Elbow Injuries in the Adolescent Thrower

  • Timothy B. Griffith
  • James Kercher
  • S. Clifton Willimon
  • Crystal Perkins
  • Xavier A. Duralde
Injuries in Overhead Athletes (J Dines and C Camp, section editors)
  • 31 Downloads
Part of the following topical collections:
  1. Topical Collection on Injuries in Overhead Athletes

Abstract

Purpose of Review

With an increasing rate of adolescent elbow injuries, especially in throwing athletes, the purpose of this review is to investigate the current literature regarding the diagnosis, treatment, and non-operative and operative outcomes of medial epicondyle fractures, ulnar collateral ligament repair, osteochondritis dissecans of the elbow, and olecranon stress fractures.

Recent Findings

Acceptable outcomes with both non-operative and operative treatments of medial epicondyle fractures have been reported, with surgical indications continuing to evolve. Unstable osteochondritis dissecans lesions, especially in patients with closed growth plates, require operative fixation, and emerging open and arthroscopic techniques including lesion debridement, marrow stimulation, autograft transfer, and allograft transplantation are described with good outcomes. Ulnar collateral repair has emerged as an exciting treatment option for an avulsion of either end of the ligament in young throwing athletes, with faster rehabilitation times than traditional ulnar collateral ligament reconstruction. Olecranon stress fractures are increasing in prevalence, and when a non-operative treatment course is unsuccessful, athletes have a high return-to-play rate after percutaneous cannulated screw placement.

Summary

With proper indications, non-operative and operative treatment modalities are reported with a high return-to-play and acceptable clinical outcomes for common elbow injuries, including medial epicondyle fractures, ulnar collateral ligament repair, osteochondritis dissecans of the elbow, and olecranon stress fractures, in adolescent throwing athletes. Further research is needed to better define treatment algorithms, surgical indications, and outcomes.

Keywords

Medial epicondyle fracture Ulnar collateral ligament repair Elbow osteochondritis dissecans Olecranon stress fractures Persistent olecranon physis Adolescent elbow injuries 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Timothy B. Griffith
    • 1
  • James Kercher
    • 1
  • S. Clifton Willimon
    • 2
  • Crystal Perkins
    • 2
  • Xavier A. Duralde
    • 1
  1. 1.Peachtree OrthopedicsAtlantaUSA
  2. 2.Children’s Hospital of AtlantaAtlantaUSA

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