{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:49:25Z","timestamp":1775090965266,"version":"3.50.1"},"reference-count":27,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2023,12,3]],"date-time":"2023-12-03T00:00:00Z","timestamp":1701561600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"JSPS KAKENHI","award":["JP19K11435"],"award-info":[{"award-number":["JP19K11435"]}]},{"name":"Orthopedic Network Tsukuba","award":["JP19K11435"],"award-info":[{"award-number":["JP19K11435"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>On-field screening for \u2018elbow injury in baseball\u2019, a condition commonly seen in youth baseball players, was conducted over two years on 160 elementary school students in Ibaraki Prefecture, Japan. This on-field screening was conducted in collaboration with the Ibaraki Prefecture High School Baseball Federation. Pitchers, catchers, symptomatic players, and players who had previously experienced elbow pain were given a comprehensive evaluation that included a physical exam and ultrasound. Out of the 135 students who were successfully screened, 10 were diagnosed with osteochondritis dissecans of the humeral capitellum (OCD). Notably, seven among these were asymptomatic. This assessment identified limited range of motion and pain when extending their elbow as significant risk factors for OCD. An attempt at on-field screening for baseball elbow injuries in collaboration with the local baseball federation was introduced. The risk factors for OCD were identified. Considering these factors, more efficient screening will be possible in the next attempt.<\/jats:p>","DOI":"10.3390\/diagnostics13233589","type":"journal-article","created":{"date-parts":[[2023,12,3]],"date-time":"2023-12-03T04:59:16Z","timestamp":1701579556000},"page":"3589","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Detection of Factors Related to the Development of Osteochondritis Dissecans in Youth Baseball Players Screening"],"prefix":"10.3390","volume":"13","author":[{"given":"Shotaro","family":"Teruya","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Institute of Medicine, University of Tsukuba, Tsukuba 305-8571, Ibaraki, Japan"},{"name":"Department of Orthopedic Surgery, Kasumigaura Medical Hospital, Tsuchiura 300-8585, Ibaraki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7261-6603","authenticated-orcid":false,"given":"Takeshi","family":"Ogawa","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mito Medical Center, Ibaraki 311-3193, Ibaraki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroki","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Institute of Medicine, University of Tsukuba, Tsukuba 305-8571, Ibaraki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiromitsu","family":"Tsuge","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Institute of Medicine, University of Tsukuba, Tsukuba 305-8571, Ibaraki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryuhei","family":"Michinobu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Institute of Medicine, University of Tsukuba, Tsukuba 305-8571, Ibaraki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7112-6511","authenticated-orcid":false,"given":"Kazuhiro","family":"Ikeda","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Institute of Medicine, University of Tsukuba, Tsukuba 305-8571, Ibaraki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuki","family":"Hara","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, National Center of Neurology and Psychiatry, Kodaira 187-8551, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Kamada","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Institute of Medicine, University of Tsukuba, Tsukuba 305-8571, Ibaraki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masashi","family":"Yamazaki","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Institute of Medicine, University of Tsukuba, Tsukuba 305-8571, Ibaraki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1447-4664","authenticated-orcid":false,"given":"Yuichi","family":"Yoshii","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Tokyo Medical University Ibaraki Medical Center, Ami 300-0395, Ibaraki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,12,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1016\/j.jse.2019.02.005","article-title":"Sufficient Duration of Off-Season Decreases Elbow Disorders in Elementary School-Aged Baseball Players","volume":"28","author":"Otoshi","year":"2019","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"2325967114545298","DOI":"10.1177\/2325967114545298","article-title":"Prevalence of Osteochondritis Dissecans of the Capitellum in Young Baseball Players: Results Based on Ultrasonographic Findings","volume":"2","author":"Matsuura","year":"2014","journal-title":"Orthop. J. Sports Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1963","DOI":"10.1177\/0363546514536843","article-title":"Prevalence and Clinical Characteristics of Osteochondritis Dissecans of the Humeral Capitellum among Adolescent Baseball Players","volume":"42","author":"Kida","year":"2014","journal-title":"Am. J. Sports Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"13119","DOI":"10.1038\/s41598-021-92570-9","article-title":"Risk Factor for Elbow Symptom Manifestation in Young Baseball Players with Asymptomatic Medial Elbow Abnormalities: A Prospective Cohort Study","volume":"11","author":"Shitara","year":"2021","journal-title":"Sci. Rep."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1007\/s11999-012-2290-y","article-title":"A Review of Knowledge in Osteochondritis Dissecans: 123 Years of Minimal Evolution from K\u00f6nig to the ROCK Study Group","volume":"471","author":"Edmonds","year":"2013","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S0278-5919(05)70243-X","article-title":"Osteochondritis Dissecans of the Elbow","volume":"20","author":"Stubbs","year":"2001","journal-title":"Clin. Sports Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1123\/jab.2017-0230","article-title":"Lumbar Hyperextension in Baseball Pitching: A Potential Cause of Spondylolysis","volume":"36","author":"Singh","year":"2018","journal-title":"J. Appl. Biomech."