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Main variables studied: long head of biceps (LHB) tenderness and synovitis; glenohumeral internal rotation deficit (GIRD), total range of motion (TRM), external rotation (ER) and scapular dyskinesis (DK). Secondary variables: shoulder dominance, gender, age, training hours, ranking, type of backhand. LHB tenderness and synovitis were assessed by clinical and ultrasound examination, TRM with goniometer and DK by dynamic observation.\n<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>LHB tenderness of the dominant shoulder was present in 35% of all players, being more prevalent in women (47.4%) than men (26.9%) <jats:italic>p<\/jats:italic>\u2009=\u20090.023. LHB synovitis of the dominant shoulder was present in 20.2% of all players without difference between genders (n.s). High prevalence of GIRD was found in both dominant (87.4%) and non\u2010dominant (56.3%) shoulders, being more prevalent in the dominant shoulder <jats:italic>p<\/jats:italic>\u2009=\u20090.00005. TRM was decreased in both dominant (144.5\u00b0\u2009\u00b1\u200920.2\u00b0) and non\u2010dominant shoulders (161.2\u00b0\u2009\u00b1\u200918.9\u00b0) <jats:italic>p<\/jats:italic>\u2009=\u20090.00005. ER was normal in dominant (93.8\u00b0\u2009+\u2009\/9.3\u00b0) and non\u2010dominant shoulders (93.4\u00b0\u2009+\u2009\/8.4\u00b0) (n.s). DK was present in 57.7% of dominant and 45.9% of non\u2010dominant shoulders (n.s). The combination of LHB alterations, GIRD and DK in the dominant shoulder was present in 13.3% of the participants. There were no significant differences between younger (&lt;\u200922 years) vs older players (\u2265\u200922 years).\n<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Professional tennis players actively playing suffer a high prevalence of LHB inflammation, GIRD, scapular dyskinesis and decreased TRM in their dominant and non\u2010dominant shoulders. The LHB is a significant cause for anterior shoulder pain in this population. Women suffer more LHB tenderness than men. Young players are as affected as older players.\n<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Level IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-023-07310-5","type":"journal-article","created":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T00:04:15Z","timestamp":1673568255000},"page":"2152-2159","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Professional tennis players suffer high prevalence of shoulder alterations during the season: a possible tennis shoulder syndrome"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5904-0638","authenticated-orcid":false,"given":"Rosa","family":"L\u00f3pez\u2010Vidriero Tejedor","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> ISMEC (International Sports Medicine Clinic) Seville Spain"},{"name":"<!--<label>2<\/label>--> Hospital Universitario Infanta Elena Madrid 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