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Little League Elbow: Risk Factors and Prevention Strategies

Marsh, Darrin PT, DPT, ATC, CSCS

Strength & Conditioning Journal:
doi: 10.1519/SSC.0b013e3181f69aaa
Article
Abstract

LITTLE LEAGUE ELBOW (LLE) IS A COMMON OVERUSE INJURY IN YOUTH BASEBALL. THE PRIMARY MECHANISM OF OVERUSE IS VALGUS STRESS APPLIED TO THE ELBOW. SKELETALLY IMMATURE ATHLETES ARE VULNERABLE TO OVERUSE BECAUSE OF THE EXISTENCE OF GROWTH CARTILAGE. THE REGULATION OF PITCH VOLUME MAY BE THE MOST EFFECTIVE WAY TO ADDRESS THIS CONDITION. HOWEVER, SIMPLY ADDRESSING PITCH VOLUME MAY NOT BE ADEQUATE BECAUSE OF UNDERLYING ISSUES WITH PITCH MECHANICS, PITCH SELECTION, AND PHYSICAL CONDITIONING. THEREFORE, THE PURPOSE OF THIS ARTICLE WAS TO DISCUSS THE RISK FACTORS ASSOCIATED WITH LLE AND OFFER PREVENTION STRATEGIES FOR THIS POPULATION OF YOUTH ATHLETES.

Author Information

Department of Physical Therapy, McCarter Health Center, Parkersburg, West Virginia

Darrin Marsh the director of Physical Therapy at the McCarter Health Center.

© 2010 National Strength and Conditioning Association