Osteochondritis Dissecans of the Throwing Elbow

Momma

et al. 2017

Tohoku J. Exp. Med.

Elbow or shoulder injuries are common in overhead sports. Because energy derived from the lower extremity passes through the trunk to the upper extremity in overhead motion, a break in such a kinetic chain could lead to arm injuries. However, there is only limited information about the role of the trunk and lower extremity support in preventing elbow or shoulder injuries. This study aimed to explore the association of trunk and lower extremity pain with elbow/shoulder pain among young overhead athletes. We conducted a cross-sectional study using self-reported questionnaires mailed to young athletes belonging to the Miyagi Amateur Sports Association. The final study population comprised 2,215 young athletes playing baseball (n = 1,422), volleyball (n = 546), softball (n = 14), handball (n = 28), tennis (n = 110), or badminton (n = 95). The median age of the participants was 11 years (range: 6 to 15 years). Multiple logistic regression analysis revealed the higher prevalence of elbow and/or shoulder pain in athletes with back pain (OR = 5.52, 95% CI = 3.51-8.69), hip pain (OR = 6.13, 95% CI = 3.35-11.22), knee pain (OR = 2.28, 95% CI = 1.48-3.51), and foot pain (OR = 3.03, 95% CI = 1.95-4.72), compared with those without pain. We propose that trunk or lower extremity pain is significantly associated with elbow or shoulder pain among young overhead athletes. Assessing for pain in trunk or lower extremity, as well as elbow and/or shoulder pain, may help prevent serious injuries in young overhead athletes.

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Section: Introductionmentioning

confidence: 99%

Coexistence of Trunk or Lower Extremity Pain with Elbow and/or Shoulder Pain among Young Overhead Athletes: A Cross-Sectional Study

Momma

et al. 2017

Tohoku J. Exp. Med.

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“…However, many players have to give up playing baseball due to severe arm injuries, and the number, especially in youth players, has been increasing year by year [12, 17, 18, 37]. Continuing to throw with arm symptoms would result in serious injuries such as osteoarthritis due to loose body and osteochondritis dissecans of the elbow [19, 25, 42], rotator cuff tears [6, 43], and osteoarthritis in the shoulder joint [5]. These conditions may lead to long‐term disability for daily living.…”

Section: Introductionmentioning

confidence: 99%

Youth baseball players with elbow and shoulder pain have both low back and knee pain: a cross-sectional study

Knee Surg Sports Traumatol Arthrosc

Momma

et al. 2016

Objectives: Serious arm injuries in youth baseball players have been increasing. Though a breakage in the kinetic chain could affect arm injuries, an association between arm injuries and insufficient support of the trunk and lower extremities have not been well understood. The purpose of this study was to investigate the association of low back and knee pain with elbow and/or shoulder complaints among youth baseball players. Methods: Study participants were mostly school-aged athletes belonging to Junior Sports Club Association of Miyagi prefecture (aged 6 to 15 years old). A self-administered questionnaire and informed consent document were mailed to25,469 registered athletes. Of those, 7,333 athletes replied both written informed consent and questionnaire (response rate was 28.8%). Those who did not play baseball (n = 5,577) and played both baseball and the other sports (n = 26) were excluded from this study. Missing data on variables (n = 192) were also excluded. The final study population was comprised of 1,535 players. We used multiple logistic regression analysis to examine the association of low back and knee pain with elbow and/or shoulder pain. Variables considered in the models were sex, age, BMI, years of athletic experience, position, team level, the amount of practice, participating day in team practice and game per week, frequency of participation in games, and practice intensity. Results: The frequency of elbow and/or shoulder pain was 24.8% (n= 393); that of elbow pain, 14.3% (n = 226); that of shoulder pain, 17.3 % (n = 273); that of both elbow and shoulder pain, 6.6% (n = 105); and that of low back and knee pain were 8.4% (n= 134) and 13.1% (n = 208), respectively. The frequency of elbow and/or shoulder pain who had low back and knee pain were 61.2% (n = 82) and 51.9% (n= 108) (p<0.001), respectively. The presence of low back and knee pain were strongly associated with elbow and/or shoulder pain (adjusted ORs (95%CI): 4.23 (2.83 -6.34), p<0.001 and 3.11 (2.24 -4.31), p<0.001, respectively), elbow (adjusted ORs (95%CI): 3.19 (1.74 -5.83), p<0.001 and 2.45 (1.47 -4.07), p=0.001, respectively), shoulder (adjusted ORs (95%CI): 4.25 (2.59 -7.29), p<0.001 and 3.31 (2.17 -5.05), p<0.001, respectively), and both elbow and shoulder pain (adjusted ORs (95%CI): 5.49 (3.08 -9.79), p<0.001 and 3.52 (2.12 -5.85), p<0.001, respectively). Conclusion: Both low back and knee pain were significantly associated with elbow and/or shoulder pain in youth baseball players. This result suggests that checking the trunk and lower extremities as well as elbows and shoulders are important for preventing sever injuries in youth baseball players.

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“…14,19,20 Baseball players with arm symptoms are at a higher risk of serious elbow and shoulder injuries, including ulnar collateral ligament injury, osteochondritis dissecans, and superior labrum anterior-posterior lesions. 3,8,15 Prevention of throwing-related injuries in young baseball players has become a topic of interest because several studies have shown that the rate of serious injuries in this population has been increasing yearly from the late 1990s. 9,14,24 The prevalence of elbow and shoulder injuries is estimated to be higher in elite young baseball players than in the general population of baseball players.…”

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confidence: 99%

Restriction in the hip internal rotation of the stride leg is associated with elbow and shoulder pain in elite young baseball players

Journal of Shoulder and Elbow Surgery

Yabe

et al. 2020