Evidence map›Paper›PMID 40666380›Full record

ArticleOrthopaedic journal of sports medicine2025

Risk Contributors for Shoulder Injuries Among Adolescent Tennis Participants: A Prospective Group Study.

Pengju Xie

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Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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1 author.

Pengju XieNational University of Malaysia, Bangi, Selangor, Malaysia.

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6 · The paper itself

Abstract

Background: Tennis is a popular sport among adolescents, but the repetitive overhead motions can lead to shoulder injuries. The risk factors for shoulder injuries in this population are not well understood. Purpose: To identify risk factors for shoulder injuries in adolescent tennis players and examine potential interactions between these factors. Study Design: Cohort study; Level of evidence, 2. Methods: Adolescent tennis players (N = 350; aged 12-18 years) were followed for 24 months. Baseline data on demographics, tennis experience, training volume, physical characteristics, and psychological factors were collected. Shoulder injuries (defined as any shoulder pain or dysfunction requiring ≥48 hours of time loss from tennis participation and medical attention) were recorded monthly. Cox proportional HR analysis with univariate and multivariate models was used to identify risk factors, with statistical significance set at Results: A total of 88 players (25.1%) sustained shoulder injuries. Significant risk factors included age (hazard ratio [HR], 1.42; 95% CI, 1.16-1.74), years of playing tennis (HR, 1.25; 95% CI, 1.10-1.42), weekly training hours (HR, 1.18; 95% CI, 1.09-1.28), shoulder external/internal rotation strength ratio (HR, 3.12; 95% CI, 1.63-5.98), scapular dyskinesis (HR, 2.76; 95% CI, 1.46-5.22), and high levels of competitive anxiety (HR, 2.15; 95% CI, 1.24-3.73). Playing on hard courts increased injury risk compared with clay (HR, 1.68; 95% CI, 1.05-2.69) or grass courts (HR, 1.92; 95% CI, 1.14-3.24). Significant interactions were found between age and training volume ( Conclusion: Our study demonstrated that multiple interacting factors contribute to shoulder injury risk in adolescent tennis players. Age, tennis experience, training volume, shoulder muscle imbalance, scapular dyskinesis, competitive anxiety, and playing surface were identified as significant risk factors. These findings can guide the development of targeted prevention strategies to reduce shoulder injury risk in adolescent tennis players.

Indexed as

adolescentpreventionrisk factorsshoulder injurytennis

Identifiers

PMID40666380
PMCPMC12260309

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.