S ports t rauma and o veruse p revention
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S ports T rauma and O veruse P revention. STOP Elbow Injuries. Elbow Injuries. Why are we so concerned about elbow injuries? Because elbow injuries are… Common : >50-75% of youth baseball players Increasing: Elbow surgery has increased 50% in high school pitchers in the past 5 years.

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S ports T rauma and O veruse P revention

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S ports t rauma and o veruse p revention

Sports Trauma and Overuse Prevention

STOP Elbow Injuries


Elbow injuries

Elbow Injuries

  • Why are we so concerned about elbow injuries?

  • Because elbow injuries are…

    • Common: >50-75% of youth baseball players

    • Increasing: Elbow surgery has increased 50% in high school pitchers in the past 5 years.

    • Preventable: Fewer pitches = Longer Career

      • Only 4 Little League World Series pitchers have made it to the MLB

      • Why? Overuse injuries & Early burnout!


Common elbow conditions

Common Elbow Conditions

  • Ligament & Tendon Injuries

    • UCL (Ulnar Collateral Ligament)

      • Tommy John

    • Medial & Lateral Epicondylitis

  • Bone & Growth Plate Injuries

    • Occur in Growing children

    • Medial Apophysitis

      • “Little Leaguer’s Elbow”


Risk factors for elbow injuries

Risk Factors for Elbow Injuries

  • Number of Pitches

    • Pitch Count: #1 Risk Factor for Elbow Injuries

    • Year round baseball, Multiple teams

  • Pitch Types

    • Fast Ball should be mastered first

    • ?Breaking pitches should be taught later (>14 yrs)

  • Mechanics

    • Strength supports form, form supports speed

    • Fatigue leads to poor mechanics

-Lyman, AJSM 2002


Pitch counts rest

Pitch Counts & Rest

Pitch Counts

Rest Days

-USA Baseball Medical and Safety Advisory Committee


When to throw what

When To Throw What

  • Fastball First

  • Change-up Second

  • Breaking Pitches

    • Curveball, Slider

    • After age 14?

  • Learn one pitch at a time

-USA Baseball Medical and Safety Advisory Committee


Diagnosing elbow overuse

Diagnosing Elbow Overuse

  • Pain is NOT a sign of a strength deficit.

  • Common Symptoms

    • Loss of form, accuracy, or velocity

    • Takes longer to loosen up

    • Early Fatigue

    • Pain

    • Stiffness

    • Swelling

-USA Baseball Medical and Safety Advisory Committee


Treating elbow overuse

Treating Elbow Overuse

  • Prevention is the best treatment!

  • Initial Treatment

    • Rest, Ice, Gentle stretching

  • Involve your coach early

  • When to see a doctor…

    • Pain that lasts more than a few days

    • Swelling or stiffness in the joint


Preventing elbow injuries

Preventing Elbow Injuries

  • Watch pitch counts and rest days!

  • Always warm up & cool down

  • Learn proper mechanics

  • Don’t forget strength &

    conditioning

  • No year round play

  • Avoid multiple teams

  • Don’t pitch through pain or fatigue


Summary

Summary

  • Elbow injuries are common & preventable.

  • Pitch counts are the #1 risk factor for elbow injuries.

  • Prevention is the key and rest is the cure.

    • Charles Carroll


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