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Little leaguers shoulder

Yuji Hosokawa, Teruhisa Mihata, Yasuo Itami, Masashi Neo, Munekazu Doi
We analyzed three-dimensional (3D) humeral deformity (valgus-varus, flexion-extension, and rotational deformation) after little leaguer's shoulder using 3D computed tomography in a 15-year-old male baseball player. Humeral retroversion was increased by 27.1° on the dominant side compared with the nondominant side. Compared with the nondominant shaft, the dominant humeral shaft was deformed in the varus direction (9.4°), resulting in a decreased neck-shaft angle (dominant side, 127.5°; nondominant side, 135...
December 2017: Clinics in Orthopedic Surgery
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
David Wasylynko
OBJECTIVE: To describe a case of chronic Little Leaguer's Shoulder in reference to pain presentation, physical capabilities, and recovery time. CLINICAL FEATURES: A 17-year-old, junior baseball pitcher presented with shoulder pain when performing high velocity pitching. Conservative treatment for an assumed soft tissue injury failed to resolve the pain, which was regularly aggravated by pitching, and which subsequently prompted further evaluation, and eventual confirmation of Little Leaguer's Shoulder on subsequent computerized tomography (CT) imaging...
December 2015: Journal of the Canadian Chiropractic Association
Yoshiji Kanematsu, Tetsuya Matsuura, Shinji Kashiwaguchi, Takenobu Iwase, Naoto Suzue, Toshiyuki Iwame, Koichi Sairyo
OBJECTIVE: Little Leaguer's shoulder is a syndrome involving the proximal humeral epiphyseal plate. Conservative treatment usually resolves the symptoms. However, there are no reports of a radiographic follow-up study of this disease. The purpose of this study was to show the radiographic healing process of Little Leaguer's shoulder. MATERIALS AND METHODS: A total of 19 male baseball players diagnosed as having Little Leaguer's shoulder were retrospectively evaluated...
January 2015: Skeletal Radiology
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
Sinem Akgül, Uğur Diliçikik, Nuray O Kanbur, Defne Kaya, Gürhan Dönmez, Mahmut Nedim Doral
Little leaguer's shoulder is a syndrome involving the proximal humeral epiphyseal plate and has been reported in adolescent athletes between 13-16 years of age. We present an adolescent case with radiological findings of little leaguer's shoulder syndrome in a non-athletic patient. The patient had applied significant rotational stress to the proximal humeral physis as a result of overuse due to physiotherapy, but the left asymptomatic side appeared more affected radiologically, which led to the idea that this may be a physiological change that occurs in adolescents...
November 2011: Turkish Journal of Pediatrics
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
Brian W Brennan, Michael J Kelly
No abstract text is available yet for this article.
May 2011: Clinical Pediatrics
Hiroyuki Nakamizo, Yasuo Nakamura, Katsuya Nobuhara, Tetsuji Yamamoto
Glenohumeral internal rotation deficit (GIRD) is a significant shoulder problem for throwing athletes. GIRD, however, has not been reported in little league pitchers. The purpose of this study was to investigate GIRD in little leaguers. The range of motion of both shoulders was measured in 25 male little league pitchers. All pitchers underwent motion analyses of their pitching to evaluate shoulder kinematics. GIRD was found in 10 of the 25 pitchers. External rotation in the dominant arm in the GIRD group was not significantly different compared to the contralateral or dominant arm in the non-GIRD group...
September 2008: Journal of Shoulder and Elbow Surgery
Olufolajimi O Obembe, Cree M Gaskin, Matthew J Taffoni, Mark W Anderson
BACKGROUND: Shoulder pain is a common problem among adolescent athletes. A possible cause of such pain that can be diagnosed on MRI is a stress injury to the proximal humerus known as Little Leaguer's shoulder (proximal humeral epiphysiolysis). OBJECTIVE: Our objective was to describe the MRI appearance of Little Leaguer's shoulder. MATERIALS AND METHODS: Four patients (all boys; age range 11-15 years; median 13 years) with clinical, plain radiographic, and MR imaging findings of Little Leaguer's shoulder were studied retrospectively...
September 2007: Pediatric Radiology
Charles A Popkin, Alejandro Posada, Paul D Clifford
A case of Little Leaguer's shoulder (LLS) in a 12-year-old male is presented. Classically, LLS is an overuse injury affecting adolescent pitchers. The diagnosis is the result of a thorough history, physical examination, and radiographic evaluation. Clinicians unfamiliar with LLS may fail to detect this injury and order a magnetic resonance imaging (MRI) study without radiographs. The objective of this case report is to help radiologists become more familiar with the MRI and radiographic findings of LLS.
September 2006: Clinical Imaging
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
James C Song, Martin L Lazarus, Alexandra Pae Song
Little leaguer's shoulder, a stress injury of the proximal humeral physis, should be considered in the differential diagnosis for an adolescent baseball player with shoulder pain, especially if the player is pitching regularly in a competitive environment. While roentgenographs may or may not be helpful, depending on the duration and severity of the injury, we report the MRI appearance of a case of little leaguer's shoulder. We found MRI helpful in diagnosing injury to the growth plate that was radiographically occult; furthermore, we were able to document the patient's progress with a follow-up MRI examination, which showed improvement with treatment...
February 2006: Skeletal Radiology
Stephen F Hatem, Michael P Recht, Brad Profitt
The MRI appearance of 'Little Leaguer's shoulder' has not been previously reported in the radiology literature. Purported etiologies include proximal humeral epiphyseolysis, osteochondrosis of the proximal humeral epiphysis, stress fracture of the proximal humeral epiphyseal plate, and rotational stress fracture of the proximal humeral epiphyseal plate. We describe magnetic resonance imaging findings in four patients and review the literature.
February 2006: Skeletal Radiology
Keith Meister, Timothy Day, MaryBeth Horodyski, Thomas W Kaminski, Michael P Wasik, Susan Tillman
BACKGROUND: Differences in range of motion and rotational motion between the dominant and nondominant shoulders in throwing athletes are well documented, although the age at which these changes begin to occur is not known. HYPOTHESIS: Changes in glenohumeral rotational motion in the shoulder of the Little League/adolescent baseball player occur during the most formative years of physical development. STUDY DESIGN: Cross-sectional study. METHODS: Elevation, internal rotation at 90 degrees of abduction, and external rotation at 90 degrees of abduction were measured in the dominant and nondominant shoulders of 294 baseball players, aged 8 to 16 years...
May 2005: American Journal of Sports Medicine
Anthony R Ricci, Dan E Mason
When compared with adults, children have unique injury patterns secondary to their anatomical differences. The susceptibility of the growth plate to injury is well-documented. "Little Leaguer's shoulder" is the term used for injury to the open proximal humeral epiphysis in the Little League pitcher. We present a case report and literary review. Discussed are the possible etiologies, patient presentation, physical exam, radiographic findings, and treatment recommendations.
January 2004: Delaware Medical Journal
J L Fleming, C L Hollingsworth, D L Squire, G S Bisset
A case of Little Leaguer's shoulder in a skeletally immature patient is described with a review of the English literature. This entity manifests as widening of the proximal humeral physis and is well known to our orthopedic colleagues. To our knowledge, however, there is little in the current radiologic literature describing Little Leaguer's shoulder. We describe such a case.
June 2004: Skeletal Radiology
No abstract text is available yet for this article.
July 1953: Guthrie Clinic Bulletin
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