Little league shoulder

Current Opinion in Pediatrics

Volumn 22, Issue 1, 2010, Pages 35-40

  Osbahr, Daryl C ^a   Kim, Han Jo ^a   Dugas, Jeffrey R ^b  

^a WEILL CORNELL MEDICAL COLLEGE   (United States)

^b ST VINCENT S HOSPITAL   (United States)

Author keywords

Little league shoulder; Proximal humerus physis; Youth baseball

Indexed keywords

BASEBALL; BIOMECHANICS; CLINICAL EVALUATION; EPIPHYSIOLYSIS; HUMAN; JOINT MOBILITY; PATHOPHYSIOLOGY; PHYSIOTHERAPY; PRIORITY JOURNAL; RADIODIAGNOSIS; REST; REVIEW; SHOULDER PAIN;

BASEBALL; BIOMECHANICS; CHILD; EPIPHYSES; HEALTH EDUCATION; HUMANS; HUMERUS; MAGNETIC RESONANCE IMAGING; PHYSICAL EXAMINATION; RANGE OF MOTION, ARTICULAR; SHOULDER PAIN;

EID: 75749100310     PISSN: 10408703     EISSN: None     Source Type: Journal    
DOI: 10.1097/MOP.0b013e328334584c     Document Type: Review

References (25)

1. Dotter WE. Little leaguer's shoulder: a fracture of the proximal epiphysial cartilage of the humerus due to baseball pitching. Guthrie Clin Bull 1953; 23:68-72.
2. Adams JE. Little league shoulder: osteochondrosis of the proximal humeral epiphysis in boy baseball pitchers. Calif Med 1966; 105:22-25.
3. Albert MJ, Drvaric DM. Little league shoulder: case report. Orthopedics 1990; 13:779-781.
4. Barnett LS. Little league shoulder syndrome: proximal humeral epiphyseolysis in adolescent baseball pitchers. A case report. J Bone Joint Surg Am 1985; 67:495-496.
5. Keeley DW, Hackett T, Keirns M, et al. A biomechanical analysis of youth pitching mechanics. J Pediatr Orthop 2008; 28:452-459.
6. Kocher MS, Waters PM, Micheli LJ. Upper extremity injuries in the paediatric athlete. Sports Med 2000; 30:117-135.
7. Sabick MB, Kim YK, Torry MR, et al. Biomechanics of the shoulder in youth baseball pitchers: implications for the development of proximal humeral epiphysiolysis and humeral retrotorsion. Am J Sports Med 2005; 33:1716-1722.
8. Dillman CJ, Fleisig GS, Andrews JR. Biomechanics of pitching with emphasis upon shoulder kinematics. J Orthop Sports Phys Ther 1993; 18:402-408.
9. CarsonWGJr, Gasser SI. Little leaguer's shoulder. A report of 23 cases. Am J Sports Med 1998; 26:575-580.
10. Bishop JY, Flatow EL. Pediatric shoulder trauma. ClinOrthop Relat Res 2005; 432:41-48.
11. Cahill BR, Tullos HS, Fain RH. Little league shoulder: lesions of the proximal humeral epiphyseal plate. J Sports Med 1974; 2:150-152.
12. Tullos HS, Fain RH. Little league shoulder: rotational stress fracture of proximal epiphysis. J Sports Med 1974; 2:152-153.
13. Torg JS. The little league pitcher. Am Fam Physician 1972; 6:71-76.
14. Ireland ML, Andrews JR. Shoulder and elbow injuries in the young athlete. Clin Sports Med 1988; 7:473-494.
15. Meister K, Day T, Horodyski M, et al. Rotational motion changes in the glenohumeral joint of the adolescent/Little league baseball player. Am J Sports Med 2005; 33:693-698.
16. Nakamizo H, Nakamura Y, Nobuhara K, et al. Loss of glenohumeral internal rotation in little league pitchers: a biomechanical study. J Shoulder Elbow Surg 2008; 17:795-801.
17. Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: spectrum of pathology. Part I: Pathoanatomy and biomechanics. Arthroscopy 2003; 19:404-420.
18. Kibler WB, Chandler TJ, Livingston BP, et al. Shoulder range of motion in elite tennis players. Effect of age and years of tournament play. Am J Sports Med 1996; 24:279-285.
19. Murachovsky J, Ikemoto RY, Nascimento LG, et al. Does the presence of proximal humerus growth plate changes in young baseball pitchers happen only in symptomatic athletes? A X-ray evaluation of 21 young baseball pitchers. Br J Sports Med 2008. [Epub ahead of print]. doi:10. 1136/ bjsm. 2007. 044503.
20. Obembe OO, Gaskin CM, Taffoni MJ, et al. Little leaguer's shoulder (proximal humeral epiphysiolysis): MRI findings in four boys. Pediatr Radiol 2007; 37:885-889.
21. Song JC, Lazarus ML, Song AP. MRI findings in little leaguer's shoulder. Skeletal Radiol 2006; 35:107-109.
22. Hatem SF, Recht MP, Profitt B. MRI of little leaguer's shoulder. Skeletal Radiol 2006; 35:103-106.
23. Fleisig G, Chu Y, Weber A, et al. Variability in baseball pitching biomechanics among various levels of competition. Sports Biomech 2009; 8:10-21.
24. Lyman S, Fleisig GS, Andrews JR, et al. Effect of pitch type, pitch count, and pitching mechanics on risk of elbow and shoulder pain in youth baseball pitchers. Am J Sports Med 2002; 30:463-468.
25. USA Baseball Medical & Safety Advisory Committee. Youth baseball pitching injuries. November 2008. [Accessed 1 August 2009]