Researchers retrospectively reviewed 119 professional baseball players who had persistent shoulder pain. Sixty-eight patients had MRI-documented SLAP lesions and had failed initial physical therapy. All patients were initially treated non-surgically according to an algorithm focused on correcting the scapular dyskinesia and posterior capsular tightness. Of the 68 subjects with confirmed SLAP lesions, 45 were pitchers. Return to competition appeared to occur at a higher rate for position players than pitchers.
The researchers concluded non-surgical treatment was more often successful than surgery, although they could not explain why non-surgical treatment was more beneficial to one population that the other.
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