SHOULDER SYMPTOMS IN HEALTHY ATHLETES - A COMPARISON OF OUTCOME SCORING SYSTEMS

We used the Rowe, ASES, UCLA, Constant-Murley, and the Simple Shoulder Test scoring systems to determine the presence and severity of should er symptoms in ''healthy'' collegiate athletes at mid-season. Intercol legiate athletes were surveyed with a single, specific, comprehensive questionnaire regarding both of their shoulders at the mid-season of t heir respective sport. The questionnaire compiled the previously menti oned scoring systems and additional inquiries. Shoulders were divided into three groups for analysis: dominant-never injured, nondominant-ne ver injured, and history of injury. Significant shoulder symptoms exis t in athletes during full participation in their respective sport. Pai n was the most frequent symptom, with 47% of all shoulders having some degree of pain. The frequency and degree of symptoms was significantl y greater in shoulders with a history of injury. The UCLA scoring syst em is the most sensitive for evaluating ''healthy'' athletes at mid-se ason. However, the ideal shoulder scoring system For athletes has yet to be developed. To expect a ''normal'' or ''symptom-free'' shoulder a fter injury or surgery may be inappropriate. This information can serv e as a reference for clinicians when evaluating the results of surgery and other treatment programs.