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Related Experiment Videos

Valgus extension overload in the pitching elbow.

F D Wilson, J R Andrews, T A Blackburn

    The American Journal of Sports Medicine
    |March 1, 1983
    PubMed
    Summary

    Posteromedial olecranon osteophytes caused pain and disability in baseball pitchers. Surgical removal of these specific osteophytes, not just posterior ones, allowed pitchers to return to play effectively.

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    Area of Science:

    • Orthopedic Surgery
    • Sports Medicine
    • Baseball Injuries

    Background:

    • Baseball pitchers experience pain during the pitching motion, impacting their ability to compete.
    • Osteophytes on the olecranon process are implicated in elbow pain and dysfunction.

    Purpose of the Study:

    • To identify the specific osteophyte causing impingement in baseball pitchers.
    • To evaluate the efficacy of surgical excision of posteromedial olecranon osteophytes.

    Main Methods:

    • Case series of five baseball pitchers (three college, two professional) with elbow pain.
    • Radiographic identification of olecranon osteophytes.
    • Surgical excision of posteromedial olecranon osteophytes via a posterolateral approach.

    Main Results:

    • All pitchers had a posteromedial olecranon osteophyte causing impingement and chondromalacia.
    • Posterior osteophytes were also present but not the sole cause of the lesion.
    • Surgical excision of the posteromedial osteophyte resulted in early return to function without morbidity.

    Conclusions:

    • Posteromedial olecranon osteophytes are a distinct cause of elbow pain in pitchers.
    • Targeted surgical removal of these specific osteophytes is crucial for successful outcomes.
    • The posterolateral approach facilitates effective and safe osteophyte excision, enabling return to high-level play.

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