Throwing Injury Surgeries

If the patient does not respond to conservative treatment, surgery is considered when:

  • Large tears in the tendon or other extreme damage to the elbow is the result of a sudden (acute) injury.
  • The injury is the direct result of chronic overuse, and after six to twelve months of rehabilitation and tendon rest hasn’t relieved elbow pain.
  • Elbow pain continues despite other treatments, such as acupuncture or corticosteroid shots.
  • Loss of internal rotation of the shoulder has not responded to stretching exercises
  • Shoulder pain has not responded to stretching and strengthening exercises, rest, or injections of cortisone
  • MRI reveals labral or rotator cuff tears

The type of surgery performed depends on the pathology. However, commonly performed procedures in the throwing elbow include medial collateral ligament reconstruction (Tommy John procedure) and arthroscopic debridement. Commonly performed shoulder procedures include arthroscopic posterior capsular contracture release, labral repair, and rotator cuff repair.



Most throwing injuries can be treated with arthroscopic surgery. During arthroscopy, the surgeon inserts a small camera, called an arthroscope, into the shoulder joint. The camera displays pictures on a television screen, and the surgeon uses these images to guide miniature surgical instruments.

Because the arthroscope and surgical instruments are thin, the surgeon can use very small incisions (cuts), rather than the larger incision needed for standard, open surgery.

During arthroscopy, your doctor can repair damage to soft tissues, such as the labrum, ligaments, or rotator cuff.

During arthroscopy, your surgeon inserts the arthroscope and small instruments into your shoulder joint.

Open surgery

A traditional open surgical incision (several centimeters long) is often required if the injury is large or complex.

  • Bankart Lesion
  • Biceps Tendon Rupture
  • Broken Collarbone
  • Burners & Stinger
  • Bursitis
  • Chronic Shoulder Instability
  • Fracture of the Shoulder Blade
  • Frozen Shoulder
  • Labral Tear
  • Rotator Cuff Tear
  • Shoulder Arthritis
  • Shoulder Dislocation
  • Shoulder Impingement Syndrome
  • Shoulder Pain
  • Shoulder Separation
  • Superior Labrum Anterior to Posterior (SLAP)
  • Throwing Injuries[/li_item|

  • Acromioplasty
  • Arthroscopic Bankart Repair
  • Biceps Tendon Rupture Surgery
  • Biceps Tenodesis
  • Broken Collarbone Surgery
  • Bursitis/Shoulder Impingement Surgery
  • Closed Reduction Shoulder Surgery
  • Labrum Surgery
  • Instability Shoulder Surgery
  • Reverse Shoulder Replacement Surgery
  • Revision Shoulder Replacement Surgery
  • Rotator Cuff Repair
  • Shoulder Arthritis Surgery
  • Shoulder Arthroscopy Surgery
  • Shoulder Impingement Syndrome Treatment
  • Shoulder Separation Surgery
  • Total Shoulder Replacement Surgery
  • Throwing Injury Surgeries

The Orthopedic physicians at Peninsula Bone & Joint Clinic provide conservative treatment options for Shoulder conditions and injuries.

Peninsula Bone & Joint Clinic

The Orthopaedic physicians at Peninsula Bone & Joint Clinic provide comprehensive services to all members of the family.
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The information found on this site is for general orthopedic purposes only. In a medical emergency please dial 911 or go to your nearest Emergency Room.