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https://www.readbyqxmd.com/read/28575638/elbow-injuries-in-professional-baseball-epidemiological-findings-from-the-major-league-baseball-injury-surveillance-system
#1
Michael G Ciccotti, Keisha M Pollack, Michael C Ciccotti, John D'Angelo, Christopher S Ahmad, David Altchek, James Andrews, Frank C Curriero
BACKGROUND: Elbow injuries cause significant disability for the throwing athlete. Scant data are available on the distribution and characteristics of these injuries in elite baseball players. No study exists that focuses solely on the epidemiological characteristics of elbow injuries in professional baseball players using a comprehensive injury surveillance system. HYPOTHESIS: Professional baseball players have a high occurrence of elbow injuries influenced by factors including length of time playing, time period within the annual baseball season, and specific position played...
June 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28567429/are-the-current-little-league-pitching-guidelines-adequate-a-single-season-prospective-mri-study
#2
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
https://www.readbyqxmd.com/read/28545717/preseason-screening-of-shoulder-range-of-motion-and-humeral-retrotorsion-does-not-predict-injury-in-high-school-baseball-players
#3
Sakiko Oyama, Elizabeth E Hibberd, Joseph B Myers
BACKGROUND: Shoulder and elbow injuries are commonplace in high school baseball. Although altered shoulder range of motion (ROM) and humeral retrotorsion angles have been associated with injuries, the efficacy of preseason screening of these characteristics remains controversial. METHODS: We conducted preseason screenings for shoulder internal and external rotation ROM and humeral retrotorsion on 832 high school baseball players and tracked their exposure and incidence on throwing-related shoulder and elbow injuries during a subsequent season...
May 22, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28532867/ultrasound-study-of-elbow-ulnar-collateral-ligament-changes-in-collegiate-baseball-players-a-pilot-study
#4
Johnathan Erb, Heather Sherman, Sydney Williard, Julien Bui, Aimie Kachingwe
OBJECTIVE: To assess changes in elbow ulnar collateral ligament length in college baseball pitchers over the course of a single season. DESIGN: Cohort Feasibility Study. METHODS: Diagnostic ultrasound was used to assess both the dominant and non-dominant medial elbow joint space in four pitchers and five fielders and compared to in-game pitching data. Shoulder, elbow, wrist, hip, knee, and ankle range of motion measurements were also taken...
April 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/28530502/the-effect-of-stride-length-and-lateral-pelvic-tilt-on-elbow-torque-in-youth-baseball-pitchers
#5
Noah X Tocci, David R Howell, Dai Sugimoto, Corey Dawkins, Amy Whited, Donald Bae
High elbow torque during a pitch may contribute to injury risk. Our objective was to determine the pitch mechanics associated with elbow varus torque in youth baseball pitchers. Eighteen male youth pitchers (age=15.5±1.6 years) threw three fastballs and three change-ups from a windup position while undergoing three-dimensional kinematic analysis. Independent variables included ball release point distance, stride length, lateral pelvic tilt, and ball velocity. Two multiple regression models, separated by pitch type (fastball, change-up) were used to determine the association of independent variables with peak varus torque at the elbow...
May 22, 2017: Journal of Applied Biomechanics
https://www.readbyqxmd.com/read/28478963/shoulder-and-elbow-pain-in-elementary-school-baseball-players-the%C3%A2-results-from-a-nation-wide-survey-in-japan
#6
Kenji Takagishi, Tetsuya Matsuura, Takashi Masatomi, Etsuo Chosa, Tsuyoshi Tajika, Mikihiko Watanabe, Tetsu Iwama, Toshiro Otani, Katsunori Inagaki, Hiroyasu Ikegami, Mitsuhiro Aoki, Ko Kato, Toru Okuwaki, Koichi Sairyo, Yasushi Kameyama, Akira Maeda, Moroe Beppu
BACKGROUND: Despite recommendations on how to prevent baseball injuries in youths by the Japanese Society of Clinical Sports Medicine, shoulder and elbow pain still frequently occurs in young baseball players. We conducted a questionnaire survey among baseball players at elementary schools across the country to understand the practice conditions of players, examining the risk factors of shoulder and elbow pain in baseball players. METHODS: The questionnaire survey was conducted among elementary school baseball players as members of the Baseball Federation of Japan in September 2015...
May 3, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/28451602/exceeding-pitch-count-recommendations-in-little-league-baseball-increases-the-chance-of-requiring-tommy-john-surgery-as-a-professional-baseball-pitcher
#7
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
https://www.readbyqxmd.com/read/28398820/magnetic-resonance-imaging-predictors-of-failure-in-the-nonoperative-management-of-ulnar-collateral-ligament-injuries-in-professional-baseball-pitchers
#8
Salvatore J Frangiamore, T Sean Lynch, Michael D Vaughn, Lonnie Soloff, Michael Forney, Joseph F Styron, Mark S Schickendantz
BACKGROUND: A medial ulnar collateral ligament (UCL) injury of the elbow is an increasingly common injury in professional baseball pitchers. Predictors of success and failure are not well defined for the nonoperative management of these injuries. PURPOSE: To evaluate the efficacy of objective measures to predict failure of the nonoperative management of UCL injuries. STUDY DESIGN: Case-control study; Level of evidence, 3. METHODS: Thirty-two professional pitchers (82%) met inclusion criteria and underwent an initial trial of nonoperative treatment for UCL tears based on clinical and radiological findings...
