Rotator Cuff and Biceps Injuries in Baseball

Abstract

Rotator cuff and biceps tendon injuries are a common source of pain and dysfunction among overhead athletes. The stress across the glenohumeral joint and its dynamic stabilizers in high level throwing leads to adaptive anatomic changes that must be recognized and respected. Nonoperative treatment is recommended for partial rotator cuff tears and biceps tendinitis and tendinosis. Surgical treatment is indicated for persistent symptoms despite conservative treatment. For rotator cuff repairs, it is critical to avoid over-tensioning as this will lead to the loss of range of motion and lower rates for return to play.

Keywords: Baseball; Biceps tendonitis; Biceps tenodesis; Pitchers; Rotator cuff; Rotator cuff repair; Throwing athlete.