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Little League Injuries

Little League Injuries. W. Bryan Jennings, DO Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy. Kids vs. Adults. Anatomic differences in bones Growth plate “epiphysis” Kids injuries can be permanent Shoulder and elbow injuries can result in lifelong damage to childs arm. Myths.

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Little League Injuries

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  1. Little League Injuries W. Bryan Jennings, DO Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy

  2. Kids vs. Adults • Anatomic differences in bones • Growth plate “epiphysis” • Kids injuries can be permanent • Shoulder and elbow injuries can result in lifelong damage to childs arm Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

  3. Myths • Little Johnny…. • Is not the “best player” on the team • Not going to make it to the “big leagues” • Does not need to play “year round” to remain competitive Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

  4. Truths • Prevention is everything • Parents, coaches and physicians need to be on the same page • PAIN = REST Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

  5. Common Injuries • Little league Elbow/Shoulder • Osteochondritis Dessicans • Stress Reaction growth plates (fracture) Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

  6. Little League Shoulder/Elbow • Apophysitis • Medial elbow • Proximal humerus • Pull of tendon on growth plates Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

  7. Symptoms:Little League Shoulder/Elbow • Pain • Swelling inside elbow or shoulder • Can result in avulsion of growth plate • Damage to tendon/ligaments • May result in abnormal bone growth Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

  8. Treatment:Little League Shoulder/Elbow • REST • ICE • Throwing Technique • Slow return • Rarely surgery Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

  9. Osteochondritis Dessicans • Excessive Stress • Valgus load • Pain on outside of elbow • Cartilage & bone abnormalities • Fragmentation & irreversible cartilage changes Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

  10. OCD Elbow Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

  11. Symptoms: OCD • PAIN • Swelling • Restriction of motion • “locking” of joint Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

  12. Treatment : OCD • REST • ICE • GOOD MECHNIQUES • RARELY SURGICAL Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

  13. Stress Reaction : Fracture • Growth plate (physis) damage • “widening” of growth plate • Premature growth arrest • Deformity • Repetitive activities Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

  14. Stress Reaction : Fracture Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

  15. Symptoms : Stress Reaction • PAIN • Swelling • Pain with motion Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

  16. Treatment : Stress Reaction • REST • CAST • 2-3 month break Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

  17. Prevention • PAIN = STOP • Pitch counts • Alternate positions • Teach game Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

  18. Pitch Counts • 9-10 year olds • 50 pitches / game • 75 pitches / week • 1000 pitches / season • 2000 pitches / year Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

  19. Pitch Counts • 11-12 year olds • 75 pitches / game • 100 pitches / week • 1000 pitches /season • 3000 pitches / year Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

  20. Pitch Counts • 13-14 year olds • 75 pitches / game • 125 pitches / week • 1000 pitches / season • 3000 pitches / year Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

  21. Teaching Pitches • Age 8 – Fastball • Age 10 – Change-up • Age 14 – Curve ball • Age 15 – Knuckleball • Age 16 – Slider, Splitter Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

  22. Safe Return to Play • Symptom FREE • No joint swelling or pain • FULL range of motion • Gradual return Throwing Program Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

  23. Resources • www.sportsmed.org • www.orthoinfo.org • www.STOPsportsinjuries.org Jennings Clinic, PA Orthopaedic Surgery & Physical Therapy www.jenningsclinic.com

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