Orthopedic Minute - Young Athletes and Elbow Pain (Little Leaguer's Elbow)


Time for another Orthopedic Minute presented by Washington University Physicians.

Hello, my name is Dr. Dobbs with Washington University Orthopedics. Many patients who come to see me at St. Louis Children's Hospital are young athletes who are experiencing elbow pain. Most are involved in sports requiring repetitive throwing such as baseball and the elbow pain they are experiencing is of overuse type of injury and is commonly referred to as Little Leaguer's elbow.

If pain and selling are mild, treatment begins with ice, elevation, anti-inflammatory medication if tolerated and most importantly, rest. Because of the high incidence of elbow problems in young throwing athletes, it is recommended that no more than 75 pitches per game be thrown with no more than 6 innings per week.

I evaluate for point tenderness and assess for instability when I see a patient in the office. In most cases, time and rest will allow the injury to resolve. Physical therapy has a role in some and surgery in even fewer patients.

For more information, visit ortho.wustl.edu.

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