Little League Elbow

Little League Elbow is caused by repetitive overhead throwing, where high amounts of force are exerted onto the elbow. In growing children, the bones, muscles, and ligaments are still developing, which leaves them susceptible to injury. Pitchers are at a particularly high risk due to the nature and intensity of their throwing action, which is why the condition gets its name.

Typically, children with Little League Elbow will complain of pain in the elbow that worsens with throwing. They may experience swelling and tenderness on the inside of the elbow, reduced throwing speed, and difficulty gripping items. If not addressed, it can lead to a loss of control and accuracy while pitching.

The injury can improve with a period of rest and refraining from throwing, allowing the body’s natural healing process to take place. However, simply resting without addressing the underlying cause, such as poor throwing mechanics or overuse, can lead to recurring problems.

Diagnosis involves a physical examination of the elbow, during which Dr. Mayo will check for tenderness, swelling, and assess the range of motion. Details regarding the child’s sports participation, the onset of symptoms, and any changes in their throwing action will be important. Imaging tests such as X-ray or MRI may also be conducted.

Treatment typically involves rest and abstaining from throwing until the pain subsides. Ice and non-steroidal anti-inflammatory drugs (NSAIDs) may be used to alleviate pain and reduce inflammation. Physical therapy exercises to strengthen the muscles and improve throwing mechanics can help prevent the injury from recurring.

Surgery is rarely required for Little League Elbow and is only considered in severe cases or if conservative treatments have failed. This could include cases where a fragment of bone has broken off or the child’s normal bone growth is affected.

Surgery might involve removing loose bone fragments, repairing damaged growth plates, or reattaching tendons. The specific surgical approach would depend on the exact nature of the injury.

The recovery process following surgery involves rest, followed by a structured physical therapy program to regain strength and mobility in the elbow. Eventually, the young athlete can begin a graduated throwing program. The duration of the recovery period will depend on the severity of the initial injury and the specific surgery performed.