Repetitive overhead throwing exerts significant mechanical stress on the shoulder and elbow joint; this stress can lead to developmental anatomic changes in the young thrower. Asymptomatic pathology in the shoulder and elbow joint is prevalent and, with overuse, can progress to disabling injury. Joint injury occurs as a result of the body's inability to properly coordinate motion segments during the pitching delivery, leading to further structural damage. Identifying and preventing overuse is the key to avoiding injury, particularly in the young pitcher. Injury prevention and rehabilitation should center on optimizing pitching mechanics, core strength, scapular control, and joint range of motion.
Dr. Limpisvasti is Orthopaedic Surgeon, Kerlan-Jobe Orthopaedic Clinic, Los Angeles, CA. Dr. ElAttrache is Orthopaedic Surgeon, Kerlan-Jobe Orthopaedic Clinic. Dr. Jobe is Orthopaedic Surgeon, Kerlan-Jobe Orthopaedic Clinic.
None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Limpisvasti, Dr. ElAttrache, and Dr. Jobe.
Reprint requests: Dr. Limpisvasti, Kerlan-Jobe Orthopaedic Clinic, 6801 Park Terrace Drive, Los Angeles, CA 90045.