Valgus Extension Overload in Baseball Players

Area of Science:

• Orthopedic surgery
• Sports medicine
• Elbow biomechanics

Background:

• Repetitive throwing motions, common in baseball pitching, place significant stress on the elbow joint.
• This stress can lead to a spectrum of elbow injuries, notably valgus extension overload syndrome (VEO).

Purpose of the Study:

• To provide a comprehensive review of valgus extension overload syndrome (VEO).
• To detail the relevant anatomy, pathomechanics, clinical evaluation, and treatment strategies for VEO.
• To present a preferred arthroscopic surgical technique for VEO refractory to conservative management.

Main Methods:

• Literature review focusing on VEO.
• Discussion of anatomical and biomechanical factors.
• Description of clinical assessment and treatment algorithms.
• Presentation of a specific arthroscopic surgical technique.

Main Results:

• VEO is a common injury in throwing athletes.
• Understanding anatomy and pathomechanics is crucial for diagnosis.
• Conservative management is the first line of treatment.
• Arthroscopic surgery offers an effective option for refractory cases.

Conclusions:

• Valgus extension overload syndrome is a significant concern in throwing athletes.
• A thorough understanding of VEO's presentation and management is essential.
• The presented arthroscopic technique provides a viable surgical solution for recalcitrant VEO.