April 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28394713/elbow-mri-findings-do-not-correlate-with-future-placement-on-the-disabled-list-in-asymptomatic-professional-baseball-pitchers
#9
Nicholas M Gutierrez, Christopher Granville, Lee Kaplan, Michael Baraga, Jean Jose
BACKGROUND: Injury rates among professional baseball players may reach as high as 5.8 per 1000 encounters, with pitchers being most vulnerable on account of the excessive biomechanical load on the upper extremity during the throwing motion. Anatomically, the shoulder is the most common site of pitching-related injury, accounting for 30.7% of injuries, closely followed by the elbow at 26.3%. Characteristic valgus loading imparts a predictable constellation of stresses on the joint, including medial tension, lateral compression, and posterior medial shearing...
May 2017: Sports Health
https://www.readbyqxmd.com/read/28345616/shoulder-stretching-intervention-reduces-the-incidence-of-shoulder-and-elbow-injuries-in-high-school-baseball-players-a-time-to-event-analysis
#10
Hitoshi Shitara, Atsushi Yamamoto, Daisuke Shimoyama, Tsuyoshi Ichinose, Tsuyoshi Sasaki, Noritaka Hamano, Akira Ueno, Fumitaka Endo, Atsufumi Oshima, Hideo Sakane, Masahiro Tachibana, Yusuke Tomomatsu, Tsuyoshi Tajika, Tsutomu Kobayashi, Toshihisa Osawa, Haku Iizuka, Kenji Takagishi
We prospectively evaluated the effects of a prevention program on the incidence of shoulder and elbow injuries in high school baseball pitchers. Ninety-two pitchers participated in this study and were taught to perform stretching and strength exercises aimed at improving shoulder external rotation strength in the preseason. The pitchers freely chose to participate in one of four groups [SM-group: performed both exercises, S-group: performed stretching exercise only, M-group: performed strength training only, and N-group: performed neither intervention]...
March 27, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28298058/effect-of-pitching-consecutive-days-in-youth-fast-pitch-softball-tournaments-on-objective-shoulder-strength-and-subjective-shoulder-symptoms
#11
S Andrew Skillington, Robert H Brophy, Rick W Wright, Matthew V Smith
BACKGROUND: The windmill pitching motion has been associated with risk for shoulder injury. Because there are no pitching limits on youth fast-pitch softball pitchers, these athletes often pitch multiple games across consecutive days. Strength changes, fatigue levels, and shoulder pain that develop among female fast-pitch pitchers over the course of consecutive days of pitching have not been investigated. HYPOTHESIS: Over the course of 2- and 3-day fast-pitch softball tournaments, pitchers will develop progressive objective weakness and increased subjective shoulder fatigue and pain without complete recovery between days...
May 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28277893/risk-factors-for-shoulder-and-elbow-pain-in-youth-baseball-players
#12
Tetsuya Matsuura, Toshiyuki Iwame, Naoto Suzue, Kokichi Arisawa, Koichi Sairyo
OBJECTIVES: This study sought to quantify the 1-year cumulative incidence of shoulder and elbow pain among youth baseball players and identify risk factors associated with the occurrence of shoulder and elbow pain. METHODS: In total, 900 youth baseball players (aged 7-11 years) were enrolled in a 1-year prospective follow-up study. One year later, the players were asked whether they had experienced episodes of shoulder or elbow pain and the following risk factors for such pain were investigated: age, position, length of baseball experience, training hours per week, and history of shoulder or elbow pain...
May 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/28241328/use-of-the-spencer-technique-on-collegiate-baseball-players-effect-on-physical-performance-and-self-report-measures
#13
Janine E Curcio, Matthew J Grana, Stacey England, Paige M Banyas, Benjamin D Palmer, Arielle E Placke, William A Rieck, Amber M Eade
CONTEXT: Repeated overhead throwing in baseball players alters range of motion (ROM), contributing to shoulder injury. The Spencer technique has been used, anecdotally, to reduce the effects of throwing-induced limitations in ROM. OBJECTIVE: To quantify the effects of a single administration of the Spencer technique on the ROM and performance of collegiate baseball pitchers. METHODS: Pitchers from the Seton Hill University men's baseball team were randomly assigned to 2 treatment groups: Spencer technique or sham therapy...
