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Little Leaguers Shoulder

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1. Little Leaguer's Shoulder Can Cause Severe Three-Dimensional Humeral Deformity (PubMed)

Little Leaguer's Shoulder Can Cause Severe Three-Dimensional Humeral Deformity 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, 135.1°), and it was also deformed in the extension direction (21.0°). This case demonstrates that little leaguer's shoulder can cause markedly greater humeral retroversion than has been reported previously and can result in varus and extension deformation of the humerus. These findings suggest that humeral deformity in overhead throwing athletes may not always solely reflect adaptation to throwing.

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2017 Clinics in orthopedic surgery

2. Humeral Retroversion and Injury Risk After Proximal Humeral Epiphysiolysis (Little Leaguer's Shoulder). (PubMed)

Humeral Retroversion and Injury Risk After Proximal Humeral Epiphysiolysis (Little Leaguer's Shoulder). The increased humeral retroversion on the dominant side of throwing athletes is thought to result from repetitive throwing motion. Little Leaguer's shoulder-a rotational stress fracture of the proximal humeral epiphyseal plate-may influence the risk of humeral retroversion and injury of the shoulder or elbow joint.To investigate the effect of Little Leaguer's shoulder on humeral retroversion (...) and the rates of shoulder and elbow injuries.Cohort study; Level of evidence, 3.10 high school baseball players (average age, 16.6 years; range, 16-18 years) who had experienced Little Leaguer's shoulder during elementary or junior high school (average age, 12.6 years; range, 11-15 years) were enrolled in the study. As a control group, 22 high school baseball players (average age, 16.9 years; range, 16-18 years) who had never had any shoulder or elbow injury during elementary and junior high school were

2019 American Journal of Sports Medicine

3. Little Leaguer's Shoulder

Little Leaguer's Shoulder Little Leaguers Shoulder Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Little Leaguer's Shoulder Little (...) Leaguer's Shoulder Aka: Little Leaguer's Shoulder From Related Chapters II. Definition Proximal physis injury with open III. Epidemiology Age distribution: 9 to 16 years old (mean age 14) Seen in young athletes involved with overhead activity Racquet sports Volleyball Baseball Swimming Gymnastics Most common occurence in young pitchers Especially with breaking pitches (e.g. curve balls) IV. Pathophysiology Stress injury to proximal humeral physis Injury secondary to throwing sports (esp. pitching

2018 FP Notebook

4. Little Leaguer's Shoulder

Little Leaguer's Shoulder Little Leaguers Shoulder Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Little Leaguer's Shoulder Little (...) Leaguer's Shoulder Aka: Little Leaguer's Shoulder From Related Chapters II. Definition Proximal physis injury with open III. Epidemiology Age distribution: 9 to 16 years old (mean age 14) Seen in young athletes involved with overhead activity Racquet sports Volleyball Baseball Swimming Gymnastics Most common occurence in young pitchers Especially with breaking pitches (e.g. curve balls) IV. Pathophysiology Stress injury to proximal humeral physis Injury secondary to throwing sports (esp. pitching

2015 FP Notebook

5. Chronic pain due to Little Leaguer’s Shoulder in an adolescent baseball pitcher: a case report (PubMed)

Chronic pain due to Little Leaguer’s Shoulder in an adolescent baseball pitcher: a case report To describe a case of chronic Little Leaguer's Shoulder in reference to pain presentation, physical capabilities, and recovery time.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.Prior to proper diagnosis, conservative treatment had consisted of activity modification, spinal adjusting, laser therapy, shockwave therapy, Active Release Techniques(®), Kinesiotape,(®) and rehabilitation. Later, rehabilitation, consisting of general muscle and core strengthening, continued for a further six months under the supervision of college athletic trainers

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2015 The Journal of the Canadian Chiropractic Association

6. High incidence of posterior glenoid dysplasia of the shoulder in young baseball players. (PubMed)

, 30 were diagnosed with Little Leaguer's shoulder and 62 with a painful baseball-throwing shoulder with no abnormal findings on x-ray. The posterior glenoid rim of the affected shoulder was compared with the contralateral nonpainful shoulder, with the 2 following outcomes measured on radiographs obtained using the modified Bernageau imaging method: the distance between the anterior and posterior glenoid rims and the presence or absence of dysplasia of the posterior glenoid rim.The mean distance (...) High incidence of posterior glenoid dysplasia of the shoulder in young baseball players. Rounding of the posterior glenoid rim is observed in young throwing athletes with internal shoulder impingement and is considered developmental dysplasia of the glenoid. The aim of our study was to determine the incidence rate of dysplastic changes of the glenoid within a group of 92 young baseball players.The study group included 92 male baseball players, with a mean age of 14.63 years. Of these patients

