| POTPOURRI OF COMMON
GOLF INJURIES |
Page
2 of 2 |
| by Howard Liss, MD
and Donald Liss, MD |
Shoulder pain is less frequent, but not
uncommonly seen in the leading arm. This may be associated
with arthritic degeneration, or with impingement or partial
rotator cuff tear. Again, proper attention to mechanics should
prevent serious shoulder injuries from developing.
Although the elbows may be injured in golfers,
these injuries are more often the result of overuse than an
acute episode. Medical epicondylitis has been named "golfer’s
elbow", since this condition rarely occurs, for example,
in tennis. However, interestingly, tennis elbow, or lateral
epicondylitis, is still more common. Lateral epicondylitis
occurs in the nondominant leading elbow. This is the arm which
does the bulk of the work, the dominant arm acting more as
a guide. As a result, the dominant guiding arm will develop
medial epicondylitis less frequently, and usually as a result
of poor mechanics.
Although rarely purely the result of golf,
patients with arthritis of the neck can exacerbate their symptoms
through repetitive neck rotation and rotation/hyperextension
on follow-through when golfing. In its worst presentation,
this can lead to cervical radiculopathy, usually in the nondominant
leading arm. This is because the cervical rotation is, unlike
the torso motion, confined to the latter half of the golf
swing. The patient addresses the ball looking down, the neck
doesn’t truly begin to rotate and extend until ball
contact and follow-through.
Knee injuries are relatively uncommon in
golf, and are probably the result of exacerbating pre-existing
conditions. Because of the relatively older age of golfers,
there are often underlying osteoarthritis or meniscus pathology
involving the knees. These may be exacerbated by weight shifting
or rotation during follow-through. It is unusual for a patient
to present with an acute knee disorder.
Wrist injuries are also usually due to overuse.
These can vary from DeQuervain’s syndrome to tendinitis
involving the forearm exterior and flexor muscles. Often,
adequate rest followed by a change of grip or modification
will result in resolution of this problem.
One must have a basic understanding of the
mechanics of golfing in order to fully appreciate the patient’s
clinical presentation. Most golf injuries are easy to resolve
with avoidance of golf. However, golfers are often avid about
their sport and are either zealous in continuing despite symptoms
or at the least, anxious to return as soon as possible. Only
by working closely with golf instructors, and by understanding
the underlying mechanics which led to the injury, will the
patient’s problem be successfully treated, including
prevention of recurrence.
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