children, 3rd edn. Saunders, Philadelphia, pp 322–343

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Amy Liebeskind .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Liebeskind, A., Ghazikhanian, V., Zaidi, S., Chundru, U., Beltran, J. (2010). Shoulder: Sports-Related Injuries in Children and Adolescents. In: Karantanas, A. (eds) Sports Injuries in Children and Adolescents. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2010_12

Download citation

  • DOI: https://doi.org/10.1007/174_2010_12

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-88589-4

  • Online ISBN: 978-3-540-88590-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics