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The Elbow pp 447–465Cite as

The Throwing Elbow

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References

  • Aguinaldo AL, Chambers H (2009) Correlation of throwing mechanics with elbow valgus load in adult baseball pitchers. Am J Sports Med 37:2043–2048

    Article  PubMed  Google Scholar 

  • Ahmad CS, Lee TQ, ElAttrache NS (2003) Biomechanical evaluation of a new ulnar collateral ligament reconstruction technique with interference screw fixation. Am J Sports Med 31(3):332–337

    Article  PubMed  Google Scholar 

  • Andrews JR, Jelsma RD, Joyce ME et al (1996) Open surgical procedures for injuries to the elbow in throwers. Op Tech Sports Med 4:109–113

    Article  Google Scholar 

  • Andrews JR, Timmerman LA (1995) Outcome of elbow surgery in professional baseball players. Am J Sports Med 23:407–413

    Article  CAS  PubMed  Google Scholar 

  • Aoki M, Kanaya K, Aiki H et al (2005) Cubital tunnel syndrome in adolescent baseball players: a report of six cases with 3- to 5-year follow-up. Arthroscopy 21(6):758

    Article  PubMed  Google Scholar 

  • Arendt EA (ed) (1999) Orthopaedic knowledge update sports medicine. AAOS, Rosemont, IL

    Google Scholar 

  • Armstrong AD, Dunning CE, Ferreira LM et al (2005) A biomechanicalcomparison of four reconstruction techniques for the medial collateral ligamentdeficient elbow. J Shoulder Elb Surg 14(2):207–215

    Article  Google Scholar 

  • Azar FM, Andrews JR, Wilk KE et al (2000) Operative treatment of ulnar collateral ligament injuries of the elbow in athletes. Am J Sports Med 28(1):16–23

    Article  CAS  PubMed  Google Scholar 

  • Bartels RH (2004) Redefining the arcade of Struthers. J Hand Surg 29(2):335. [author reply: 335]

    Article  Google Scholar 

  • Beelen M, Burke LM, Gibala MJ, van Loon LJC (2010) Nutritional strategies to promote postexercise recovery. Int J Sport Nutr Exerc Metab 20:515–532

    Article  CAS  PubMed  Google Scholar 

  • Benjamin HJ, Briner W Jr (2005) Little league elbow. Clin J Sport Med 15(1):37–40

    Article  PubMed  Google Scholar 

  • Bennett GE (1959) Elbow and shoulder lesions of baseball players. Am J Surg 98:484–492

    Article  CAS  PubMed  Google Scholar 

  • Boatright JR, D’Alessandro DF (1996) Nerve entrapment syndromes at the elbow. Operative techniques in upper extremity sports injuries. Mosby-Year, St Louis, MO, pp 518–537

    Google Scholar 

  • Bonci L (2009) Performance eating for baseball. Strength Condit J 31:59–63

    Article  Google Scholar 

  • Bowers AL, Dines JS, Dines DM et al (2010) Elbow medial ulnar collateral ligament reconstruction: clinical relevance and the Docking technique. J Shoulder Elb Surg 19(Suppl 2):110–117

    Article  Google Scholar 

  • Bradshaw DY, Shefner JM (1999) Ulnar neuropathyat the elbow. Neurol Clin 17(3):447–461. v–vi

    Article  CAS  PubMed  Google Scholar 

  • Burkhart SS, Morgan CD, Kibler WB (2003) The disabled throwing shoulder: spectrum of pathology part I: pathoanatomy and biomechanics. Arthroscopy 19(4):404–420

    Article  PubMed  Google Scholar 

  • Cain EL, Andrews JR, Dugas JR et al (2010) Outcome of ulnar collateral ligament reconstruction of the elbow in 1281 athletes: results in 743 athletes with minimum 2-year follow-up. Am J Sports Med 38(12):2426–2434

    Article  PubMed  Google Scholar 

  • Cain EL Jr, Dugas JR, Wolf RS, Andrews JR (2003) Elbow injuries in throwing athletes: a current concepts review. Am J Sports Med 31(4):621–635

    Article  PubMed  Google Scholar 

  • Caine D, Maffulli N, Caine C (2008) Epidemiology of injury in child and adolescent sports: injury rates, risk factors, and prevention. Clin Sports Med 27(1):19–50