2018 Journal of Shoulder and Elbow Surgery

7. Little League Shoulder—Osteochondrosis of the Proximal Humeral Epiphysis in Boy Baseball Pitchers (PubMed)

Little League Shoulder—Osteochondrosis of the Proximal Humeral Epiphysis in Boy Baseball Pitchers 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. Since these entities became evident with the establishment of organized baseball programs for boys in this age group, better medical supervision and rule changes to limit the amount of pitching until the epiphyses close, are urgently needed.

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1966 California Medicine

8. CRACKCast E052 – Orthopedics – Humerus and Elbow

associated with humeral shaft fracture Most of these are thought to self-resolving neuropraxia and managed non-operatively with watchful waiting for months If the nerve palsy occurs post-reduction/manipulation, it is likely nerve entrapment and needs exploration operatively! The humerus is a common site for metastatic bone cancers or benign cysts 6) Describe 3 injuries common in Little-leaguer’s elbow An adolescent thrower traumatises his/her immature elbow epiphyses by repetitive throwing Usually (...) the reduced fracture more than 90 degrees, keep the arm elevated, gentile reduction Compartment syndrome Leading to volkmann’s ischemic contracture from prolonged forearm ischemia – is rare <0.5% Loss of the normal carrying angle Most common because valgus/varus deformities have little chance of remodeling Leads to cubitus varus “gunstock” deformity – with cosmetic problems long term Baumann’s angle can be used to assess the adequacy of reduction Injury to nerves Interosseous nerve is most commonly

2016 CandiEM

9. Stress (Fatigue/Insufficiency) Fracture, Including Sacrum, Excluding Other Vertebrae

and healing time for stress injuries with emphasis on the foot. Clin Nucl Med. 2011;36(3):186-191. 10. Bryant LR, Song WS, Banks KP, Bui-Mansfield LT, Bradley YC. Comparison of planar scintigraphy alone and with SPECT for the initial evaluation of femoral neck stress fracture. AJR Am J Roentgenol. 2008;191(4):1010-1015. 11. Hatem SF, Recht MP, Profitt B. MRI of Little Leaguer's shoulder. Skeletal Radiol. 2006;35(2):103-106. 12. Liong SY, Whitehouse RW. Lower extremity and pelvic stress fractures

2016 American College of Radiology

10. Completing preparticipation physical evaluations for the fall sports season in schools

is a list of the common sports taking place during the fall: Soccer Football Cross Country Tennis Volleyball Golf Field Hockey Cheerleading With all of these fall sports, there is a chance of injury. Medical practitioners need to be ready to address some or all of the following : Concussion ACL Tear or Strain Ankle Sprain Back Overuse Stress Fractures Groin Pull Hamstring Strain Heat & Dehydration Hip Flexor Strain Jumper’s Knee Little Leaguer’s Elbow Patellofemoral Syndrome Plantar Fasciitis Runner’s (...) Knee Sciatica Shin Splints Shoulder Injury Tennis/Golf Elbow Wrist Injury Competency areas of medical professionals to help young athletes To prepare adolescents to engage in fall sports, above and beyond filling out a sports physical form, a medical professional should be in the following areas: Rehabilitation/Return to Activity: Rehabilitation of athletes who suffer from impairments, functional limitations or disabilities with a focus on returning to the sporting activity of their choice. Acute

2019 British Journal of Sports Medicine Blog

11. 6 Common Reasons For Pain In The Elbow

arthroscopy, or scope can remove the loose piece, but the damage has been done. Any overhead athlete with pain on the outer side of the elbow for 10-14 days should be evaluated by a Sports Medicine professional. Normal growth plate Little Leaguers Elbow : Our children are still growing. Therefore they have growth plates within their bones. That little growth plate where the arrow is in the picture has many muscles on ligaments attaching to the small round piece of bone next to it. A growth plate has (...) heavy manual labor. If you are helping your buddy carry something and they let go of their end and you feel a pop in your elbow, you more than likely tore your biceps tendon. It is possible to tear the triceps tendon as well… but this is a very rare injury. Both biceps and triceps tendon tears tend to require surgical repair. Ulnar nerve : Your “funny bone” isn’t actually a bone at all :-) It is the which resides on the inner side of your elbow. It is in a little tunnel we call the cubital tunnel

