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Biomechanics of the Throwing Shoulder

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Orthopaedic Biomechanics in Sports Medicine

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Abstract

The throwing shoulder requires a complex coordination of neuromuscular activity. Over time, this extreme repetitive motion results in changes in the shoulder. Some changes are considered adaptive and provide a biomechanical advantage in throwing performance. Other changes are pathologic and require specific injury treatment to return to play. In this chapter, we review the biomechanics of throwing and the complex kinetic chain involved in this task. We will also discuss adaptive changes seen in this population and highlight the pathophysiology seen in throwing injuries. Finally, we will discuss treatment of these injuries with an emphasis on how restoring normal anatomy may compromise the adaptive changes that allowed for a high level of play.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of Chicago, Chicago, IL, USA

    John Fritch

  2. Department of Orthopaedic Surgery, University of Illinois at Chicago, Chicago, IL, USA

    Amit Parekh

  3. Department of Orthopaedic Surgery, Tulane University, New Orleans, LA, USA

    Andre Labbe, Jacques Courseault & Felix Savoie

  4. Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Rome, Italy

    Umile Giuseppe Longo, Sergio De Salvatore, Vincenzo Candela, Calogero Di Naro, Carlo Casciaro & Vincenzo Denaro

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  1. John Fritch
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  2. Amit Parekh
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Correspondence to Felix Savoie .

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Editors and Affiliations

  1. Department of Orthopaedic Surgery Orthopaedic & Spine Institute, NorthShore University HealthSystem, Skokie, IL, USA

    Jason Koh

  2. IRCCS – Rizzoli Orthopaedic Institute – 2nd Orthopaedic and Trauma Unit, University of Bologna, Bologna, Italy

    Stefano Zaffagnini

  3. Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan

    Ryosuke Kuroda

  4. Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Trigoria, Rome, Italy

    Umile Giuseppe Longo

  5. Department of Orthopaedic Surgery, Orthopaedic & Spine Institute, NorthShore University Health System, Evanston, IL, USA

    Farid Amirouche

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Fritch, J. et al. (2021). Biomechanics of the Throwing Shoulder. In: Koh, J., Zaffagnini, S., Kuroda, R., Longo, U.G., Amirouche, F. (eds) Orthopaedic Biomechanics in Sports Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-81549-3_13

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  • DOI: https://doi.org/10.1007/978-3-030-81549-3_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-81548-6

  • Online ISBN: 978-3-030-81549-3

  • eBook Packages: MedicineMedicine (R0)

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