Tennis overuse injuries in the upper extremity
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REVIEW ARTICLE
Tennis overuse injuries in the upper extremity Hanisha Patel 1 & Sonali Lala 2 & Brett Helfner 3 & Tony T. Wong 2 Received: 12 June 2020 / Revised: 26 September 2020 / Accepted: 27 September 2020 # ISS 2020
Abstract Objective Tennis is a popular sport with high levels of participation. This article aims to describe how upper extremity overuse injuries occur in relation to tennis biomechanics and to review their imaging characteristics and implications for management. In particular, we will review the imaging patterns of internal impingement, scapular dyskinesis, lateral and medial epicondylitis, ulnar collateral ligament insufficiency, valgus extension overload, capitellar osteochondritis dissecans, extensor carpi ulnaris tendinosis and instability, tenosynovitis, triangular fibrocartilage complex injuries, and carpal stress injuries. Conclusion Tennis is a complex and physically demanding sport with a wide range of associated injuries. Repetitive overloading commonly leads to injuries of the upper extremity. An understanding of the underlying mechanisms of injury and knowledge of these injury patterns will aid the radiologist in generating the correct diagnosis in both the professional and recreational tennis athlete. Keywords Tennis athlete . Sports injuries . Shoulder . Elbow . Wrist and hand
Introduction Tennis is a widely popular sport played across the globe. The Tennis Industry Association reported there was 17.84 million players in the USA in 2018 [1]. The same report noted a
Work presented as exhibit at the SSR 2020 Annual Meeting and submitted as educational exhibit to RSNA 2020. * Hanisha Patel [email protected] Sonali Lala [email protected] Brett Helfner [email protected] Tony T. Wong [email protected] 1
New York Presbyterian Hospital – Columbia University Medical Center, 622 W 168th Street, New York, NY 10032, USA
2
Division of Musculoskeletal Radiology, New York Presbyterian Hospital – Columbia University Medical Center, 622 W 168th Street, New York, NY 10032, USA
3
Zwanger and Pesiri Radiology, 150 Sunrise Hwy, Lindenhurst, New York, NY 11757, USA
13.6% increase in casual play from 2009 to 2018 as well as a surge in the popularity of Cardio Tennis with a 12.6% increase in the number players from 2017 to 2018. At the youth level, tennis ranked in the top 8 of high school sports participation in 2018–2019 [2]. Tennis play is characterized by overhead motions, quick starts and stops with short explosive bursts of motion, and a dynamic exchange of intricate strokes and serves [3, 4]. Athletes are susceptible to a variety of injuries because of these repetitive stresses. Upper extremity injuries are common and typically due to recurrent microtrauma from highvelocity arm movements [5–7]. The shoulder and elbow are most frequently affected followed by the wrist and hand [8]. Specific upper extremity tennis pathology includes internal impingement with associated rotator cuff and superior labral anterior to posterior (SLAP) tears, scapular dyskinesia, lateral and m
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