The Weight Lifters' Shoulder Jeon, In-Ho; Kyung, Hee-Soo;
Purpose: Weight lifting is a good training to control body weight, to correct body shape and to relieve stress. How-ever if the training is continued by inadequate training method and technique, the risks of the shoulder injuries are relatively high. Main Subject: The rotator cuff injury is the most common disorder to wright lifters and often results from the train- ing program of upright row, military press and pectoral deck. The chances of subacromial impingement in these postures are high because the shoulder rotates under the acromion at 90 abduction state. Shoulder instability in weight lifters can develop due to various causes. aepeated microtrauma and excessive abduction and external rotation may result in laxity of the anterior capsular structure, ligament and muscles. Behind the neck and bench press are high risk training postures. Other than those injuries, idiopathic osteolysis of distal clavicle, acromioclavicular separation, pectoralis major muscle rupture, and triceps muscle rupture nay develop. Conclusion: The best treatment option of the shoulder injury to weight lifters is to eliminate the possible risk elements for the weight lifters in training program and to provide proper and prompt treatment as soon as possible.
Auge WK II and Fischer RA: Arthroscopic distal clavicle resection for isolated atraumatic osteolysis in weight lifters. Am J Sports Med, 26(2): 189-192, 1998.
Bach BR, Warren RF and Wickiewicz TL: Triceps rupture, a case report and literature review. Am J Sports Med, 15(3): 285-289, 1987.
Bak K, Cameron EA and Henderson UP: Rupture of the pectoralis major: a meta-analysis of 112 cases. Knee Surg Sports Traumatol Arthrose, 8: 113-119, 2000.
Cahill BR: Osteolysis of the distal part of the clavicle in male athletes. J Bone Joint Surg, 64A: 1053-1058, 1982.
Caughey MA and Welsh P: Muscle ruptures affecting the shoulder girdle. In: Rockwood CA and Matsen FA eds. The Shoulder. 2nd ed. Philadelphia, WB Saunders: 114-1117, 1998.
Deport HP and Piper MS: Pectoralis majopr rupture in athletics. Areh Orthop Trauma Surg, 100: 135-137, 1982.
Jobe FW: Operative technqiue in upper extremity sports injuries.St. Louis, MO: Mosby-Year Book, 1996(cited from Rockwood CA and Matsen FA ed. The Shoulder. 2nd ed. Philadelphia, Saunders: 1220, 1998.
Kretzler HH and Richardson AB: Rupture of the pectoralis major muscle. Am J Sports Med, 17(4): 453-458, 1989.
Levine AH, Pais MJ and Schwartz EE: Posttraumatic osteolysis of the distal clavicle with emphasis on early radiologic changes. AJR, 127: 781-784, 1976.
Madsen B: Osteolysis of the acromial end of the clavicle following trauma. Br J Radiol, 36: 822-828, 1963.
Murphy OB, Bellamy R, Wheeler Wand Brower TD: Post-traumatic osteolysis of the distal clavicle. Clin Orthop, 109: 108-114, 1975.
Pattissier P: Traite des Maladies Artisans, Paris: 162-164, 1922.
Quinn SF and Glass TA: Posttraumatic osteolysis of the clavicle. Southern Medical Journal, 76: 307-308, 1983.
Rockwood CA and Matsen FA ed.: The Shoulder. 2nd ed. Philadelphia, Saunders: 1114-1120, 1998.
Shaffer BS: Painful conditions of the AC Joint. J Am Acad Orthop Surg, 7: 176-188, 1999.
Slawski DP and Cahill BR: Atraumatic osteolysis of the distal clavicle results of open surgical excision. Am.T Sports Med, 22: 267-271, 1994.
Wolfe SW, Wickiewicz TL and Cavanaugh JT: Rupture of the pectoralis major muscle. An anatomic and clinical analysis. Am J Sports Med, 20: 587-593, 1992.
Wallace AW: Personal Communications
Zeman SC, Rosenfeld RT and Lipscomb PR: Tears of the pectoralis major muscle. Am J Sports Med, 7: 343-347, 1979.