Little League Elbow
What is Little League Elbow?
Little League elbow is a condition that is caused by repetitive throwing motions, especially in children who play sports that involve an overhand throw. “Little League Elbow” is a generic term for medial elbow injury.
It can also refer to injuries to the medial aspect of the elbow including: medial epicondyle stress fractures, ulnar collateral ligament injuries and flexor- pronator mass strains.
Causes:
- Due to repetitive valgus loading with throwing causing repetitive microtrauma to the immature skeleton causes tension overload of the medial structure
- Demographics – younger patients are more likely to have apophysitis or avulsion injuries, rather than UCL sprains
Signs and Symptoms
Patients can complain of:
- Pain on the medial aspect of the elbow
- Decreased speed, accuracy and distance when throwing
Treatment
Conservative approach:
- Rest
- Activity modifications with additional formal physical therapy
- Coach and parental education is critical to limit number of innings pitched per week
Surgical intervention can be applicable if all conservative treatments are not beneficial
