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Little leaguers elbow

Jorge Delgado, Diego Jaramillo, Nancy A Chauvin
Increased physical activity in childhood has resulted in a large number of sports-related injuries. Although there is overlap between the sports-related injuries seen in pediatric and adult patients, important differences exist in the injury patterns of pediatric patients. These differences are related to the continuous changes in the developing skeleton and its relationship with adjacent soft tissues. The imbalance in strength between the growing bones and the nearby tendons and ligaments makes the bones prone to acute and chronic injuries...
October 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Breann K Tisano, A Reed Estes
In the hypercompetitive environment of year round youth baseball, arm pain is commonplace. Although much research has been done about injuries in the overhead throwing athlete, the emphasis has been on the more elite levels, where athletes have reached full development. The anatomy of the skeletally immature athlete, including open physeal plates and increased tissue laxity, raises unique issues in the presentation and treatment of repetitive throwing injuries of the elbow and shoulder. With a focus on "little leaguers," this discussion evaluates five of the most common elbow and shoulder injuries-Little Leaguer's elbow, ulnar collateral ligament sprain or tear, osteochondritis dissecans/Panner's disease, Little Leaguer's shoulder, and multidirectional instability...
October 2016: Medicine and Science in Sports and Exercise
Lorna B Fountain
With millions of children participating in high-intensity sports activities at a young age, overuse injuries are seen commonly by family physicians. Little Leaguer's shoulder, swimmer's shoulder, Little Leaguer's elbow, snapping hip, and shin splints are 5 overuse injuries frequently sustained by pediatric athletes. Physicians managing these injuries require a basic understanding of the underlying sport-related strain on the body. Diagnosis is clinical for most patients, and management typically is conservative...
February 2014: FP Essentials
Daniel R Wenzke
This article summarizes key MR imaging findings in common athletic elbow injuries including little leaguer's elbow, Panner disease, osteochondritis dissecans, olecranon stress fracture, occult fracture, degenerative osteophyte formation, flexor-pronator strain, ulnar collateral ligament tear, lateral ulnar collateral ligament and radial collateral ligament tear, lateral epicondylitis, medial epicondylitis, biceps tear, bicipitoradial bursitis, triceps tear, olecranon bursitis, ulnar neuropathy, posterior interosseous nerve syndrome, and radial tunnel syndrome...
March 2013: Radiologic Clinics of North America
Christopher M Domes, Ryan C Petering, James C Chesnutt, Adam Mirarchi
Little leaguer's elbow and Little leaguer's shoulder are overuse pathologies seen in overhead-throwing athletes. No instance of simultaneously occurring pathologies has been published. A 15-year-old baseball pitcher and football quarterback developed pain in his throwing shoulder and elbow during spring baseball, which partially resolved with several months of rest. During fall football practice, he felt a pop and pain over his medial throwing elbow. Five days after the initial injury, medial elbow tenderness, mild swelling, and decreased range of motion were noted...
January 16, 2012: Orthopedics
Anthony S Wei, Sanjeev Khana, Orr Limpisvasti, John Crues, Luga Podesta, Lewis A Yocum
BACKGROUND: Valgus overload in the skeletally immature elbow can lead to medial epicondyle apophysitis, or Little League elbow. The skeletal manifestations have been well described through radiographic studies. The involvement of surrounding structures, including the ulnar collateral ligament, remains unclear. The purpose of this study is to better characterize the involvement and relationship of medial elbow structures in Little League elbow through magnetic resonance (MR) imaging. METHODS: Institutional review board approval was obtained...
October 2010: Journal of Pediatric Orthopedics
Marshall Crowther
The pediatric and adolescent elbow is subject to both acute and chronic overuse injuries. The practitioner should develop a classification system to evaluate all such injuries, with first focusing on whether the injury represents an acute episode or rather it represents a more chronic problem. In addition, localizing the area of pain as being either medial, lateral, or posterior can better help differentiate the diagnosis. Youth baseball pitchers and throwers are particularly at risk for overuse injuries of the elbow, most of which are related to an injury mechanism termed "valgus extension overload"...
