Abstract des Autors

Shoulder pain caused by impingement of subacromial tissues is a common overuse injury in swimming, especially among adolescents who may have rigorous training schedules and be skeletally immature. A case of a 14-year-old girl with swimmer's shoulder demonstrates the diagnostic work-up, which involves pertinent history, inspection, palpation, and assessment of strength, impingement, and instability. Treatment focuses on icing, relative rest, physical therapy, and modifying the swimming workout to reduce overuse and impingement. Shoulder pain, the hallmark of swimmer's shoulder, is the most common musculoskeletal complaint among competitive swimmers. Interfering shoulder pain is reported to be present in 9% to 35% of competitive swimmers, while 38% to 75% of competitive swimmers have a history of shoulder pain. Swimmer's shoulder was first described in 1974 as a common, painful syndrome of repeated shoulder impingement in swimmers. The term ""swimmer's shoulder" generally refers to subacromial impingement syndrome and related dysfunction in swimmers. It is most common with the freestyle and butterfly strokes, but can also occur with the backstroke. Verf.-Referat