Shoulder and Elbow Injuries in Athletes

Olecranon Stress Fractures

Introduction ▪ Olecranon stress fractures are relatively rare injuries that have been described in overhead or throwing athletes, such as baseball and softball players, weight lifters, gymnasts, and divers ( ), ▪ The condition was documented originally in a javelin…

Osteochondritis Dissecans of the Capitellum

Osteochondritis dissecans (OCD) of the capitellum is a condition of the lateral elbow that often affects skeletally immature athletes, especially those who repeatedly subject the radiocapitellar joint to compressive forces. Ultimately, repetitive stress of this nature leads to disruption of…

Triceps Tendon Injury

Introduction ▪ Distal triceps tendon injuries are very rare. ▪ These injuries have a 2:1 male:female ratio and are most commonly seen in individuals 30 to 50 years of age. ▪ These injuries occur after an eccentric loading of the…

Distal Biceps Tendon Injury

Epidemiology, Etiology, Anatomy, History, Examination, and Imaging Samuel A. Taylor, MD Frank A. Cordasco, MD, MS Abstract Distal biceps ruptures are most common among middle-aged men and occur most commonly in the dominant arm and is associated with the following risk factors:…

Lateral: Extensor Carpi Radialis Brevis Tendon Injury

Introduction ▪ Lateral epicondylitis is the most common overuse disorder affecting the lateral side of the elbow. ▪ This syndrome typically presents with intense pain about the extensor origin (lateral aspect) of the elbow. The pathogenesis of this disease originates…

Medial: Flexor-Pronator Tendon Injury

Introduction ▪ The flexor-pronator muscle mass at the medial side of the elbow provides dynamic stability against valgus forces. Flexor-pronator tendon degeneration occurs with repetitive forced wrist extension and forearm supination during activities involving wrist flexion and forearm pronation. ▪…

Lateral: Posterolateral Rotary Instability

Introduction ▪ This chapter reviews posterolateral rotary instability of the elbow. ▪ Elbow instability may significantly limit a patient’s function and ability to perform sports and activities of daily living. ▪ Posterolateral rotary instability has become more frequently and accurately…

Medial: Ulnar Collateral Ligament Injury

Epidemiology, Anatomy, Mechanism of Injury, History, Physical Examination, and Imaging Christopher S. Ahmad, MD Justin L. Hodgins, MD Abstract Injury to the medial ulnar collateral ligament (MUCL) of the elbow is a debilitating condition primarily affecting overhead throwing athletes. Overuse injuries to…

Throwing Programs and Return to Sport

Return to a throwing sport after elbow or shoulder injury can be a daunting task. Return to play rates after ulnar collateral ligament reconstruction have been favorable but lower than once thought ( ). Many studies show a high return…