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The labrum or cartilage in the shoulder socket also can become injured (torn) in overhead athletes, especially those with very loose shoulders and poor rotator cuff strength and shoulder stability. Many of the shoulder injuries seen in tennis can be prevented with a proper stretching and strengthening program. Strong external rotator muscles will prevent future overuse injuries, such as chronic inflammation or even rotator tears, which can be excruciatingly painful and take a long time to heal. Most shoulder injuries happen because of the excessive forces that tennis creates on the tendons.