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Updated: Jun 29, 2025
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Measuring 3D In-vivo Shoulder Kinematics using Biplanar Videoradiography
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Shoulder Pain in a Pediatric Throwing Athlete
Clayton R Welsh1, Cassidy M Foley Davelaar2
1Medicine, University of Central Florida, Orlando, USA.
Cureus
|March 29, 2024
Summary
This case report highlights a pediatric avulsion fracture in a young softball player, emphasizing the link between improper throwing mechanics and shoulder injury. Early diagnosis and conservative management led to successful bone healing and return to sport.
Area of Science:
- Orthopedics
- Sports Medicine
- Pediatric Sports Injuries
Background:
- Pediatric avulsion fractures commonly affect secondary ossification centers due to repetitive stress in youth athletes.
- Youth athletes' activities can predispose them to overuse injuries at these vulnerable sites.
Observation:
- A 12-year-old female softball player presented with distal acromion pain exacerbated by overhead throwing.
- Improper throwing mechanics were identified as a contributing factor to the shoulder stress.
Findings:
- Plain radiography confirmed an avulsion fracture of the distal acromion.
- Conservative management, including reduced activity, resulted in bone-on-bone healing within four weeks.
Implications:
- This case underscores the importance of evaluating throwing mechanics in pediatric shoulder injuries.
- Proper diagnosis and conservative treatment are effective for distal acromion avulsion fractures in young athletes.
- Understanding injury mechanisms can guide prevention and rehabilitation strategies for youth athletes.
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