March 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28139383/olecranon-physeal-nonunion-in-the-adolescent-athlete-identification-of-two-patterns
#14
Rachel M Frank, Brett A Lenart, Mark S Cohen
BACKGROUND: This study aimed to present the outcomes of patients undergoing surgical management of persistent, symptomatic olecranon physes. METHODS: Consecutive patients undergoing surgical management for symptomatic persistent olecranon physeal abnormalities were reviewed. Preoperative data, intraoperative findings, and postoperative clinical outcomes including physical examination findings, radiographs, complications, and reoperations were analyzed. RESULTS: A total of 13 elbows in 12 patients (100% male; average age, 18 ± 4 years) were identified...
January 27, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28107113/the-relationship-between-pitching-mechanics-and-injury-a-review-of-current-concepts
#15
Peter N Chalmers, Markus A Wimmer, Nikhil N Verma, Brian J Cole, Anthony A Romeo, Gregory L Cvetanovich, Michael L Pearl, Peter N Chalmers, Markus A Wimmer, Nikhil N Verma, Brian J Cole, Anthony A Romeo, Gregory L Cvetanovich, Michael L Pearl
CONTEXT: The overhand pitch is one of the fastest known human motions and places enormous forces and torques on the upper extremity. Shoulder and elbow pain and injury are common in high-level pitchers. A large body of research has been conducted to understand the pitching motion. EVIDENCE ACQUISITION: A comprehensive review of the literature was performed to gain a full understanding of all currently available biomechanical and clinical evidence surrounding pitching motion analysis...
May 2017: Sports Health
https://www.readbyqxmd.com/read/28005101/ulnar-collateral-ligament-reconstruction-current-philosophy-in-2016
#16
E Lyle Cain, Taylor P Mathis
The ulnar collateral ligament (UCL) is the primary static restraint to valgus stress at the elbow. Since Jobe pioneered reconstruction in 1974, thousands of throwers have undergone UCL reconstruction, and good results have been achieved. The high-profile nature of the elite pitcher has brought this technique into the spotlight, and extensive research has been performed with new techniques emerging. The standard reconstruction, modified only slightly since Jobe's original description, remains the gold standard for treatment of UCL insufficiency...
November 2016: American Journal of Orthopedics
https://www.readbyqxmd.com/read/27940806/treatment-for-ulnar-neuritis-around-the-elbow-in-adolescent-baseball-players-factors-associated-with-poor-outcome
#17
Masahiro Maruyama, Hiroshi Satake, Masatoshi Takahara, Mikio Harada, Tomohiro Uno, Nariyuki Mura, Michiaki Takagi
BACKGROUND: Ulnar neuritis around the elbow is one of the injuries seen in throwing athletes. Outcomes of nonsurgical treatment and factors associated with failure outcomes have not been reported. PURPOSE: To investigate the outcomes of treatments for ulnar neuritis in adolescent baseball players. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: We assessed 40 male baseball players with a mean age of 15.0 years (range, 13-17 years) who presented with ulnar neuritis...
March 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27903163/ultrasound-imaging-of-ulnar-collateral-ligament-injury
#18
Arie J van Duijn, Shawn D Felton
The patient was an 18-year-old collegiate baseball pitcher who injured his right throwing elbow during an overhead slider pitch. As a part of a study, preinjury ultrasound images of the throwing arm were obtained 2 weeks prior to the injury. One day postinjury, repeat ultrasound imaging of the medial elbow was performed. The attending team physician ordered a magnetic resonance arthrogram 2 days after injury, which confirmed the presence of a complete tear of the ulnar collateral ligament. J Orthop Sports Phys Ther 2016;46(12):1086...
December 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27896290/do-clinical-results-and-return-to-sport-rates-after-ulnar-collateral-ligament-reconstruction-differ-based-on-graft-choice-and-surgical-technique
#19
Brandon J Erickson, Gregory L Cvetanovich, Rachel M Frank, Bernard R Bach, Mark S Cohen, Charles A Bush-Joseph, Brian J Cole, Anthony A Romeo
BACKGROUND: Ulnar collateral ligament reconstruction (UCLR) has become a common procedure performed in overhead-throwing athletes of many athletic levels. PURPOSE/HYPOTHESIS: The purpose of this study was to determine whether clinical outcomes and return-to-sport (RTS) rates differ among patients undergoing UCLR based on graft choice, surgical technique, athletic competition level, handedness, and treatment of the ulnar nerve. We hypothesized that no differences would exist in clinical outcomes or RTS rates between technique, graft choice, or other variables...
November 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27872403/biomechanical-analysis-of-weighted-ball-exercises-for-baseball-pitchers
#20
Glenn S Fleisig, Alek Z Diffendaffer, Kyle T Aune, Brett Ivey, Walter A Laughlin
BACKGROUND: Weighted-ball throwing programs are commonly used in training baseball pitchers to increase ball velocity. The purpose of this study was to compare kinematics and kinetics among weighted-ball exercises with values from standard pitching (ie, pitching standard 5-oz baseballs from a mound). HYPOTHESIS: Ball and arm velocities would be greater with lighter balls and joint kinetics would be greater with heavier balls. STUDY DESIGN: Controlled laboratory study...
May 2017: Sports Health
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