Citation

Parks ED, Ray TR. Sports Health 2009; 1(6): 514-517.

Copyright

(Copyright © 2009, American Orthopaedic Society for Sports Medicine, Publisher SAGE Publishing)

DOI

10.1177/1941738109343543

PMID

unavailable

Abstract

With millions of athletes participating in baseball in the United States annually, overuse injuries are common occurrences. Epidemiological studies, including surveys of orthopaedic surgeons, coaches, and athletes, indicate that injuries such as those to the ulnar collateral ligament are increasing in incidence. Many risk factors for throwing injuries have been proposed— including the immature skeleton, throwing mechanics, glenohumeral internal rotation deficit, pitch type, velocity, and counts—but little evidence is available to support the majority of these factors. Recent studies have shown that pitch volume and overuse are central factors that lead to shoulder and elbow injuries in the young throwing athlete. Pitching while fatigued and in spite of arm pain has also been implicated.