    Article  PubMed  Google Scholar 

  • Callaway GH, Field LD, Deng XH, Torzilli PA, O’Brien SJ, Altchek DW, Warren RF (1997) Biomechanical evaluation of the medial collateral ligament of the elbow. J Bone Joint Surg Am 79(8):1223–1231

    Article  CAS  PubMed  Google Scholar 

  • Carrino JA, Morrison WB, Zou KH et al (2001) Noncon—trast MR imaging and MR arthrographyof the ulnar collateral ligament of the elbow: prospective evaluation of two—dimensional pulse sequences for detection of complete tears. Skeletal Radiol 30(11):625–632

    Article  CAS  PubMed  Google Scholar 

  • Charles YP, Coulet B, Rouzaud JC et al (2009) Comparative clinical outcomes of submuscular and subcutaneous transposition of the ulnar nerve for cubital tunnel syndrome. J Hand Surg 34(5):866–874

    Article  Google Scholar 

  • Chen FS, Diaz VA, Loebenberg M, Rosen JE (2005) Shoulder and elbow injuries in the skeletally immature athlete. J Am Acad Orthop Surg 13(3):172–185

    Article  PubMed  Google Scholar 

  • Chen FS, Rokito AS, Jobe FW (2001) Medial elbow problems in the overhead-throwing athlete. J Am Acad Orthop Surg 9(2):99–113

    Article  CAS  PubMed  Google Scholar 

  • Cheng CJ, Mackinnon-Patterson B, Beck JL et al (2008) Scratch collapse test for evaluation of carpal and cubital tunnel syndrome. J Hand Surg 33(9):1518–1524

    Article  Google Scholar 

  • Chung KC (2008) Treatment of ulnar nerve compression at the elbow. J Hand Surg 33(9):1625–1627

    Article  Google Scholar 

  • Ciccotti MG (1999) Epicondylitis in the athlete. Instr Course Lect 48:375–381

    CAS  PubMed  Google Scholar 

  • Ciccotti MG, Siegler S, Kuri JA 2nd et al (2009) Murphy DJt. Comparison of the biomechanical profile of the intact ulnar collateral ligament with the modified jobs and the Docking reconstructed elbow: an in vitro study. Am J Sports Med 37(5):974–981

    Article  PubMed  Google Scholar 

  • Collins CL, Comstock RD (2008) Epidemiological features of high school baseball injuries in the United States, 2005–2007. Pediatrics 121:1181–1187

    Article  PubMed  Google Scholar 

  • Conway JE, Jobe FW, Glousman RE et al (1992) Medial instability of the elbow in throwing athletes. Treatment by repairor reconstruction of the ulnar collateral ligament. J Bone Joint Surg Am 74(1):67–83

    Article  CAS  PubMed  Google Scholar 

  • Crockett HC, Gross LB, Wilk KE et al (2002) Osseous adaptation and range of motion at the glenohumeral joint in professional baseball pitchers. Am J Sports Med 30(1):20–26

    Article  PubMed  Google Scholar 

  • Davidson PA, Pink M, Perry J, Jobe FW (1995) Functional anatomy of the flexor pronator muscle group in relation to the medial collateral ligament of the elbow. Am J Sports Med 23(2):245–250

    Article  CAS  PubMed  Google Scholar 

  • Davis JT, Limpisvasti O, Fluhme D et al (2009) The effect of pitching biomechanics on the upper extremity in youth and adolescent baseball pitchers. Am J Sports Med 37:1484–1491

    Article  CAS  PubMed  Google Scholar 

  • Dehaven KE, Evarts CM (1973) Throwing injuries of tile elbow in athletes. Orthop Clin North Am 4:801–809

    CAS  PubMed  Google Scholar 

  • Del Pizzo W, Jobe FW, Norwood L (1977) Ulnar nerve entrapment syndrome in baseball players. Am J Sports Med 5(5):182–185

    Article  PubMed  Google Scholar 

  • Demorest RA, Landry GL (2003) Prevention of pediatric sports injuries. Curr Sports Med Rep 2(6):337–343

    Article  PubMed  Google Scholar 

  • Digiovine NM, Jobe FW, Pink M et al (1992) An electromyographic analysis of the upper extremity in pitching. J Shoulder Elb Surg 1(1):15–25

    Article  CAS  Google Scholar 

  • Dines JS, Elattrache NS, Conway JE et al (2007) Clinical outcomes of the DANE TJ technique to treat ulnar collateral ligament insufficiency of the elbow. Am J Sports Med 35(12):2089–2044

