One of the unique aspects of cricket is that although there is a high demand for shoulder function, it is possible to play with shoulder impairment. As a result, the shoulder is relatively underestimated in cricket injury epidemiology when time loss is the main metric. However, shoulder pathology impacts throwing function, reducing the effectiveness of the fielding unit and potentially batting and bowling as well. The shoulder pathologies encountered in cricket are typically throwing-related including rotator cuff overload and microinstability, although diving is also an important contributor to cricket shoulder pathology. The cornerstones in the treatment and prevention of shoulder injury in cricket are regular rotator cuff strength work and consistent throwing loads with good technique. When throwing, it is recommended that not every throw needs to be high intensity and a player should not practise throwing with pain. In addition, it is recommended that fielding sessions are well planned to avoid throwing overload and that diving is a practised rather than an assumed skill. Although conservative management of shoulder injury is the preferred option, surgical intervention is appropriate when there is macro-instability and there are soft tissue and bony repair options available depending upon the individual presentation.