is a Junior outfielder for the softball
team. During her freshmen season she began rehab with us in the
spring for general rotator cuff weakness/ tendinitis and we had
good success. However, she returned after her fall season the following
semester with a return of her symptoms. During the spring her injury
pattern began to show signs of laxity/ instability. We had very
little improvement with rehab during the 2000 season and she began
to develop "dead arm" symptoms. She was removed from all
throwing for the final 3 weeks of the season. At the end of the
season she saw Dr. Timothy Hosea and the decision was
made she would need surgery due to instability and her limited improvement
with rehabilitation. On 5/25/00 she had surgery with Dr. Hosea at
St. Peters Hospital in New Brunswick to repair her anterior and
inferior shoulder laxity. She did rehab with a local physical therapy
center in her hometown during the summer. In September she began
rehab with us 3x's per week and she did not participate in her fall
softball season. She progressed
very well during the fall with a rapid return to full AROM and a
fairly aggressive rotator cuff and scapular stabilizer program.
By November she was cleared to begin throwing by her orthopedist.
She began throwing 2-3 times per week at a distance of 60 feet.
After winter break Julie continued her rehab here while gradually
progressing her throwing program. By February she was cleared by
Dr. Hosea for a full return to softball participation. We limited
her to throwing at practice
to 3 times per week and not throwing on any two consecutive days.
The limits were in place from February through mid March. She continued
on her rehabilitation program with us through the remainder of the
softball season. Julie went on to play in 27 games during the season
and had very few (if any) problems regarding pain or other shoulder
symptoms. Her biggest problem was her throwing strength was lacking
for most of the season. However, she made significant improvements
in this area by the end of the season. Julie will continue rehab
with us on a preventive basis during her senior year.
Questions or comments regarding the Athletic
Training Pages should be directed to
Jon Heck at: