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Asymptomatic elite adolescent tennis players' signs of tendinosis in their dominant shoulder compared with their nondominant shoulder

Fredrik Johansson UGent, Eva Skillgate, Anders Adolfsson, Göran Jenner, Edin DeBri, Leif Swärdh and Ann Cools UGent (2015) JOURNAL OF ATHLETIC TRAINING. 50(12). p.1299-1305
abstract
Context: Tennis is an asymmetric overhead sport with specific muscle-activation patterns, especially eccentrically in the rotator cuff. Magnetic resonance imaging (MRI) findings in asymptomatic adolescent elite tennis players have not previously been reported. Objective: The first aim of the study was to describe MRI findings regarding adaptations or abnormalities, as well as muscle cross-sectional area (CSA), of the rotator cuff. The second aim of the study was to investigate the rotator cuff based on the interpretation of the MRI scans as normal versus abnormal, with the subdivision based on the grade of tendinosis, and its association with eccentric rotator cuff strength in the dominant arm (DA) of the asymptomatic elite adolescent tennis player. Setting: Testing environment at the radiology department of Medicinsk Rontgen AB. Patients or Other Participants: Thirty-five asymptomatic elite tennis players (age = 17.4 +/- 2.7 years) were selected based on ranking and exposure time. Intervention(s): We assessed MRI scans and measured the CSA of the rotator cuff muscle. The non-DA (NDA) was used as a control. In addition, eccentric testing of the external rotators of the DA was performed with a handheld dynamometer. Results: The DA and NDA displayed different frequencies of infraspinatus tendinosis (grade 1 changes) (P < .05). Rotator cuff measurements revealed larger infraspinatus and teres minor CSA (P < .05) in the DA than in the NDA. Mean eccentric external-rotation strength in the DA stratified by normal tendon and tendinosis was not different between groups (P = .723). Conclusions: Asymptomatic adolescent elite tennis players demonstrated infraspinatus tendinosis more frequently in the DA than in the NDA. Clinicians must recognize these tendon changes in order to modify conditioning and performance programs appropriately.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
PROFESSIONAL BASEBALL PITCHERS, ROTATOR CUFF TEARS, INTERNAL, IMPINGEMENT, THROWING ATHLETE, HANDBALL PLAYERS, MRI, INJURIES, STRENGTH, RELIABILITY, VALIDITY, magnetic resonance imaging, adolescents, overhead athletes, tennis
journal title
JOURNAL OF ATHLETIC TRAINING
J. Athl. Train.
volume
50
issue
12
pages
1299 - 1305
Web of Science type
Article
Web of Science id
000374754900012
JCR category
SPORT SCIENCES
JCR impact factor
2.224 (2015)
JCR rank
21/82 (2015)
JCR quartile
2 (2015)
ISSN
1062-6050
1938-162X
DOI
10.4085/1062-6050-51.1.07
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
8506228
handle
http://hdl.handle.net/1854/LU-8506228
date created
2017-01-30 17:12:31
date last changed
2017-03-17 15:02:50
@article{8506228,
  abstract     = {Context: Tennis is an asymmetric overhead sport with specific muscle-activation patterns, especially eccentrically in the rotator cuff. Magnetic resonance imaging (MRI) findings in asymptomatic adolescent elite tennis players have not previously been reported. 
Objective: The first aim of the study was to describe MRI findings regarding adaptations or abnormalities, as well as muscle cross-sectional area (CSA), of the rotator cuff. The second aim of the study was to investigate the rotator cuff based on the interpretation of the MRI scans as normal versus abnormal, with the subdivision based on the grade of tendinosis, and its association with eccentric rotator cuff strength in the dominant arm (DA) of the asymptomatic elite adolescent tennis player. 
Setting: Testing environment at the radiology department of Medicinsk Rontgen AB. 
Patients or Other Participants: Thirty-five asymptomatic elite tennis players (age = 17.4 +/- 2.7 years) were selected based on ranking and exposure time. 
Intervention(s): We assessed MRI scans and measured the CSA of the rotator cuff muscle. The non-DA (NDA) was used as a control. In addition, eccentric testing of the external rotators of the DA was performed with a handheld dynamometer. 
Results: The DA and NDA displayed different frequencies of infraspinatus tendinosis (grade 1 changes) (P {\textlangle} .05). Rotator cuff measurements revealed larger infraspinatus and teres minor CSA (P {\textlangle} .05) in the DA than in the NDA. Mean eccentric external-rotation strength in the DA stratified by normal tendon and tendinosis was not different between groups (P = .723). 
Conclusions: Asymptomatic adolescent elite tennis players demonstrated infraspinatus tendinosis more frequently in the DA than in the NDA. Clinicians must recognize these tendon changes in order to modify conditioning and performance programs appropriately.},
  author       = {Johansson, Fredrik and Skillgate, Eva and Adolfsson, Anders and Jenner, G{\"o}ran and DeBri, Edin and Sw{\"a}rdh, Leif and Cools, Ann},
  issn         = {1062-6050},
  journal      = {JOURNAL OF ATHLETIC TRAINING},
  keyword      = {PROFESSIONAL BASEBALL PITCHERS,ROTATOR CUFF TEARS,INTERNAL,IMPINGEMENT,THROWING ATHLETE,HANDBALL PLAYERS,MRI,INJURIES,STRENGTH,RELIABILITY,VALIDITY,magnetic resonance imaging,adolescents,overhead athletes,tennis},
  language     = {eng},
  number       = {12},
  pages        = {1299--1305},
  title        = {Asymptomatic elite adolescent tennis players' signs of tendinosis in their dominant shoulder compared with their nondominant shoulder},
  url          = {http://dx.doi.org/10.4085/1062-6050-51.1.07},
  volume       = {50},
  year         = {2015},
}

Chicago
Johansson, Fredrik, Eva Skillgate, Anders Adolfsson, Göran Jenner, Edin DeBri, Leif Swärdh, and Ann Cools. 2015. “Asymptomatic Elite Adolescent Tennis Players’ Signs of Tendinosis in Their Dominant Shoulder Compared with Their Nondominant Shoulder.” Journal of Athletic Training 50 (12): 1299–1305.
APA
Johansson, F., Skillgate, E., Adolfsson, A., Jenner, G., DeBri, E., Swärdh, L., & Cools, A. (2015). Asymptomatic elite adolescent tennis players’ signs of tendinosis in their dominant shoulder compared with their nondominant shoulder. JOURNAL OF ATHLETIC TRAINING, 50(12), 1299–1305.
Vancouver
1.
Johansson F, Skillgate E, Adolfsson A, Jenner G, DeBri E, Swärdh L, et al. Asymptomatic elite adolescent tennis players’ signs of tendinosis in their dominant shoulder compared with their nondominant shoulder. JOURNAL OF ATHLETIC TRAINING. 2015;50(12):1299–305.
MLA
Johansson, Fredrik, Eva Skillgate, Anders Adolfsson, et al. “Asymptomatic Elite Adolescent Tennis Players’ Signs of Tendinosis in Their Dominant Shoulder Compared with Their Nondominant Shoulder.” JOURNAL OF ATHLETIC TRAINING 50.12 (2015): 1299–1305. Print.