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The thrower's elbow.

Ronak M Patel1, T Sean Lynch1, Nirav H Amin1

  • 1Sports Health, Department of Orthopaedic Surgery, The Cleveland Clinic Foundation, 5555 Transportation Boulevard, Garfield Heights, OH 44125, USA.

The Orthopedic Clinics of North America
|July 1, 2014
PubMed
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Overhead throwing athletes often sustain elbow injuries due to valgus stress. This review covers anatomy, biomechanics, and treatment for these athletes, focusing on ulnar collateral ligament injuries.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomechanics

Background:

  • Overhead throwing places significant valgus stress on the elbow.
  • Baseball pitchers are most commonly affected, but other overhead athletes are also at risk.
  • Common injuries include ulnar collateral ligament (UCL) tears.

Purpose of the Study:

  • To review the anatomy, biomechanics, pathophysiology, and treatment of elbow disorders in overhead throwing athletes.
  • To provide a comprehensive overview of common elbow pathologies.
  • To focus on the management of ulnar collateral ligament injuries.

Main Methods:

  • Literature review of existing studies on elbow injuries in overhead athletes.
  • Analysis of anatomical and biomechanical factors contributing to injury.
Keywords:
Capitellar OCDOlecranon impingementOverhead throwing athleteTommy JohnUlnar collateral ligamentUlnar subluxation

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  • Discussion of current treatment strategies, both surgical and non-surgical.

    • Main Results:

    • Valgus stress during throwing can lead to various elbow pathologies.
    • Ulnar collateral ligament injuries are a primary concern.
    • A range of treatments exist, tailored to the specific injury and athlete.

    Conclusions:

    • Understanding elbow anatomy and biomechanics is crucial for diagnosing and treating throwing-related injuries.
    • Effective management strategies are available for common elbow pathologies, including UCL injuries.
    • Prevention and timely intervention are key for overhead throwing athletes.