Partial-Rotator Cuff Tears in Throwing Athletes

Partial rotator cuff tears in the throwing athlete is a complex problem that can lead to debilitating pain and inability to perform their athletic duties. The etiology and pathogenesis of these tears are multi-factorial and still the topic of much debate. It is known that the act of overhead throwing places significant stress on the glenohumeral joint, requiring the rotator cuff to overcome these forces as it acts to stabilize the glenohumeral joint. Evaluation of an athlete with such pathology includes a thorough history and physical exam, followed by specific imaging modalities. Treatment options include both non-operative and operative. Non-operative measures include activity restriction, physical therapy, and the possibility of corticosteroid or biologic injection. Operative measures include arthroscopic debridement, in-situ repair, and completion of the partial tear followed repair. The purpose of this article is to review the topic of partial rotator cuff tears in throwing athletes and discuss the senior author's (JRA) guide to evaluation and management of these injuries.