Paul, here is a little evidence to show your skier - she may be able to avoid surgery. Send her to visit Shamsul Emrich at SCLA Boston to see if he can get her ready for the Games. "partial or full thickness rotator cuff tears are found in a third of asymptomatic individuals over the ages of forty (Sher et al., 1995). These structural losses are not associated with pain or loss of shoulder function. In an evaluation of 100 asymptomatic volunteers (19–88 years) acromioclavicular joint osteoarthrosis were present in three-fourths of the shoulders, one-third had subacromial spurs. Also found were changes in the peribursal fat plane and the presence of fluid in the subacromial–subdeltoid bursa. Joint fluid was observed in nearly all subjects (Needell et al., 1996). Furthermore, pathomechanics of the gleno-humeral joint was found to be similar in both symptomatic and asymptomatic individuals (Yamaguchi et al., 2000)." This paper explains a little more about why she should talk to someone (Shamsul) about her pain/performance issue.
Posted on: Sun, 25 Aug 2013 01:55:24 +0000
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