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The case was a 17-year-old male, southpaw pitcher. Since his age of 9 he had been playing an active part as a pitcher in baseball games throughout his primary, middle and high school days. In Autumn 1987 he experienced pain in his left shoulder while throwing a ball. Because shoulder pain on throwing a ball continued he was admitted to our department ward in May 1988. No abnormalities were noted on plain x-ray and arthrography, but arthroscopic examination revealed a tear of glenoid labrum in its postero-superior portion and an abnormal bandle which arose posterior to the long biceps tendon and attached to the joint capsule above. These lesions, being judged as the cause of the pain, were resected. Postoperative management which consisted of ROM exercise and muscle training supplemented with a pitching rehabilitation program using PNF technique, was initiated on the 2nd postoperative day. 6 weeks postoperatively the patient returned to his work as a pitcher and now, 6 months after operation, he is playing baseball without experiencing any pain on pitching.

Experience with arthroscopic operation in the treatment of glenoid labral tear occurring in a pitcher.