Little league elbow, seen in throwers aged 8 to 14 years, especially pitchers and catchers, is an overuse injury to the fusing medial epicondyle apophysis from repetitive throwing. During the acceleration phase of pitching or the pull through during swimming a large valgus stress is placed on the medial elbow. Athletes typically present with medial elbow pain during throwing and sometimes at rest. Weakness and pain are present with resisted wrist flexion and pronation. The athlete has pain with valgus stress to the elbow and may lack full elbow extension. Occasionally, ulnar nerve irritation causes parasthesias in the ulnar distribution. Comparison radiographs may be necessary to appreciate widening or sclerosis of the medial epicondyle
apophysis (Fig. 16). Acute avulsion injuries may present with acute mechanical symptoms of catching and locking.
Rehabilitation focuses initially on rest from throwing, pitching, and overhead activity for six weeks to six months. This restriction includes no upper extremity weight bearing or lifting activities, which may continue to injure the affected area. The daily rehabilitation program focuses on flexibility and strengthening of the scapular stabilizers, rotator cuff, and wrist flexors. Core body strengthening is another important focus of rehabilitation as power and control during pitching comes from these muscles and deficits can contribute to injury and reinjury. Occasionally, surgical fixation of the avulsed fragment is necessary. Attention to proper throwing form is imperative when the athlete returns to throwing and pitching. Athletes must complete a throwing program before returning to overhead throwing activity. Prevention of little league elbow should be a primary focus of baseball organizations, coaches, parents, and athletes. Recent studies suggest that some degree of conditioning is necessary to avoid injury; however, excessive pitching or overhead activity may lead to further injury. Players younger that 14 years of age should not throw curve balls or sliders. Pitch counts should be followed to prevent excessive throwing and the likelihood for injury.
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Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.