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THE JOURNAL OF SPORTS MEDICINE AND PHYSICAL FITNESS
A Journal on Applied Physiology, Biomechanics, Preventive Medicine,
Sports Medicine and Traumatology, Sports Psychology
Indexed/Abstracted in: Chemical Abstracts, CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,111
ORIGINAL ARTICLES SPORT INJURIES
The Journal of Sports Medicine and Physical Fitness 2015 October;55(10):1193-9
Ultrasonographic evaluation of the shoulder in elite Italian beach volleyball players
Monteleone G. 1, 2, Tramontana A. 3, Mc Donald K. 4, Sorge R. 5, Tiloca A. 2, 5, Foti C. 3 ✉
1 Department of Biomedicine and Preventative Medicine, Faculty of Medicine and Surgery, “Tor Vergata” University of Rome, Rome, Italy;
2 CONI Italian Olympic Commettee, Sardinia, Italy;
3 Department of Clinical Sciences and Translational Medicine, Faculty of Medicine and Surgery, “Tor Vergata” University of Rome, Rome, Italy;
4 Department of Radiology, Monmouth Medical Center, St. Barnabas Health System, Long Branch, NJ, USA;
5 Department of Systems Medicine Faculty of Medicine and Surgery, “Tor Vergata” University of Rome, Rome, Italy
AIM: Beach volleyball is an overhead sport that subjects the hitting shoulder to intense functional loads. The purpose of this study is to identify ultrasonographically the prevalence of myotendinous alterations in professional Italian beach volleyball players at the Italian championship and to look for associations between ultrasound findings and the other data collected.
METHODS: Fifty-three beach volleyball players (31 women, 22 men) were recruited during the second stage of the Italian championship held in July 2012 in Rome, Italy. Clinical history was obtained from all subjects, followed by physical exam. Each athlete completed a questionnaire regarding sports activities. Bilateral ultrasonographic evaluation of the shoulders was then performed.
RESULTS: Calcific tendinopathy of the rotator cuff of the hitting shoulder was identified ultrasonographically in 30% of the athletes. The mean age of the athletes with calcific tendinopathy was older than subjects with other abnormalities on ultrasonographic examination (33.1 years vs. 25.8 years, t-test; P<0.0001). Impingement was recognized ultrasonographically in the hitting shoulder in 10 of the athletes (18.8%). The Neer’s test was positive in the cases of anterior impingement (χ2; P<0.002).
CONCLUSION: Calcific tendinopathy of the rotator cuff of the hitting shoulder in professional beach volleyball players has a prevalence of 30% ultrasonographically, greater than that reported in the general population. In these athletes, the presence of calcific tendinopathy correlates positively with age.