Upper extremity physeal injury in young baseball pitchers

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Bibliographic Details
Title translated into German:Physeal-Verletzung im Bereich der oberen Extremitäten junger Baseball-Pitcher
Author:Saltzman, Bryan M.; Chalmers, Peter N.; Mascarenhas, Randy; Cole, Brian J.; Romeo, Anthony A.
Published in:The physician and sportsmedicine
Published:42 (2014), 3, S. 100-111, Lit.
Format: Publications (Database SPOLIT)
Publication Type: Journal article
Media type: Electronic resource (online) Print resource
ISSN:0091-3847, 2326-3660
Online Access:
Identification number:PU201902001452

Author's abstract

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. There is a growing understanding that these injuries occur on a wide spectrum from delayed physeal closure and physeal widening to acute transphyseal fracture. Although operative intervention is infrequently required, patient and parent counseling can be complex. Health care professionals who care for adolescent baseball players also can play an important role in prevention. Appropriate counseling requires a comprehensive understanding of the clinical, radiographic, and biomechanical aspects of these injuries. This review summarizes these major concepts, focusing on the best available evidence from recent biomechanical and clinical studies on shoulder and elbow injuries in adolescent baseball pitchers.