Little arms, big league injuries.

Columbia University School of Nursing, New York, NY, USA.
The Nurse Practitioner 05/2008; 33(4):24-31; quiz 31-2. DOI: 10.1097/01.NPR.0000314753.18540.39
Source: PubMed
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    ABSTRACT: The number of children participating in sports has risen steadily over the past few decades. As a result, the incidence of pediatric overuse injuries is rapidly increasing. Currently, primary care physicians are at the frontline in treating these injuries. It is important for these clinicians to be familiar with these types of injuries and their treatment options. This article reviews overuse injuries on the basis of location. It discusses the most recent literature describing their presentations, their treatment options, and suggested criteria for return to play. In summary, because the number of these injuries is on the rise, it is important for the physician to be aware of the clinical manifestations of overuse injuries, to prescribe current recommended treatments, and to educate patients in proper athletic conditioning.
    Current Opinion in Pediatrics 03/2004; 16(1):47-50. DOI:10.1097/00008480-200402000-00009 · 2.53 Impact Factor
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    ABSTRACT: Joint pain is thought to be an early sign of injury to a pitcher. To evaluate the association between pitch counts, pitch types, and pitching mechanics and shoulder and elbow pain in young pitchers. Prospective cohort study. Four hundred and seventy-six young (ages 9 to 14 years) baseball pitchers were followed for one season. Data were collected from pre- and postseason questionnaires, injury and performance interviews after each game, pitch count logs, and video analysis of pitching mechanics. Generalized estimating equations and logistic regression analysis were used. Half of the subjects experienced elbow or shoulder pain during the season. The curveball was associated with a 52% increased risk of shoulder pain and the slider was associated with an 86% increased risk of elbow pain. There was a significant association between the number of pitches thrown in a game and during the season and the rate of elbow pain and shoulder pain. Pitchers in this age group should be cautioned about throwing breaking pitches (curveballs and sliders) because of the increased risk of elbow and shoulder pain. Limitations on pitches thrown in a game and in a season can also reduce the risk of pain. Further evaluation of pain and pitching mechanics is necessary.
    The American Journal of Sports Medicine 01/2002; 30(4):463-8. DOI:10.1177/03635465020300040201 · 4.36 Impact Factor
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    ABSTRACT: The sport of baseball is played by millions of children across America and around the world. Although generally considered a safe activity, it is estimated that there are over 100,000 acute baseball injuries yearly in the 5- to 14-year age range in the United States, many of which present to the emergency department. Acute injuries often involve ball impact to the face and hands; baseball is the leading cause of sport-related eye injury. Ball impact particularly to the chest results in a small but steady number of fatalities each year, many of which are widely publicized events. In addition to acute injury, many young baseball players are affected by chronic and acute conditions of the elbow. In this article, we review the history, epidemiology, and common injury patterns that are specific to baseball. Case reports are included, as well as a section on the physical examination of the elbow.
    Pediatric Emergency Care 07/2000; 16(3):215-20. DOI:10.1097/00006565-200006000-00021 · 1.05 Impact Factor
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