Scapular asymmetry in tennis players: differential diagnosis and biomechanical insights
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.
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
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© © Ortopedici Traumatologi Ospedalieri d’Italia (O.T.O.D.i.) , 2026
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