2016 Howard J. Luks, MD blog

12. Medial Epicondylitis (Diagnosis)

has also been reported in bowlers, archers, and weight lifters. [ , , , ] Little leaguer's elbow is sometimes considered a variant of medial epicondylitis, but this condition is technically a traction apophysitis of the medial epicondyle, which requires a different treatment course. For patient education resources, see the , as well as . Next: Epidemiology Frequency United States Medial epicondylitis accounts for only 10-20% of all epicondylitis diagnoses [ ] ; the annual incidence is between 3-4 (...) NS, Schickendantz MS. Medial epicondylitis: evaluation and management. J Am Acad Orthop Surg . 2015 Jun. 23 (6):348-55. . Kiel J, Kaiser K. Golfers Elbow. StatPearls [Internet] . 2018 Jan. . . Kohn HS. Prevention and treatment of elbow injuries in golf. Clin Sports Med . 1996 Jan. 15(1):65-83. . Nirschl RP. Prevention and treatment of elbow and shoulder injuries in the tennis player. Clin Sports Med . 1988 Apr. 7(2):289-308. . Nirshal RP. Muscle and tendon trauma: tennis elbow. The Elbow and Its

2014 eMedicine.com

13. Medial Epicondylitis (Overview)

has also been reported in bowlers, archers, and weight lifters. [ , , , ] Little leaguer's elbow is sometimes considered a variant of medial epicondylitis, but this condition is technically a traction apophysitis of the medial epicondyle, which requires a different treatment course. For patient education resources, see the , as well as . Next: Epidemiology Frequency United States Medial epicondylitis accounts for only 10-20% of all epicondylitis diagnoses [ ] ; the annual incidence is between 3-4 (...) NS, Schickendantz MS. Medial epicondylitis: evaluation and management. J Am Acad Orthop Surg . 2015 Jun. 23 (6):348-55. . Kiel J, Kaiser K. Golfers Elbow. StatPearls [Internet] . 2018 Jan. . . Kohn HS. Prevention and treatment of elbow injuries in golf. Clin Sports Med . 1996 Jan. 15(1):65-83. . Nirschl RP. Prevention and treatment of elbow and shoulder injuries in the tennis player. Clin Sports Med . 1988 Apr. 7(2):289-308. . Nirshal RP. Muscle and tendon trauma: tennis elbow. The Elbow and Its

2014 eMedicine.com

14. Stress Fractures (Treatment)

, with the possible exception of fractures through the physis of the humeral head (little leaguer's shoulder) and fractures through the medial epicondyle (little leaguer's elbow), which may have complications due to the involvement of the growth plate. Other low-risk fractures include stress fractures of the ribs, pelvis, femoral shaft, fibula, calcaneus, and metatarsal shafts. Previous Next: Prevention Nutritional measures Regarding fracture risk, Schwellnus and Jordaan found no benefit with calcium

2014 eMedicine Surgery

15. Stress Fractures (Follow-up)

, with the possible exception of fractures through the physis of the humeral head (little leaguer's shoulder) and fractures through the medial epicondyle (little leaguer's elbow), which may have complications due to the involvement of the growth plate. Other low-risk fractures include stress fractures of the ribs, pelvis, femoral shaft, fibula, calcaneus, and metatarsal shafts. Previous Next: Prevention Nutritional measures Regarding fracture risk, Schwellnus and Jordaan found no benefit with calcium

2014 eMedicine Surgery

16. Rotational motion changes in the glenohumeral joint of the adolescent/Little League baseball player. (PubMed)

and only 21.3 degrees at age 16. In the non-dominant arms, internal rotation for 8-year-olds averaged 42.2 degrees and only 33.1 degrees for 16-year-olds.Elevation and total range of motion decreased as age increased. These changes may be consequences of both bone and soft tissue adaptation. The most dramatic decline in total range of motion was seen between the 13-year-olds and 14-year-olds, in the year before peak incidence of Little Leaguer's shoulder. This decrease in rotational motion may cause (...) Rotational motion changes in the glenohumeral joint of the adolescent/Little League baseball player. 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.Changes in glenohumeral rotational motion in the shoulder of the Little League/adolescent baseball player occur during the most formative years of physical development.Cross-sectional

2005 American Journal of Sports Medicine

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