June 2009: Current Reviews in Musculoskeletal Medicine
Kyle J Cassas, Amelia Cassettari-Wayhs
Youth sports participation carries an inherent risk of injury, including overuse injuries. Little leaguer's shoulder, a stress fracture of the proximal humerus that presents as lateral shoulder pain, usually is self-limited. Little leaguer's elbow is a medial stress injury; treatment consists of complete rest from throwing for four to six weeks followed by rehabilitation and a gradual throwing program. Spondylolysis is a stress fracture of the pars interarticularis. Diagnostic modalities include plain film radiography, bone scan, computed tomography, single photon emission computed tomography, and magnetic resonance imaging...
March 15, 2006: American Family Physician
David Wei Hang, Chien Ming Chao, Yi-Shiong Hang
BACKGROUND: Comparisons of medial elbow injury rate and the incidence of clinical and radiographic findings among Little League baseball players have not been documented. HYPOTHESIS: Injury rate and clinical and radiographic findings in Little Leaguers of different positions may be similar. STUDY DESIGN: Survey and retrospective review. METHODS: Altogether, 343 Little Leaguers (120 pitchers, 40 catchers, and 183 fielders) participated in the study...
January 2004: American Journal of Sports Medicine
No abstract text is available yet for this article.
April 1960: American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine
Mark R Hutchinson, Mary Lloyd Ireland
Over 25 million children participate in school-sponsored sports, and an additional 20 million participate in extracurricular organized sports. Over the past decade, increased intensity of training, more pressure for success, new opportunities for structured play, and more organized advanced leagues and traveling teams have led to a corresponding increase in overuse injuries in the skeletally immature athlete. Perhaps the classic sports model for overuse injuries of the upper extremity is baseball. Throwing sports contribute to an increased incidence of elbow and shoulder injuries that might be related to intensity of training, throwing mechanics, and poor conditioning, including core strength...
2003: Instructional Course Lectures
C C Kaeding, R Whitehead
This article reviews the anatomy of the physis and the most common classification of injuries or fractures through the physis. The common apophyseal injuries of Osgood-Schlatter, Severs disease and iliac apophysitis, are reviewed in addition to a review of the most common osteochondritides, including Panner's disease and Osteochondritis Dessicans of the femur and talus. An understanding of these is key to diagnosis and treatment of adolescent musculoskeletal injuries. This article also reviews slipped capital femoral epiphysis, little leaguer's elbow, anterior cruciate and collateral ligament injuries, patella problems, ankle sprains and several common fractures in children...
March 1998: Primary Care
J H Harris
Soft tissue aspects of skeletal trauma are discussed according to two categories: (1) those injuries in which the significance of the soft tissue in the pathophysiology of the skeletal lesion is indicated by the characteristics of the skeletal injury (such as extension teardrop fracture, little leaguer's elbow, "baseball fracture," and Bennett's fracture); and (2) those injuries in which the associated soft tissue injury, or complication, may be reasonably inferred by the location and nature of the skeletal injury (such as major facial fractures, posterior sternoclavicular dislocations, fractures of the lower rib and lumbar transverse processes, and pelvic disruptions)...
December 1981: Radiologic Clinics of North America
J E Adams
Roentgenographic changes consistent with osteochondrosis of the proximal humeral epiphysis were observed in five young baseball pitchers complaining of shoulder pain in the throwing arm. The symptoms and findings were quite similar to the previously reported involvement of the medial epicondylar epiphysis or "Little Leaguer's elbow."The act of throwing a baseball hard is an abnormal whip-like action which places a forceful repetitious traction strain on the shoulder joint. Shoulder pain in youngsters engaged in organized competitive swimming programs can also be explained in this way...
July 1966: California Medicine
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