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1145","DOI":"10.2214\/AJR.19.21855","article-title":"Osteochondritis Dissecans of the Elbow in Children: MRI Findings of Instability","volume":"213","author":"Nguyen","year":"2019","journal-title":"AJR Am. J. Roentgenol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1007\/s00256-009-0661-6","article-title":"Osteochondral Lesions of the Humeral Trochlea in the Young Athlete","volume":"38","author":"Marshall","year":"2009","journal-title":"Skelet. Radiol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1653","DOI":"10.2106\/00004623-199711000-00007","article-title":"The Extraosseous and Intraosseous Arterial Anatomy of the Adult Elbow","volume":"79","author":"Yamaguchi","year":"1997","journal-title":"J. Bone Joint Surg. Am."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1177\/17585732221079585","article-title":"Management of Osteochondritis Dissecans (OCD) of the Elbow Trochlea in the Adolescent Population: A Systematic Review","volume":"14","author":"Malik","year":"2022","journal-title":"Shoulder Elb."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1436","DOI":"10.2214\/AJR.05.1086","article-title":"Using Sonography for the Early Detection of Elbow Injuries among Young Baseball Players","volume":"187","author":"Harada","year":"2006","journal-title":"AJR Am. J. Roentgenol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1177\/230949901602400112","article-title":"A Clinical and Ultrasonographic Study of Risk Factors for Elbow Injury in Young Baseball Players","volume":"24","author":"Tajika","year":"2016","journal-title":"J. Orthop. Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1007\/s10396-022-01221-7","article-title":"Effect of Introducing Ultrasonography in Medical Examinations for Elbow Injuries among Young Baseball Players","volume":"49","author":"Takata","year":"2022","journal-title":"J. Med. Ultrason."},{"key":"ref_15","first-page":"38","article-title":"Relationship between the Location and Staging of Osteochondritis Dissecans of the Humeral Capitellum Using Ultrasonographic Examination","volume":"25","author":"Okada","year":"2017","journal-title":"J. Jpn. Soc. Clin. Sports Med."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1803","DOI":"10.1097\/00005768-200111000-00002","article-title":"Longitudinal Study of Elbow and Shoulder Pain in Youth Baseball Pitchers","volume":"33","author":"Lyman","year":"2001","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1676","DOI":"10.1177\/0363546511411700","article-title":"Epidemiology of Major League Baseball Injuries","volume":"39","author":"Posner","year":"2011","journal-title":"Am. J. Sports Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1177\/0363546516663931","article-title":"Physical Risk Factors for a Medial Elbow Injury in Junior Baseball Players: A Prospective Cohort Study of 353 Players","volume":"45","author":"Sakata","year":"2017","journal-title":"Am. J. Sports Med."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"23259671211064644","DOI":"10.1177\/23259671211064645","article-title":"Risk Factors of Shoulder and Elbow Injuries in Baseball: A Scoping Review of 3 Types of Evidence","volume":"9","author":"Mine","year":"2021","journal-title":"Orthop. J. Sports Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/j.jos.2019.02.020","article-title":"Correlation between Playing Position, Elbow Physical Findings and Elbow Pain in Elementary School Baseball Players: Results of a Multi-Regional Study in Japan","volume":"25","author":"Matsuura","year":"2020","journal-title":"J. Orthop. Sci."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1177\/0363546507312168","article-title":"Conservative Treatment for Osteochondrosis of the Humeral Capitellum","volume":"36","author":"Matsuura","year":"2008","journal-title":"Am. J. Sports Med."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"2325967113509948","DOI":"10.1177\/2325967113509948","article-title":"Elbow Injuries in Youth Baseball Players Without Prior Elbow Pain: A 1-Year Prospective Study","volume":"1","author":"Matsuura","year":"2013","journal-title":"Orthop. J. Sports Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"171","DOI":"10.2152\/jmi.63.171","article-title":"Outcome of an Elbow Check-up System for Child and Adolescent Baseball Players","volume":"63","author":"Iwame","year":"2016","journal-title":"J. Med. Invest."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"23259671211017130","DOI":"10.1177\/23259671211017129","article-title":"Risk Factors for Throwing-Related Shoulder and Elbow Pain in Adolescent Baseball Players: A Prospective Study of Physical and Developmental Factors","volume":"9","author":"Tajika","year":"2021","journal-title":"Orthop. J. Sports Med."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1177\/0363546519888647","article-title":"Progressive Elbow Magnetic Resonance Imaging Abnormalities in Little League Baseball Players Are Common: A 3-Year Longitudinal Evaluation","volume":"48","author":"Holt","year":"2020","journal-title":"Am. J. Sports Med."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Ikeda, K., Okamoto, Y., Ogawa, T., Terada, Y., Kajiwara, M., Miyasaka, T., Michinobu, R., Hara, Y., Yoshii, Y., and Nakajima, T. (2022). Use of a Small Car-Mounted Magnetic Resonance Imaging System for On-Field Screening for Osteochondritis Dissecans of the Humeral Capitellum. Diagnostics, 12.","DOI":"10.3390\/diagnostics12102551"},{"key":"ref_27","unstructured":"Ryuhei, M., Takeshi, O., Yuichi, Y., Akira, I., Kazuhiro, I., Hiromitsu, T., Ryota, N., Yuki, H., and Masashi, Y. (2023). Optimal Limb Position for the Stress Ultrasound Evaluation of Elbow Valgus Laxity in Baseball Players. Orthop. J. Sports Med., in press."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/13\/23\/3589\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T21:36:57Z","timestamp":1760132217000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/13\/23\/3589"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,3]]},"references-count":27,"journal-issue":{"issue":"23","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["diagnostics13233589"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics13233589","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,3]]}}}