Using Sonography for the Early Detection of Elbow Injuries Among Young Baseball Players

Harada, Mikio; Takahara, Masatoshi; Sasaki, Junya; Mura, Nariyuki; Ito, Taihei; Ogino, Toshihiko

doi:10.2214/ajr.05.1086

Cited by 102 publications

(105 citation statements)

References 20 publications

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“…3 Ultrasound imaging, which is a safe, inexpensive, and portable type of diagnostic imaging, has been used to assess elbow injuries. 6,15, 16 Harada et al 6 described ultrasonography as useful tool to detect the elbow injuries because the reliability of ultrasonographic abnormal findings in 35 young baseball players was confirmed by radiography. 6 Between 18% and 45% of all youth league pitchers have experienced elbow pain or discomfort.…”

mentioning

confidence: 99%

Risk factors for elbow injuries among young baseball players

Harada

Takahara

Mura

et al. 2010

Journal of Shoulder and Elbow Surgery

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112

140

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mentioning

confidence: 99%

Risk factors for elbow injuries among young baseball players

Harada

Takahara

Mura

et al. 2010

Journal of Shoulder and Elbow Surgery

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112

140

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“…"Little league elbow" includes medial epicondylar fragmentation, and osteochondritis dissecans (OCD) of the capitellum and ulnar collateral ligament injuries are common throwing injuries that manifest in young baseball players [20]. Harada et al reported that ultrasound can detect such elbow injuries, even in their asymptomatic stages [21]. Medial epicondylar fragmentation is a discontinuity of the medial epicondyle ( Fig.…”

Section: Lateral/medial Epicondylopathymentioning

confidence: 99%

“…Medial epicondylar fragmentation is a discontinuity of the medial epicondyle ( Fig. 3) [21]. OCD of the capitellum with a nondisplaced fragment can be visualized as double-high echogenic areas in the capitellar subchondral bone, and OCD of the capitellum with a displaced fragment can exhibit a hypoechoic structure over the osteochondral defect [22].…”

Section: Lateral/medial Epicondylopathymentioning

confidence: 99%

Application of Ultrasound and Ultrasound-Guided Intervention for Evaluating Elbow Joint Pathologies

Lin

Chen

2012

Journal of Medical Ultrasound

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“…Comparison with the non-injured side should be made to compare the amount of joint widening that occurs during valgus stressing [11,12]. US is also able to identify medial epicondylar fragmentation, osteochondritis dissecans of the capitellum, and loose bodies [13].…”

Section: Ligament Injuriesmentioning

confidence: 99%

Paediatric musculoskeletal US beyond the hip joint

et al. 2011

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US is a technique particularly suited to the investigation of musculoskeletal disorders in children and adolescents. This review paper describes a range of clinical settings beyond the hip joint where US has a significant role to play, including sports injuries, infectious diseases, inflammatory and degenerative conditions, congenital and developmental disorders, acute trauma of bone and joints, and peripheral nerve injuries. In some circumstances, US can be regarded as the most effective means of diagnostic imaging, whereas in other instances, it is an alternative or supplement to other more comprehensive imaging modalities, like MRI and CT. Although MRI offers superior soft-tissue contrast resolution, US is low-cost, non-invasive and has higher spatial resolution and real-time capability for the assessment of musculoskeletal structures during joint movement and stress manoeuvres.Keywords Ultrasound . Musculoskeletal system . Trauma . Child High-resolution US is particularly well suited to examine the paediatric musculoskeletal system. An exquisite depiction of the immature skeleton and soft tissues can be obtained in a well-tolerated and non-invasive way without using ionising radiation or sedation. Although US has been widely used in the diagnosis of hip disorders in children, many other applications for US of the paediatric musculoskeletal system have been developed [1,2]. Over other imaging techniques, US is ideally suited for the evaluation of tendons, muscles, joints, ligaments and nerves. In addition, it may provide specific information on bone and cartilage. In this article, we review the use of US in a variety of musculoskeletal applications beyond the hip, including sports injuries, infectious diseases, inflammatory and degenerative conditions, congenital and developmental disorders, acute trauma of bone and joints, and peripheral nerve injuries. Sports-related injuries Apophyseal injuriesIn children and adolescents, apophyseal injuries are commonly related to sporting and recreational activities. Especially in the age range between 12 and 16 years, the ossification centres of most apophyses are still immature and the cartilage, under hormonal influence, loses elasticity and is unable to give firm stability to the osteotendinous junction. Hence, the rough shear or torsion forces exercised upon them by tendons and ligaments can overcome the threshold of cartilage and bone resistance causing fragmenDisclaimer The supplement this article is part of is not sponsored by the industry. Dr.

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Using Sonography for the Early Detection of Elbow Injuries Among Young Baseball Players

Abstract: Sonography in the field can provide an opportunity to detect and treat elbow injuries before they become more advanced.

Cited by 102 publications

References 20 publications

Risk factors for elbow injuries among young baseball players

Risk factors for elbow injuries among young baseball players

Application of Ultrasound and Ultrasound-Guided Intervention for Evaluating Elbow Joint Pathologies

Paediatric musculoskeletal US beyond the hip joint

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