Let It Rip! Acute Shoulder Pain After Golf - Page #4
 

Working Diagnosis:
Acute high-grade myotendinous junction tear of the right teres major.

Treatment:
Rest and NSAIDs, followed by physical therapy and gradual return to golf.

Outcome:
At his initial follow-up visit 3 weeks later, after returning from vacation, he had complete resolution of pain, swelling and bruising. He reported having done light chipping at 50% effort without pain during vacation. He no longer had tenderness on exam and his shoulder range of motion was pain free. He was prescribed physical therapy and completed 5 sessions, at which point he was able to return to a full 18 hole round of golf and he self-discontinued physical therapy.

Author's Comments:
Acute, isolated injury to the teres major is rare, with few published reports, mainly in professional baseball pitchers. The teres major is often regarded as an anatomic unit with the latissimus dorsi, functioning in adduction, extension, and internal rotation. It provides power for the golf swing, acting during the forward swing and acceleration phases. It presents as pain in the posterior axilla/shoulder or arm that develops suddenly with activity. Exam findings are variable, and MRI of the chest is used for diagnosis. Non-surgical treatment is recommended and consists of rest, NSAIDs, rehab to strengthen the region, and gradual return to activity. Return to play can be expected in about 1 month for golf and about 3 months in baseball pitchers.

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NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

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4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


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