Little League Elbow Syndrome Differential Diagnoses

  • Author: Holly J Benjamin, MD, FACSM, FAAP; Chief Editor: Sherwin SW Ho, MD   more...
 
Updated: Apr 19, 2011
 
 

Differential Diagnoses

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Contributor Information and Disclosures
Author

Holly J Benjamin, MD, FACSM, FAAP  Assistant Professor of Clinical Pediatrics and Surgery, Section of Orthopedic Surgery and Rehabilitation Medicine, The University of Chicago and The University of Chicago Physicians Group; Appointed Director of Primary Care Sports Medicine, The University of Chicago

Holly J Benjamin, MD, FACSM, FAAP is a member of the following medical societies: American Academy of Pediatrics, American College of Sports Medicine, and American Medical Society for Sports Medicine

Disclosure: Nothing to disclose.

Coauthor(s)

Igor Boyarsky, DO  Primary Treating Physician, East Los Angeles Center for Orthopedic and Rehabilitation

Igor Boyarsky, DO is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, and American Osteopathic Association

Disclosure: Nothing to disclose.

Christian Rank, MD  Staff Physician, Department of Emergency Medicine, Martin Luther King/Charles R Drew Medical Center

Christian Rank, MD is a member of the following medical societies: American College of Emergency Physicians

Disclosure: Nothing to disclose.

Eleby R Washington III, MD, FACS  Associate Professor, Department of Surgery, Division of Orthopedics, Charles R Drew University of Medicine and Science

Eleby R Washington III, MD, FACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American College of Surgeons, American Medical Association, International College of Surgeons, and National Medical Association

Disclosure: Nothing to disclose.

Specialty Editor Board

Andrew D Perron, MD  Residency Director, Department of Emergency Medicine, Maine Medical Center

Andrew D Perron, MD is a member of the following medical societies: American College of Emergency Physicians, American College of Sports Medicine, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Senior Pharmacy Editor, eMedicine

Disclosure: eMedicine Salary Employment

Jon B Whitehurst, MD  Clinical Instructor of Surgery, University of Illinois College of Medicine; Partner, Rockford Orthopedic Associates; Orthopedic Chairman, Rockford Memorial Hospital

Jon B Whitehurst, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, and Arthroscopy Association of North America

Disclosure: Nothing to disclose.

Chief Editor

Sherwin SW Ho, MD  Associate Professor, Department of Surgery, Section of Orthopedic Surgery and Rehabilitation Medicine, University of Chicago

Sherwin SW Ho, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, Arthroscopy Association of North America, and Herodicus Society

Disclosure: Breg, Inc. Consulting fee Consulting; Biomet, Inc. Consulting fee Consulting; GMV, Inc. Arthroscopy Simulator Evaluation and teaching; Smith and Nephew Grant/research funds Fellowship funding; DJ Ortho Grant/research funds Course funding; Athletico Physical Therapy Grant/research funds Course, research funding

References

  1. Bradley JP. Upper extremity: elbow injuries in children and adolescents. In: Stanitski CL, DeLee JC, Drez D Jr, eds. Pediatric and Adolescent Sports Medicine. Vol 3. Baltimore, Md: WB Saunders Co; 1994:242-61.

  2. Benjamin HJ, Briner WW Jr. Little league elbow. Clin J Sport Med. Jan 2005;15(1):37-40. [Medline].

  3. Congeni J. Treating and preventing little league elbow. Phys Sportsmed. 1994;22(3):54-64.

  4. Emery HM. Considerations in child and adolescent athletes. Rheum Dis Clin North Am. Aug 1996;22(3):499-513. [Medline].

  5. Micheli LJ. Overuse injuries in children's sports: the growth factor. Orthop Clin North Am. Apr 1983;14(2):337-60. [Medline].

  6. Patel DR, Nelson TL. Sports injuries in adolescents. Med Clin North Am. Jul 2000;84(4):983-1007, viii. [Medline].

  7. Rudzki JR, Paletta GA Jr. Juvenile and adolescent elbow injuries in sports. Clin Sports Med. Oct 2004;23(4):581-608, ix. [Medline].

  8. Stanitski CL. Combating overuse injuries: a focus on children and adolescents. Phys Sportsmed. 1993;21(1):87-106.

  9. Stanitski CL. Pediatric and adolescent sports injuries. Clin Sports Med. Oct 1997;16(4):613-33. [Medline].

  10. American Academy of Pediatrics. Risk of injury from baseball and softball in children. Pediatrics. Apr 2001;107(4):782-4. [Medline]. [Full Text].

  11. USA Baseball Medical & Safety Advisory Committee. Youth baseball pitching injuries. November 2008. USA Baseball.com. Available at http://mlb.mlb.com/usa_baseball/article.jsp?story=medsafety11. Accessed January 5, 2009.

  12. Alcid JG, Ahmad CS, Lee TQ. Elbow anatomy and structural biomechanics. Clin Sports Med. Oct 2004;23(4):503-17, vii. [Medline].

  13. Ben Kibler W, Sciascia A. Kinetic chain contributions to elbow function and dysfunction in sports. Clin Sports Med. Oct 2004;23(4):545-52, viii. [Medline].

  14. Hutchinson MR, Wynn S. Biomechanics and development of the elbow in the young throwing athlete. Clin Sports Med. Oct 2004;23(4):531-44, viii. [Medline].

  15. Loftice J, Fleisig GS, Zheng N, Andrews JR. Biomechanics of the elbow in sports. Clin Sports Med. Oct 2004;23(4):519-30, vii-viii. [Medline].

  16. Behr CT, Altchek DW. The elbow. Clin Sports Med. Oct 1997;16(4):681-704. [Medline].

  17. Maloney MD, Mohr KJ, el Attrache NS. Elbow injuries in the throwing athlete. Difficult diagnoses and surgical complications. Clin Sports Med. Oct 1999;18(4):795-809. [Medline].

  18. Cain EL Jr, Dugas JR. History and examination of the thrower's elbow. Clin Sports Med. Oct 2004;23(4):553-66, viii. [Medline].

  19. Colman WW, Strauch RJ. Physical examination of the elbow. Orthop Clin North Am. Jan 1999;30(1):15-20. [Medline].

  20. Fritz RC, Breidahl WH. Radiographic and special studies: recent advances in imaging of the elbow. Clin Sports Med. Oct 2004;23(4):567-80, ix. [Medline].

  21. Ronai J. Eight essentials of post-pitching recovery. USA Baseball.com. Available at http://mlb.mlb.com/usa_baseball/article.jsp?story=medsafety2. Accessed July 17, 2008.

  22. Fleisig GS, Andrews JR, Cutter GR, Weber A, Loftice J, McMichael C, et al. Risk of serious injury for young baseball pitchers: a 10-year prospective study. Am J Sports Med. Feb 2011;39(2):253-7. [Medline].

 
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Table 1
Maximum Pitch Counts — Game Competition



(Adapted From USA Baseball Recommendations)[11]



Age, yPitch Approved to ThrowPitches per GamePitches per WeekPitches per SeasonPitches per Year
9–10Fastball507510002000
11-12Change-up7510010003000
13-14Curveball7512510003000
15-16Slider, forkball, splitter, knuckleball90--
17-18Screwball105--
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