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Review Question - QID 219824

Internal Impingement Summary Diagnosis is made clinically with worsening posterior shoulder pain during maximal abduction and external rotation (position of late cocking) associated with decreased internal rotation and supplemented with MRI showing posterior rotator cuff and pos QID: 219824 (SBQ24SM.23)
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QID 219824 (Type "219824" in App Search)
A 27-year-old professional baseball pitcher presents to the orthopedic clinic. He recently underwent a routine preseason physical and an MRI of his throwing shoulder was completed. The pitcher performed slightly above his career average during his last season. He is left-hand dominant. He is concerned because the MRI reported a partial thickness rotator cuff tear, a posterior-superior labral tear, and increased humeral retroversion. On physical exam, he has approximately 10° less internal rotation on the left side compared to the right. His overall arc of motion is 5° less on the left. Shoulder impingement testing, rotator cuff testing, and instability testing are all negative. The patient asks you what treatment is best to allow him to continue pitching at the professional level. What is the most appropriate recommendation?
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