Elbow Pain and Injury in Young Athletes

Kramer, Dennis E.

doi:10.1097/bpo.0b013e3181c9b889

Cited by 19 publications

(11 citation statements)

References 37 publications

(39 reference statements)

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“…Kramer [9] notes in a review on elbow injuries in the young athlete that ulnar collateral ligament injury -a phenomenon once seen only in older, high-level throwing athletes and made famous by the 'Tommy John' surgery -is now being seen in adolescent and high-school throwers as well.…”

Section: Upper Extremitymentioning

confidence: 98%

Stopping sports injuries in kids

Franklin

Weiss²

2012

Current Opinion in Pediatrics

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Section: Upper Extremitymentioning

confidence: 98%

Stopping sports injuries in kids

Franklin

Weiss²

2012

Current Opinion in Pediatrics

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“…Overuse elbow injuries in gymnasts are attributed to the abduction (valgus) stress at surface contact accompanied by high external ground-reaction and axial compression forces applied on the elbow joint. 18,33,34 The repetitive UE weightbearing exposes the elbow and wrist joints of gymnasts to large impact loads, which unsurprisingly leads to both acute and chronic injuries. 4,10,34 Gymnastics training has been associated with 100 impacts per single training session on the UEs, with peak magnitudes of 3.6 times body weight.…”

Section: Biomechanics Of the Elbow In Gymnasticsmentioning

confidence: 99%

“…These skills lead to high vertical ground-reactive forces, high elbow compressive forces, and high elbow internal adduction moments, which result in specific upper extremity injury patterns, especially at the elbow. 18,33,34 The purpose of this review is to comprehensively discuss elbow injuries seen in gymnasts, with a focus on how diagnostic and treatment considerations differ in this population as compared with other athletes.…”

mentioning

confidence: 99%

Overuse Elbow Injuries in Youth Gymnasts

et al. 2021

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Background: Gymnastics is a unique sport that places significant loads across the growing elbow, resulting in unique overuse injuries, some of which are poorly described in the current literature. Purpose: To provide a comprehensive review of the unique overuse elbow injuries seen in youth gymnasts and to provide an up-to-date synthesis of the available literature and clinical expertise guiding treatment decisions in this population. Study Design: Narrative review. Methods: A review of the PubMed database was performed to include all studies describing elbow biomechanics during gymnastics, clinical entities of the elbow in gymnasts, and outcomes of operative and/or nonoperative treatment of elbow pathology in gymnasts. Results: Participation in gymnastics among youth athletes is high, being the sixth most common sport in children. Early specialization is the norm in this sport, and gymnastics also has the highest number of participation hours of all youth sports. As a result, unique overuse elbow injuries are common, primarily on the lateral side of the elbow. Beyond common diagnoses of radiocapitellar plica and osteochondritis dissecans of the capitellum, we describe a pathology unique to gymnasts involving stress fracture of the radial head. Additionally, we synthesized our clinical experience and expertise in gymnastics to provide a sport-specific rehabilitation program that can be used by providers treating surgical and nonsurgical conditions of the elbow and wishing to provide detailed activity instructions to their athletes. Conclusion: Overuse injuries of the elbow are common in gymnastics and include osteochondritis dissecans of the capitellum, radiocapitellar plica syndrome, and newly described radial head stress fractures. A thorough understanding of the psychological, cultural, and biomechanical aspects of gymnastics are necessary to care for these athletes.

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“…Elbow injuries are increasingly encountered in throwing athletes. 1 Overhead throwing subjects the elbow to significant angular and torsional forces, resulting in a spectrum of overuse injuries. 2 , 3 Repetitive overload may lead to the development of posteromedial bone spurs, 4 laxity of the ulnar collateral ligament, 5 intra-articular loose bodies, and capsular contracture.…”

Section: Introductionmentioning

confidence: 99%

Reliable Pain Relief But Variable Return to Play After Arthroscopic Elbow Debridement in Baseball Players

Stenson

Cheesman

Kirsch

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

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We sought to determine the rate of return to play (RTP) in baseball players following arthroscopic elbow debridement for the management of the symptomatic elbow. Methods: A retrospective case series with prospectively collected data via questionnaire was conducted on all baseball players who underwent an arthroscopic elbow debridement, from July, 15, 2004 to November 1, 2017. A postoperative questionnaire was released at an average 7.25 year follow-up. Data collected included age, gender, laterality, preoperative diagnosis, range of motion, duration and characterization of symptoms, visual analog scale (VAS) pain score, complications, level of play, and RTP. Results: Follow-up data were available on 18 baseball players. Average age was 19.7 years (range 16-24). Seventeen were pitchers, and 1 was a catcher. Level of play included 12 collegiate athletes, 2 high school athletes, 2 recreational athletes, 1 minor league athletes, and 1 major league athlete. Rate of RTP was 61% (11/18) with 6 returning to a greater level and 5 to an equal level. The length of time to RTP following surgery was most commonly within 6-8 months (44.4%, 8/18). Mean VAS pain score improved from 6.9 to 0.75 (P ¼ <.001). 27.8% (5/18) had repeat surgery secondary to recurrent/persistent stiffness or heterotopic ossification. 77.8% (14/18) of patients rated their final outcome as either "very satisfied" (9/18), or "satisfied" (5/18). Conclusion: Pain can reliably be relieved following arthroscopic elbow debridement in baseball players. Although patient satisfaction may be high, patients do not always return to their previous level of play. Patients must be counseled on the risk of limited postoperative athletic capacity before the time of surgery.

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Elbow Pain and Injury in Young Athletes

Cited by 19 publications

References 37 publications

Stopping sports injuries in kids

Stopping sports injuries in kids

Overuse Elbow Injuries in Youth Gymnasts

Reliable Pain Relief But Variable Return to Play After Arthroscopic Elbow Debridement in Baseball Players

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