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Little league elbow

Ajay S Padaki, Christopher S Ahmad
As participation in youth sports continues to increase across the nation, more adolescents are participating in Little League baseball in the United States than ever before. Accompanying this increased participation is an epidemic of upper extremity injuries in young throwers. In this Viewpoint, the authors discuss the impetus behind the youth thrower elbow injury epidemic and how to best evaluate these patients. J Orthop Sports Phys Ther 2018;48(5):354-357. doi:10.2519/jospt.2018.0607.
May 2018: Journal of Orthopaedic and Sports Physical Therapy
Edward S Chang, Meghan E Bishop, Christopher C Dodson, Peter F Deluca, Michael G Ciccotti, Steven B Cohen, Matthew L Ramsey
Background: Although much literature exists regarding the treatment and management of elbow dislocations in the general population, little information is available regarding management in the athletic population. Furthermore, no literature is available regarding the postinjury treatment and timing of return to play in the contact or professional athlete. Purpose: To review the clinical course of elbow dislocations in professional football players and determine the timing of return to full participation...
February 2018: Orthopaedic Journal of Sports Medicine
Raul Barco, Samuel A Antuña
Medial elbow pain is uncommon when compared with lateral elbow pain.Medial epicondylitis is an uncommon diagnosis and can be confused with other sources of pain.Overhead throwers and workers lifting heavy objects are at increased risk of medial elbow pain.Differential diagnosis includes ulnar nerve disorders, cervical radiculopathy, injured ulnar collateral ligament, altered distal triceps anatomy or joint disorders.Children with medial elbow pain have to be assessed for 'Little League elbow' and fractures of the medial epicondyle following a traumatic event...
August 2017: EFORT open reviews
Ted Sueyoshi, Takuya Nakatani, Takashi Tsuruta, Gen Emoto
BACKGROUND: Shoulder range of motion and pitch count in baseball pitchers have been linked to pitching-related upper extremity injury. PURPOSE: To investigate upper extremity range of motion and pitching profiles in baseball pitchers in Japan as well as to make a comparison between injured and noninjured pitchers. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: Forty-one Little League to college-level baseball pitchers were measured for bilateral shoulder and elbow range of motion, including shoulder internal rotation (IR), external rotation (ER), shoulder horizontal adduction (HAD), and elbow extension (EXT)...
July 2017: Orthopaedic Journal of Sports Medicine
Andrew V Pytiak, Phillip Stearns, Tracey P Bastrom, Jerry Dwek, Peter Kruk, Joanna H Roocroft, Andrew T Pennock
BACKGROUND: Little League throwing guidelines have recently been implemented in an attempt to lessen the growing number of elbow injuries occurring in youth baseball players. HYPOTHESIS/PURPOSE: The purpose of this study was to examine pre- and postseason changes seen on magnetic resonance imaging (MRI) in youth baseball players' elbows in an attempt to identify risk factors for pain and MRI abnormalities, with a particular focus on the current Little League guidelines...
May 2017: Orthopaedic Journal of Sports Medicine
Brandon J Erickson, Peter N Chalmers, Michael J Axe, Anthony A Romeo
BACKGROUND: Empirical evidence has suggested a connection between youth pitch counts and subsequent elbow injury. For players within the Little League World Series (LLWS), detailed historical player data are available. Some of these players progress to both professional play and require an ulnar collateral ligament reconstruction (UCLR). PURPOSE: To determine the percentage of LLWS pitchers who proceed to play professional (major or minor league) baseball, the rate of UCLR in former LLWS pitchers who played professional baseball, and the risk to those who exceeded current pitch count recommendations while playing in the LLWS...
March 2017: Orthopaedic Journal of Sports Medicine
Mia Smucny, Joel Kolmodin, Paul Saluan
With the recent increase in youth sports participation and single-sport youth athletes over the past 30 years, there has been an increase in the number of acute and overuse sports injuries in this population. This review focuses on overuse and traumatic injuries of the shoulder and elbow in young athletes. In particular we discuss little league shoulder, glenohumeral internal rotation deficit, glenohumeral instability, superior labrum anterior posterior lesions, Little League elbow, Panner disease, osteochondritis dissecans of the capitellum, posteromedial elbow impingement, and posterolateral rotatory instability of the elbow...
December 2016: Sports Medicine and Arthroscopy Review
Mark Wu, Ryan Fallon, Benton E Heyworth
Athletic overuse injuries are becoming an increasingly common entity in the active pediatric population. The prevalence of these injuries may be attributed to the combination of an underdeveloped musculoskeletal system, increased participation in competitive sport at a younger age, and increased duration and intensity of training. Many of these injuries may go unreported and/or undiagnosed, as they do not all result in time lost from sports, and are not always appreciated on imaging. Left unrecognized, untreated, or poorly managed, overuse injuries can have long-term health consequences for young athletes...
December 2016: Sports Medicine and Arthroscopy Review
Matthew D Ellington, Eric W Edmonds
Pediatric overuse injuries are becoming more prevalent in today's society with more children competitively playing year-round sports at a younger age. The importance of prompt diagnosis and treatment is paramount to the treatment for these injuries, second only to rest and activity modification. This article will focus on overuse injuries of the upper extremity, specifically: little league elbow, elbow osteochondritis dissecans, and gymnast wrist. It will also discuss the pathophysiology, diagnosis, imaging, and treatment of each of these entities...
