Little Leaguer Elbow

Little Leaguer’s Elbow, or Medial Apophysitis, occurs when repetitive throwing creates an excessively strong pull on the tendons and ligaments of the elbow. The young player feels pain on the inside of the elbow.

Repeated pulling can tear ligaments and tendons away from the bone. This can disrupt normal bone growth, resulting in deformity.

Osteochondritis Dissecans is also caused by excessive throwing, and may be the source of the pain on the outside of the elbow. In this condition, unbalanced muscle pull can loosen or fragment the bone and cartilage.

Symptoms include

• Elbow pain
• Restricted range of motion
• Locking of the elbow joint
Nonsurgical Treatment is the mainstay, and includes
• Rest.
• Ice
• Refined throwing mechanics.

Surgery is occasionally necessary.

Prevention is the key
The general guideline for how many pitches a child can safely throw each week is 75 for 8-10 year olds, 100 for 11-12 year olds, and 125 for 13-14 year olds. This includes both practice and competitive play. In addition, curveballs should be avoided until after age 12.

For more information, visit our website or call us for an appointment to see one of our orthopaedic surgeons. Or better yet, listen to the Sports Doctors on Wednesdays at 6 PM and Saturdays at 7 AM on Team 1010 KXPS or

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