Elbow Injuries in Throwing Athletes: A Current Concepts Review
Top Cited Papers
- 1 July 2003
- journal article
- review article
- Published by SAGE Publications in The American Journal of Sports Medicine
- Vol. 31 (4), 621-635
- https://doi.org/10.1177/03635465030310042601
Abstract
Repetitive overhead throwing imparts high valgus and extension loads to the athlete's elbow, often leading to either acute or chronic injury or progressive structural change. Tensile force is applied to the medial stabilizing structures with compression on the lateral compartment and shear stress posteriorly. Common injuries encountered in the throwing elbow include ulnar collateral ligament tears, ulnar neuritis, flexor-pronator muscle strain or tendinitis, medial epicondyle apophysitis or avulsion, valgus extension overload syndrome with olecranon osteophytes, olecranon stress fractures, osteochondritis dissecans of the capitellum, and loose bodies. Knowledge of the anatomy and function of the elbow complex, along with an understanding of throwing biomechanics, is imperative to properly diagnose and treat the throwing athlete. Recent advantages in arthroscopic surgical techniques and ligament reconstruction in the elbow have improved the prognosis for return to competition for the highly motivated athlete. However, continued overhead throwing often results in subsequent injury and symptom recurrence in the competitive athlete.Keywords
This publication has 87 references indexed in Scilit:
- Outcome of Elbow Surgery in Professional Baseball PlayersThe American Journal of Sports Medicine, 1995
- The contribution of medial collateral ligaments to valgus stability of the elbow: A biomechanical studyJournal of Shoulder and Elbow Surgery, 1995
- Operative Treatment of Medial Epicondyle Fractures in ChildrenClinical Orthopaedics and Related Research, 1987
- Functional Anatomy of the Ligaments of the ElbowClinical Orthopaedics and Related Research, 1985
- Elbow Problems Associated with Baseball During Childhood and AdolescenceClinical Orthopaedics and Related Research, 1982
- Osteochondritis Dissecans of Elbow, Ankle and HipClinical Orthopaedics and Related Research, 1980
- The Role of the Medial Collateral LigamentClinical Orthopaedics and Related Research, 1980
- Biomechanical analyses of forearm pronation-supination and elbow flexion-extensionJournal of Biomechanics, 1979
- An analysis of 100 symptomatic baseball playersThe American Journal of Sports Medicine, 1978
- Unusual Lesions of the Pitching ArmClinical Orthopaedics and Related Research, 1972