{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T19:44:43Z","timestamp":1775936683859,"version":"3.50.1"},"reference-count":13,"publisher":"SLACK, Inc.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2012,1]]},"abstract":"<jats:p>Little Leaguer\u2019s elbow and Little Leaguer\u2019s shoulder are overuse pathologies seen in overhead-throwing athletes. No instance of simultaneously occurring pathologies has been published. A 15-year-old baseball pitcher and football quarterback developed pain in his throwing shoulder and elbow during spring baseball, which partially resolved with several months of rest. During fall football practice, he felt a pop and pain over his medial throwing elbow. Five days after the initial injury, medial elbow tenderness, mild swelling, and decreased range of motion were noted. Radiographs revealed a Salter I avulsion fracture of the medial humeral epicondyle (Little Leaguer\u2019s elbow) and a periosteal reaction along the lateral aspect of the humeral metadiaphysis with slight widening (Little Leaguer\u2019s shoulder). Surgical fixation of the medial epicondyle fracture and nonoperative treatment of the shoulder pathology were performed. Two-year follow-up radiographs showed a healed medial epicondylar fracture and resolution of the periosteal reaction of the humeral metadiaphysis. The patient returned to full activity and was starting quarterback for his football team. Biomechanical forces specific to overhead-throwing activities are associated with the development of Little Leaguer\u2019s elbow and shoulder. Treatments of both pathologies remain controversial, with either initial operative vs nonoperative care. In this patient, a good outcome was achieved with surgical fixation of the elbow fracture and conservative management of the shoulder pathology. Educating coaches and parents on proper throwing technique and pitching limits should be the first step in reducing the occurrence of either pathology in this population.<\/jats:p>","DOI":"10.3928\/01477447-20111127-29","type":"journal-article","created":{"date-parts":[[2021,4,20]],"date-time":"2021-04-20T03:29:41Z","timestamp":1618889381000},"source":"Crossref","is-referenced-by-count":8,"title":["Concurrent Little Leaguer\u2019s Elbow and Shoulder in a 15-year-old Baseball Pitcher and Football Quarterback"],"prefix":"10.3928","volume":"35","author":[{"given":"Christopher M.","family":"Domes","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan C.","family":"Petering","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James C.","family":"Chesnutt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Mirarchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","first-page":"671","article-title":"Little Leaguer\u2019s elbow","volume":"83","author":"Brogdon BG","year":"1960","unstructured":"Brogdon BG, Crow NE. Little Leaguer\u2019s elbow. Am J Roentgenol Radium Ther Nucl Med. 1960; 83:671\u2013675.","journal-title":"Am J Roentgenol Radium Ther Nucl Med"},{"issue":"1","key":"e_1_3_1_3_2","doi-asserted-by":"crossref","first-page":"68","DOI":"10.3138\/guthrie.23.1.068","article-title":"Little Leaguer\u2019s shoulder: a fracture of the proximal epiphysial cartilage of the humerus due to baseball pitching","volume":"23","author":"Dotter WE","year":"1953","unstructured":"Dotter WE. Little Leaguer\u2019s shoulder: a fracture of the proximal epiphysial cartilage of the humerus due to baseball pitching. Guthrie Clin Bull. 1953; 23(1):68\u201372.","journal-title":"Guthrie Clin Bull"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-200232150-00004"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3181c87ca2"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505275347"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.otsm.2006.04.010"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465980260041901"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0095399703258674"},{"key":"e_1_3_1_10_2","first-page":"127","article-title":"Injury to the throwing arm: A study of traumatic changes in the elbow joints of boy baseball players","volume":"102","author":"Adams JE","year":"1965","unstructured":"Adams JE. Injury to the throwing arm: A study of traumatic changes in the elbow joints of boy baseball players. Calif Med. 1965; 102:127\u2013132.","journal-title":"Calif Med"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e31816d7258"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200109000-00001"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1249\/JSR.0b013e3181b7ee5f"},{"key":"e_1_3_1_14_2","unstructured":"American Sports Medicine Institute. USA Baseball Medical and Safety Committee Guidelines: May 2006. http:\/\/www.asmi.org\/asmiweb\/usabaseball.htm#Counts. Updated May 1 2007. Accessed December 14 2010."}],"container-title":["Orthopedics"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,11,2]],"date-time":"2023-11-02T10:43:56Z","timestamp":1698921836000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20111127-29"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,1]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2012,1]]}},"alternative-id":["10.3928\/01477447-20111127-29"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20111127-29","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,1]]}}}