Evaluation and management of elbow injuries in the adolescent overhead athlete
With an increased interest in youth sports, the burden of overhead throwing elbow injuries accompanying early single-sport focus has steadily risen. During the overhead throwing motion, valgus torque can reach and surpass Newton meters (N m) during the late cocking and early acceleration phases, whi...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2021-04-01
|
| Series: | SAGE Open Medicine |
| Online Access: | https://doi.org/10.1177/20503121211003362 |
| _version_ | 1818385250955296768 |
|---|---|
| author | Austin M Looney Paolo D Rigor Blake M Bodendorfer |
| author_facet | Austin M Looney Paolo D Rigor Blake M Bodendorfer |
| author_sort | Austin M Looney |
| collection | DOAJ |
| description | With an increased interest in youth sports, the burden of overhead throwing elbow injuries accompanying early single-sport focus has steadily risen. During the overhead throwing motion, valgus torque can reach and surpass Newton meters (N m) during the late cocking and early acceleration phases, which exceeds the tensile strength (22.7–33 N m) of the ulnar collateral ligament. While the ulnar collateral ligament serves as the primary valgus stabilizer between and degrees of elbow flexion, other structures about the elbow must contribute to stability during throwing. Depending on an athlete’s stage of skeletal maturity, certain patterns of injury are observed with mechanical failures resulting from increased medial laxity, lateral-sided compression, and posterior extension shearing forces. Together, these injury patterns represent a wide range of conditions that arise from valgus extension overload. The purpose of this article is to review common pathologies observed in the adolescent overhead throwing athlete in the context of functional anatomy, osseous development, and throwing mechanics. Operative and non-operative management and their associated outcomes will be discussed for these injuries. |
| first_indexed | 2024-12-14T03:35:11Z |
| format | Article |
| id | doaj.art-7068217d486e476a975191befb42046c |
| institution | Directory Open Access Journal |
| issn | 2050-3121 |
| language | English |
| last_indexed | 2024-12-14T03:35:11Z |
| publishDate | 2021-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medicine |
| spelling | doaj.art-7068217d486e476a975191befb42046c2022-12-21T23:18:39ZengSAGE PublishingSAGE Open Medicine2050-31212021-04-01910.1177/20503121211003362Evaluation and management of elbow injuries in the adolescent overhead athleteAustin M Looney0Paolo D Rigor1Blake M Bodendorfer2Department of Orthopaedic Surgery, Georgetown University Medical Center, Washington, DC, USASchool of Medicine, Georgetown University, Washington, DC, USAMidwest Orthopaedics at Rush, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USAWith an increased interest in youth sports, the burden of overhead throwing elbow injuries accompanying early single-sport focus has steadily risen. During the overhead throwing motion, valgus torque can reach and surpass Newton meters (N m) during the late cocking and early acceleration phases, which exceeds the tensile strength (22.7–33 N m) of the ulnar collateral ligament. While the ulnar collateral ligament serves as the primary valgus stabilizer between and degrees of elbow flexion, other structures about the elbow must contribute to stability during throwing. Depending on an athlete’s stage of skeletal maturity, certain patterns of injury are observed with mechanical failures resulting from increased medial laxity, lateral-sided compression, and posterior extension shearing forces. Together, these injury patterns represent a wide range of conditions that arise from valgus extension overload. The purpose of this article is to review common pathologies observed in the adolescent overhead throwing athlete in the context of functional anatomy, osseous development, and throwing mechanics. Operative and non-operative management and their associated outcomes will be discussed for these injuries.https://doi.org/10.1177/20503121211003362 |
| spellingShingle | Austin M Looney Paolo D Rigor Blake M Bodendorfer Evaluation and management of elbow injuries in the adolescent overhead athlete SAGE Open Medicine |
| title | Evaluation and management of elbow injuries in the adolescent overhead athlete |
| title_full | Evaluation and management of elbow injuries in the adolescent overhead athlete |
| title_fullStr | Evaluation and management of elbow injuries in the adolescent overhead athlete |
| title_full_unstemmed | Evaluation and management of elbow injuries in the adolescent overhead athlete |
| title_short | Evaluation and management of elbow injuries in the adolescent overhead athlete |
| title_sort | evaluation and management of elbow injuries in the adolescent overhead athlete |
| url | https://doi.org/10.1177/20503121211003362 |
| work_keys_str_mv | AT austinmlooney evaluationandmanagementofelbowinjuriesintheadolescentoverheadathlete AT paolodrigor evaluationandmanagementofelbowinjuriesintheadolescentoverheadathlete AT blakembodendorfer evaluationandmanagementofelbowinjuriesintheadolescentoverheadathlete |