TY - JOUR T1 - Is tennis a predisposing factor for degenerative shoulder disease? A controlled study in former elite players JF - British Journal of Sports Medicine JO - Br J Sports Med SP - 447 LP - 450 DO - 10.1136/bjsm.2005.023382 VL - 40 IS - 5 AU - J Maquirriain AU - J P Ghisi AU - S Amato Y1 - 2006/05/01 UR - http://bjsm.bmj.com/content/40/5/447.abstract N2 - Background: High demands imposed to the shoulder during tennis activity can decrease the efficiency of static and dynamic constraints. Subtle or frank instability of the glenohumeral joint may occur, and long term degenerative changes may be expected. Objective: To determine and compare the prevalence of primary glenohumeral osteoarthritis in senior tennis players and matched controls. Study design: Cross sectional controlled study. Methods: 18 asymptomatic senior tennis players were studied (17 male; mean (SD) age, 57.2 (8.8) years) with no history of shoulder surgery or major trauma. There were 18 matched controls. Radiographs were used to determine glenohumeral osteoarthritic changes: joint space narrowing, humeral and glenoid subchondral sclerosis, humeral and glenoid juxta-articular cysts, osteophytes, humeral and glenoid flattening, humeral posterior displacement and glenoid posterior erosion. Findings were classified as normal, minimal, moderate, or severe changes. Results: 33% of the players (95% confidence interval (CI), 13% to 59%) had osteoarthritic changes in their dominant shoulder (n = 6; five with minimal changes, one with moderate changes), and 11% of the controls (95% CI, 1% to 34%) had articular degeneration on their dominant side (n = 2; both minimal changes) (p = 0.04, Wilcoxon test). The osteoarthritic group was significantly older than the players without degenerative changes (p = 0.008). Conclusions: The prevalence of glenohumeral osteoarthritis in the dominant shoulder was greater in former elite tennis players than in sedentary controls. Prolonged intensive tennis practice may be a predisposing factor for the development of mild degenerative articular changes in the dominant shoulder. ER -