Médecine du Sport SRBMPR/SOFMER /ESPRM
Le 16/10/2021 de 09:00 à 10:30
Epidémiologie des lésions échographiques d’épaule chez des handballeurs professionnel en début de saison
Jérémie Bordes (Limoges, France), Jean Yves Plessis (Limoges, France), Jacques Monteil (Limoges, France)
Objective : Shoulder pain accounts for 45% of chronic pain in professional handball players. Objective of this study was to evaluate the prevalence of ultrasound shoulder abnormalities in professional handball players at the beginning of the season.
Material / Patients and Methods : Eighteen professional handball players from a French first division team had a standardized bilateral shoulder ultrasounds with : Measure of the thickness of the subacromial serous bursa, study of rotator cuff tendons with measure of the thickness of the supraspinatus tendon, measure of the subacromial space, measure of the coracoacromial ligament and search for glenohumeral effusion and bicipital gutter. A clinical examination was also carried out to look for tendinopathy of the cuff or subacromial impingement.
Results : None of the players had subacromial bursa thickness. Eight of the 18 players had supraspinatus abnormalities exclusively on the throwing shoulder. Four were symptomatic with a positive Jobe test, and the other four had a normal exam but had history of pain from the previous season. Three of the 8 players had enthesopathy and the 5 others had tendinopathy with hypoechoic and thickening of the supraspinatus tendon. One of the players had sequelae of a fracture of the greater tuberosity. Three players had an effusion of the bicipital groove*. One player had an absence of the long biceps in the bicipital groove on his throwing shoulder. *
Discussion - Conclusion : Knowing the ultrasound abnormalities of handball players' shoulders at the beginning of the season can be of interest in case of injury in order to make comparisons and optimize injury management.
Keywords : ultrasound shoulder handball échographie épaule handball
Disclosure of interest : aucun