Table of Contents
Introduction
Little Leaguer’s shoulder is a common injury in young athletes who participate in throwing sports, such as baseball or softball. Overuse of the shoulder can lead to pain, inflammation, and in some cases, injury to the growth plate at the top of the upper arm bone. Early evaluation and proper care are essential to prevent long-term complications.
What is Little Leaguer’s Shoulder?
Little Leaguer’s shoulder occurs when repetitive throwing causes stress on the growth plate of the upper arm (humerus) near the shoulder joint. Symptoms often include shoulder pain during or after throwing, decreased throwing velocity, and tenderness over the shoulder. Prompt care can help reduce pain and prevent more serious injury.
What is a Growth Plate?
Growth plates are areas of developing cartilage at the ends of children’s bones where new bone forms as they grow. Because they are softer than adult bone, they are more vulnerable to injury from repetitive stress or trauma. Protecting growth plates is crucial to ensure normal bone development.
Treatment for Little Leaguer’s Shoulder
This is a nonsurgical condition, and treatment consists of various methods:
- Rest from throwing and overhead activities to allow the shoulder to heal
- Physical therapy to improve shoulder strength, flexibility, and mechanics
- Anti-inflammatory medications to reduce pain and swelling
- Activity modification to prevent recurrence and reduce stress on the growth plate
Does My Child Need Surgery?
Little Leaguer’s shoulder can be treated without surgery.
Recovery and Rehabilitation
Recovery usually takes several weeks to months depending on the severity of the injury. The orthopedic specialists at Premier Podiatry and Orthopedics will provide a customized rehabilitation plan focused on restoring shoulder strength, flexibility, and safe return to throwing and sports. Following your child’s recovery plan is key to preventing future injuries and protecting healthy bone growth.
References
Heyworth BE, Kramer DE, Martin DJ, et al. Trends in the Presentation, Management, and Outcomes of Little League Shoulder. Am J Sports Med. 2016;44(6):1431-1438. doi:10.1177/0363546516632744.
Harada M, Takahara M, Maruyama M, et al. Outcome of Conservative Treatment for Little League Shoulder in Young Baseball Players: Factors Related to Incomplete Return to Baseball and Recurrence of Pain. J Shoulder Elbow Surg. 2018;27(1):1-9. doi:10.1016/j.jse.2017.08.018.
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