Best Practice Case Studies-Overuse Throwing Injuries in Skeletally Immature Athletes

Pdf Summary

The article by Ken Mautner, MD, and Joseph Blazuk, MD, discusses the prevalence, diagnosis, treatment, and prevention of overuse throwing injuries in skeletally immature athletes, predominantly in baseball. Participation in organized sports among young athletes is increasing, leading to a rise in injuries like Little Leaguer's shoulder and elbow due to repetitive throwing motions. Despite guidelines to prevent these injuries, many misconceptions persist, and adherence to recommended practices remains inadequate. High-velocity, high-volume throwing, and pitching while fatigued are major risk factors for injuries.<br /><br />Studies show that many coaches, players, and parents are unaware or dismissive of the importance of pitch count guidelines. For instance, a significant percentage of baseball influencers do not believe pitch count affects injury risk. Furthermore, many believe surgery such as Tommy John, originally for treatment, could be preventive, boosting performance even without injury.<br /><br />Pitchers, particularly young ones, are at a higher risk of shoulder and elbow injuries. Epidemiological studies highlight a substantial prevalence of these injuries among young athletes. Risk factors besides age-related anatomical differences include poor throwing mechanics and participation in multiple leagues or year-round play leading to overuse.<br /><br />The paper also provides treatment practices for conditions such as medial epicondylar apophysitis and osteochondritis dissecans, emphasizing rest, rehabilitation, proper pitching mechanics, and gradual, supervised return to play. Furthermore, studies suggest that correcting pitching techniques early can mitigate the risk of serious injuries.<br /><br />Prevention strategies focus on stress reduction, proper pitching mechanics, age-appropriate pitch counts, and regular rest periods. By implementing preventive measures and improving education on risks and guidelines, young athletes can maintain a healthy sports involvement while minimizing injury risks. The authors urge continued education and adherence to safety protocols to protect young athletes and ensure they enjoy the many benefits sports participation offers.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 44

Topic Pediatric Issues

Keywords

3rd Edition, CASE 44

3rd Edition

Pediatric Issues

overuse injuries

skeletally immature athletes

baseball

Little Leaguer's shoulder

pitch count guidelines

Tommy John surgery

medial epicondylar apophysitis

osteochondritis dissecans

proper pitching mechanics

injury prevention