The sports medicine community has become increasingly aware of injuries in the elbows of child and adolescent athletes. The elbow is one of the most common sites of injury in children and adolescent baseball players.1,2 In 1965, Adams reported elbow pain in 45% of sixty 9- to 14-year-old pitchers studied.3 On radiographs, all the pitchers had some degree of accelerated joint separation and fragmentation of the medial epicondylar epiphysis of their throwing arm. Larson and coworkers reported that 20% of one hundred and twenty 11- to 12-year-old pitchers had elbow tenderness.4 Gugenheim and associates found elbow symptoms in 17% of 595 Little League pitchers ages 9 to 12 years old.1 The high demands of repetitive throwing can cause injuries to the immature elbow that not only limit performance immediately, but can also lead to significant long-term sequelae.

The term Little League elbow is attributed to Brog-don and Crow, who described the most common radiographic changes and clinical features of osteochondrosis of the medial epicondyle in young pitchers.5 Later, Adams expanded the definition to include all the elbow problems associated with skeletally immature baseball players.3

Currently, the term is used to describe a constellation of elbow problems in immature throwers that are secondary to repetitive medial tension, extension overload, and lateral compression forces. Disorders termed Little League elbow include the following: medial epicondylar fragmentation and avulsion, delayed or accelerated apophyseal growth of the medial epicondyle, delayed closure of the medial epicondylar growth plate, osteochon-drosis and osteochondritis of the capitellum, osteochondrosis and osteochondritis of the radial head, hypertrophy of the ulna, olecranon apophysitis, and delayed closure of the olecranon apophysis.

Baseball For Boys

Baseball For Boys

Since World War II, there has been a tremendous change in the makeup and direction of kid baseball, as it is called. Adults, showing an unprecedented interest in the activity, have initiated and developed programs in thousands of towns across the United States programs that providebr wholesome recreation for millions of youngsters and are often a source of pride and joy to the community in which they exist.

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