{"id":6494,"date":"2021-03-28T08:32:33","date_gmt":"2021-03-28T07:32:33","guid":{"rendered":"https:\/\/www.sportortho-wien.at\/throwers-shoulder\/"},"modified":"2026-04-27T12:11:26","modified_gmt":"2026-04-27T11:11:26","slug":"throwers-shoulder","status":"publish","type":"page","link":"https:\/\/www.sportortho-wien.at\/en\/throwers-shoulder\/","title":{"rendered":"Thrower&#8217;s shoulder"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"6494\" class=\"elementor elementor-6494 elementor-512\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-4377de1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-eae-slider=\"34670\" data-id=\"4377de1\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-19f6dce\" data-eae-slider=\"78953\" data-id=\"19f6dce\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a50169f elementor-widget elementor-widget-spacer\" data-id=\"a50169f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-02a9dc0 animated-slow elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-invisible\" data-eae-slider=\"77471\" data-id=\"02a9dc0\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9325031\" data-eae-slider=\"5889\" data-id=\"9325031\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7faab1d elementor-widget elementor-widget-heading\" data-id=\"7faab1d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Thrower's shoulder \/ athlete's shoulder<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4931054 elementor-widget elementor-widget-heading\" data-id=\"4931054\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Acute care &amp; follow-up treatment<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5671ba elementor-toc--minimized-on-tablet elementor-widget elementor-widget-global elementor-global-397 elementor-widget-table-of-contents\" data-id=\"f5671ba\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;exclude_headings_by_selector&quot;:[],&quot;headings_by_tags&quot;:[&quot;h2&quot;,&quot;h3&quot;],&quot;marker_view&quot;:&quot;numbers&quot;,&quot;no_headings_message&quot;:&quot;No headings were found on this page.&quot;,&quot;minimize_box&quot;:&quot;yes&quot;,&quot;minimized_on&quot;:&quot;tablet&quot;,&quot;hierarchical_view&quot;:&quot;yes&quot;,&quot;min_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"table-of-contents.default\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-toc__header\">\n\t\t\t\t\t\t<h4 class=\"elementor-toc__header-title\">\n\t\t\t\t\u00dcBERSICHT\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-toc__toggle-button elementor-toc__toggle-button--expand\" role=\"button\" tabindex=\"0\" aria-controls=\"elementor-toc__f5671ba\" aria-expanded=\"true\" aria-label=\"Open table of contents\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/div>\n\t\t\t\t<div class=\"elementor-toc__toggle-button elementor-toc__toggle-button--collapse\" role=\"button\" tabindex=\"0\" aria-controls=\"elementor-toc__f5671ba\" aria-expanded=\"true\" aria-label=\"Close table of contents\"><i aria-hidden=\"true\" class=\"fas fa-chevron-up\"><\/i><\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<div id=\"elementor-toc__f5671ba\" class=\"elementor-toc__body\">\n\t\t\t<div class=\"elementor-toc__spinner-container\">\n\t\t\t\t<i class=\"elementor-toc__spinner eicon-animation-spin eicon-loading\" aria-hidden=\"true\"><\/i>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-e86bd6d animated-slow elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-invisible\" data-eae-slider=\"21110\" data-id=\"e86bd6d\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-093e040\" data-eae-slider=\"31160\" data-id=\"093e040\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1135644 elementor-widget elementor-widget-heading\" data-id=\"1135644\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">How does a thrower's shoulder \/ athlete's shoulder develop?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-77dbff1 elementor-widget elementor-widget-text-editor\" data-id=\"77dbff1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"\"><strong>Overhead and throwing sports<\/strong> (e.g. volleyball, baseball, tennis, etc.) are associated with a <strong>high load on the shoulder joint<\/strong> due to the specific movement pattern. An effective throwing technique requires the arm to be raised sideways and an <strong>extreme external rotation of<\/strong> the shoulder joint, which results in permanent <strong>overloading of the capsular and muscular structures<\/strong>. <\/p><p class=\"\">In the case of prolonged stress intensities of this kind, over several years, the patient benefits from <strong>increased external rotation with a simultaneous reduction in internal rotation capacity<\/strong>. This results in overstretching of the anterior shoulder capsule and a shrunken posterior capsule. This is the full picture of the so-called <strong>GIRD syndrome<\/strong> (Glenohumeral Internal Rotation Deficit).  <\/p><p class=\"\">If training continues despite the warning signs, pain occurs and this is referred to as &#8220;dead arm syndrome&#8221; (pain when throwing, insecurity, reduced throwing power and speed). This is now referred to as &#8220;thrower&#8217;s shoulder&#8221; or &#8220;athlete&#8217;s shoulder&#8221;. In tennis and volleyball players, the pain usually occurs during the service, i.e. when the racket touches the ball or the hand touches the volleyball.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c4df3a5 elementor-widget elementor-widget-heading\" data-id=\"c4df3a5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Possible injuries are:<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2821082 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"2821082\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-caret-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">The internal \"impingement\" in the area of the posterior-superior joint socket and a possible detachment of the biceps tendon anchor (SLAP).  <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-caret-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><a href=\"https:\/\/www.sportortho-wien.at\/rotatorenmanschette\">Partial tears of the rotator cuff<\/a>, \"PASTA lesion\" (partial articular supraspinatus tendon avulsion), damage to the anchor of the long biceps tendon, SLAP lesion (=superior labrum from anterior to posterior) i.e. on the upper edge of the glenoid cavity.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-caret-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Overloading of the biceps tendon with resulting biceps tendon syndrome. This is a type of tendon sheath inflammation in the anterior part of the shoulder <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-7f49c01 animated-slow elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-invisible\" data-eae-slider=\"47564\" data-id=\"7f49c01\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7577cda\" data-eae-slider=\"88514\" data-id=\"7577cda\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9e22924 elementor-widget elementor-widget-heading\" data-id=\"9e22924\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">How is a thrower's shoulder \/ athlete's shoulder treated?\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cf5823e elementor-widget elementor-widget-text-editor\" data-id=\"cf5823e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>In the early phase, the throwing shoulder can be treated very well with <strong>stretching exercises <\/strong>for the posterior shoulder capsule and <strong>strengthening exercises for the external rotators<\/strong>, which are usually less pronounced. <br>It is also important to <strong>train <\/strong>the hollowing out movement, or service movement <strong>, in a sport-specific manner <\/strong>in order to prevent structural damage as the condition progresses.<br><br>At an advanced stage, the patient is usually confronted with structural wear and tear. If the level of suffering increases and physiotherapy does not have the usual effect, the only option is often arthroscopy <strong>(shoulder arthroscopy)<\/strong> <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-f23578e animated-slow elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-invisible\" data-eae-slider=\"45249\" data-id=\"f23578e\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cdceab5\" data-eae-slider=\"5860\" data-id=\"cdceab5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-24e638e elementor-widget elementor-widget-heading\" data-id=\"24e638e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What is done during an operation?  <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-90975af elementor-widget elementor-widget-text-editor\" data-id=\"90975af\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"\">This essentially depends on the existing damage to the inside of the shoulder:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cfa5dd9 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"cfa5dd9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-caret-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">SLAP lesion: Depending on the extent of the injury, the biceps anchor is either smoothed or fixed back in its original position with a suture.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-caret-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Traumatic <a href=\"https:\/\/www.sportortho-wien.at\/rotatorenmanschette\">rotator cuff tears<\/a> in young athletes and in the under-40 age group require prompt surgical treatment.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-caret-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Partial tears of the rotator cuff, PASTA lesions can either be smoothed or sutured with good results.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-caret-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">If there is an additional  <a href=\"https:\/\/sportortho-wien.at\/schulterluxation-schulterverrenkung\/\">Shoulder instability<\/a>, with detachment of the anterior labrum, a capsular tightening is performed at the bottom front. This usually involves 2-3 endoscopic (=keyhole technique) sutures to reduce the size of the enlarged anterior, lower shoulder capsule. <\/a><\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Thrower&#8217;s shoulder \/ athlete&#8217;s shoulder Acute care &amp; follow-up treatment \u00dcBERSICHT How does a thrower&#8217;s shoulder \/ athlete&#8217;s shoulder develop? Overhead and throwing sports (e.g. volleyball, baseball, tennis, etc.) are associated with a high load on the shoulder joint due to the specific movement pattern. An effective throwing technique requires the arm to be raised&hellip;&nbsp;<a href=\"https:\/\/www.sportortho-wien.at\/en\/throwers-shoulder\/\" rel=\"bookmark\">Read More &raquo;<span class=\"screen-reader-text\">Thrower&#8217;s shoulder<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/template-pagebuilder-full-width.php","meta":{"neve_meta_sidebar":"full-width","neve_meta_container":"","neve_meta_enable_content_width":"on","neve_meta_content_width":100,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","neve_meta_reading_time":"","footnotes":""},"class_list":["post-6494","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Thrower&#039;s shoulder - Orthop\u00e4de 1030 Wien Dr. Gustav Timmel<\/title>\n<meta name=\"description\" content=\"Overhead and throwing sports carry a high risk of injury - especially to the shoulder. 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