Traumatology
Published: 2026-06-12

Scapular asymmetry in tennis players: differential diagnosis and biomechanical insights

Kinesiologist and Posturologist, Ministry of Education and Merit, Cassino (FR), Italy
Italian Tennis and Padel Federation (FITP), Rome, Italy
ASST Santi Paolo e Carlo, Division of Orthopedics and Traumatology, Milan, Italy
Scapula tennis shoulder biomechanics overhead athletes scoliosis

Abstract

Objectives. To analyze the clinical significance of scapular asymmetry in tennis players and its differential diagnosis with scoliosis.

Methods. Narrative review of biomechanical and clinical literature on overhead athletes, focusing on rotator cuff adaptations and inertial loading mechanisms.

Results. Evidence indicates that scapular asymmetry in tennis players is associated with predominance of internal rotators, reduced external-to-internal rotator strength ratio, and repeated exposure to high inertial forces during overhead movements.

Conclusions. Scapular asymmetry is more likely to represent a functional neuromuscular adaptation rather than a structural spinal deformity. Correct interpretation is essential to avoid misdiagnosis and to guide appropriate orthopedic evaluation.

Affiliations

Rodolfo Lisi

Kinesiologist and Posturologist, Ministry of Education and Merit, Cassino (FR), Italy

Michele Perniola

Italian Tennis and Padel Federation (FITP), Rome, Italy

Simone Cigni

ASST Santi Paolo e Carlo, Division of Orthopedics and Traumatology, Milan, Italy

Copyright

© © Ortopedici Traumatologi Ospedalieri d’Italia (O.T.O.D.i.) , 2026

How to Cite

[1]
Lisi, R., Perniola, M. and Cigni, S. 2026. Scapular asymmetry in tennis players: differential diagnosis and biomechanical insights. Lo Scalpello - Journal. 40, 1 (Jun. 2026), 55-59. DOI:https://doi.org/10.36149/0390-5276-367.
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