The purpose of this study was to clarify the surgical outcome of the painful throwing shoulders followed up more than two years. We retrospectively studied fourteen cases (eleven male cases and three femal cases) ranging from eighteen to thirty-seven years of age (average, twenty-three point seven years). Ten baseball players, one volleyball player and three softball players were included. SLAP lesions were recognized in eleven csases, posterosuperior labral injury in three cases, partial-thickness rotator cuff tear and a labral injury were combined in four cases. Arthroscopic resection of the torn and detached labrum was performed in fourteen cases, arthroscopic debridement for the articular side partial rotator cuff tear was performed in two cases, open cuff repair was performed in one case and thermal capsular shrinkage in one case. We evaluated the throwing pain and the function with the Shoulder Sports Score of Japan Shoulder Society (sports score). All of the cases returned to their preoperative sports level from five to fourteen months (average nine months). The average pain score was 22.3 points and the function score was 29.1 points postoperatively at the time of return to their preoperative playing level. At the time of the last investigation, the pain score was 25.5 points and the function score was 35.5 points and 79% of the cases continued their preoperative sports activity. The surgical outcome for painful throwing shoulders were satisfactory.