October 2016: Orthopedic Clinics of North America
Kiery A Braithwaite, Kelley W Marshall
Injuries to the shoulder and elbow in the pediatric and adolescent throwing athlete are common. Both knowledge of throwing mechanics and understanding of normal bone development in the immature skeleton are key to the diagnosis, treatment, and potential prevention of these common injuries. Pathologic changes from chronic repetitive trauma to the developing shoulder and elbow manifest as distinctly different injuries that can be predicted by the skeletal maturation of the patient. Sites of vulnerability and resulting patterns of injury change as the child evolves from the skeletally immature little league player to the skeletally mature high school/college athlete...
September 2016: Radiologic Clinics of North America
Andrew T Pennock, Andrew Pytiak, Phillip Stearns, Joanna H Roocroft, Jerry Dwek, Peter Kruk, Tracey P Bastrom
BACKGROUND: Youth baseball has been associated with elbow pain and elbow abnormalities, leading to the implementation of throwing and pitching guidelines. The purpose of the current study was to examine elbow abnormalities on magnetic resonance imaging (MRI) in asymptomatic Little League baseball players and to correlate these findings with the players' throwing history and physical examinations. METHODS: A prospective study of Little League players who were 10 to 13 years of age was performed...
May 4, 2016: Journal of Bone and Joint Surgery. American Volume
Kristian J Pamias-Velázquez, Mariam M Figueroa-Negrón, Janiliz Tirado-Crespo, Ana L Mulero-Portela
BACKGROUND: Because of the problem of elbow and shoulder injuries in baseball pitchers between 9 and 14 years of age, the USA Baseball Medical & Safety Advisory Committee and the Department of Recreation and Sports in Puerto Rico developed injury prevention guidelines for pitchers. The purpose of this study was to determine the compliance of pitching coaches of 9- to 14-year-old Little League teams in Puerto Rico with the Administrative Order 2006-01 and the USA Baseball guidelines...
May 2016: Sports Health
Swarup Mukherjee
No abstract text is available yet for this article.
November 2015: Current Sports Medicine Reports
Taiki Yukutake, Masumi Kuwata, Minoru Yamada, Tomoki Aoyama
BACKGROUND: Despite pitch count limits, the incidence of Little League elbow is increasing. A risk-evaluation tool capable of predicting which players are predisposed to throwing injury could potentially prevent injuries. PURPOSE: To investigate the effectiveness of a risk factor checklist for predicting elbow injury in Little League baseball players during 1 season. The hypothesis was that a preseason risk-evaluation checklist could predict which players were predisposed to elbow injury...
January 2015: Orthopaedic Journal of Sports Medicine
David A Paz, Geraldine H Chang, Joseph M Yetto, Jerry R Dwek, Christine B Chung
UNLABELLED: Given the frequency and severity of overuse injuries in pediatric athletes and the potential for long-term deleterious effects, it is important for radiologists to have a comprehensive understanding of these injuries and their imaging spectrum. This article addresses chronic overuse injuries involving the upper extremity in the pediatric athlete. Chronic upper extremity overuse injuries in competitive pediatric athletes yield imaging findings that can be subtle, obvious and characteristic, or atypical...
November 2015: Clinical Imaging
Kelley W Marshall
Overuse injuries of the shoulder and elbow are common in the skeletally immature throwing athlete. This review goes beyond describing the classic imaging findings of Little League shoulder and elbow and probes deeper into new insights suggesting a unifying etiology of metaphyseal or metaphyseal equivalent injury as the cause of many of the bony lesions described. Injury patterns change depending on the athlete's skeletal maturation, and the spectrum of abnormalities is reviewed.
November 2014: Seminars in Musculoskeletal Radiology
Bryan M Saltzman, Peter N Chalmers, Randy Mascarenhas, Brian J Cole, Anthony A Romeo
Adolescent baseball players, especially pitchers, are at increased risk for shoulder and elbow injuries as their level of competition increases. The intersection of the adolescent growth spurt with the high levels of elbow valgus and shoulder rotational torques placed upon the arm during overhand pitching predisposes the shoulder and elbow to physeal injuries. Little League shoulder and Little League elbow syndromes most commonly represent pathology at the physeal regions of the proximal and distal humerus and proximal ulna sustained from repetitive loads caused by overhead throwing...
September 2014: Physician and Sportsmedicine
T Yukutake, K Nagai, M Yamada, T Aoyama
AIM: The incidence of Little League elbow is increasing. However, the risk factors for Little League elbow, especially those related to development have not previously been investigated. The purpose of this study was to investigate the risk factors for elbow pain in Little League baseball players while focusing on the developmental factors. METHODS: A total of 654 baseball players aged 6-12 years, all male, participated in this study. Participants completed an original questionnaire that included items assessing demographic data, developmental factors (increase in height and increase in weight over the preceding 12 months), and baseball-related factors...
September 2015: Journal of Sports Medicine and Physical Fitness
Taiki Yukutake, Minoru Yamada, Tomoki Aoyama
BACKGROUND: With the incidence of Little League elbow increasing, pitch limit recommendations for preventing throwing injuries have been developed in both the United States and Japan. However, levels of knowledge of and compliance with these recommendations among coaches of young baseball teams in Japan remain unknown. The relationship between these levels and elbow pain among players has not been adequately studied. HYPOTHESIS: Knowledge of and compliance with these recommendations is similar in the United States and Japan...
May 2013: Sports Health
Ellen Shanley, Chuck Thigpen
INTRODUCTION: Adolescents ranging in age from 11-15 (early-mid adolescence) comprise the largest percentage of baseball and softball athletes in the United States. Shoulder and elbow injuries are commonly experienced by these athletes with baseball pitchers and softball position players most likely to be injured. COMMON INJURIES: Physeal injury often termed "Little League" shoulder or elbow is common and should be differentiated from soft tissue injuries such as biceps, rotator cuff, or UCL injuries...
October 2013: International Journal of Sports Physical Therapy
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