    Article  Google Scholar 

  • Dines JS, Frank JB, Akerman M, Yocum LA (2009) Glenohumeral internal rotation deficits in baseball players with ulnar collateral ligament insufficiency. Am J Sports Med 37(3):566–570

    Article  PubMed  Google Scholar 

  • Dines JS, Jones KJ, Kahlenberg C et al (2012) Elbow ulnar collateral ligament reconstruction in javelin throwers at a minimum 2-year followup. Am J Sports Med 40(1):148–151

    Article  PubMed  Google Scholar 

  • Dlabach JA, Baker CL (2001) Lateral and medial epicondylitis in the overhead athlete. Oper Tech Orthop 1(1):46–54

    Article  Google Scholar 

  • Dodson CC, Thomas A, Dines JS et al (2006) Medial ulnar collateral ligament reconstruction of the elbow in throwing athletes. Am J Sports Med 34(12):1926–1932

    Article  PubMed  Google Scholar 

  • Dun S, Loftice J, Fleisig GS et al (2008) A biomechanical comparison of youth baseball pitches: is the curveball potentially harmful? Am J Sports Med 36(4):686–692

    Article  PubMed  Google Scholar 

  • Ellenbecker TS, Mattalino AJ, Elam EA et al (1998) Medial elbow joint laxity in professional baseball pitchers. A bilateral comparison using stress radiography. Am J Sports Med 26(8):420–424

    Article  CAS  PubMed  Google Scholar 

  • Emery KH (2006) Imaging of sports injuries of the upper extremity in children. Clin Sports Med 25(3):543–568

    Article  PubMed  Google Scholar 

  • Field LD, Callaway GH, O’Brien SJ, Altchek DW (1995) Arthroscopic assessment of the medial collateral ligament complex of the elbow. Am J Sports Med 23:396–400

    Article  CAS  PubMed  Google Scholar 

  • Field LD, Savoie FH (1998) Common elbow injuries in sport. Sports Med 26(3):193–205

    Article  CAS  PubMed  Google Scholar 

  • Fleisig GS (1994) The biomechanics of baseball pitching. Dissertation, University of Alabama at Birmingham

    Google Scholar 

  • Fleisig GS, Andrews JR (2012) Prevention of elbow injuries in youth baseball pitchers. Sports Health 4(5):419–424

    Article  PubMed  PubMed Central  Google Scholar 

  • Fleisig GS, Andrews JR, Cutter GR et al (2011) Risk of serious injury for young baseball pitchers: a 10-year prospective study. Am J Sports Med 39:253–257

    Article  PubMed  Google Scholar 

  • Fleisig GS, Andrews JR, Dillman CJ et al (1995) Kinetics of baseball pitching with implications about injury mechanisms. Am J Sports Med 23(2):233–239

    Article  CAS  PubMed  Google Scholar 

  • Fleisig GS, Barrentine SW, Zheng N, Escamilla RF, Andrews JR (1999) Kinematic and kinetic comparison of baseball pitching among various levels of development. J Biomech 32(12):1371–1375

    Article  CAS  PubMed  Google Scholar 

  • Fleisig GS, Chu Y, Weber A, Andrews JR (2009) Variability in baseball pitching biomechanics among various levels of competition. Sports Biomech 8:10–21

    Article  PubMed  Google Scholar 

  • Fortenbaugh D, Fleisig GS, Andrews JR (2009) Baseball pitching biomechanics in relation to injury risk and performance. Sports Health 1:314–320

    Article  PubMed  PubMed Central  Google Scholar 

  • Gabel GT, Morrey BF (1995a) Operative treatment of medical epicondylitis. Influence of concomitant ulnar neuropathy at the elbow. J Bone Joint Surg Am 77(7):1065–1069

    Article  CAS  PubMed  Google Scholar 

  • Gabel GT, Morrey BF (1995b) Operative treatment of medial epicondylitis. J Bone Joint Surg Am 77:1065–1069

    Article  CAS  PubMed  Google Scholar 

  • Glousman RE (1990) Ulnar nerve problems in the athlete’s elbow. Clin Sports Med 9(2):365–377

    CAS  PubMed  Google Scholar 

  • Glousman RE, Barron J, Jobe FW et al (1992) An electromyographic analysis of the elbow in normal and injured pitchers with medial collateral ligament insufficiency. Am J Sports Med 20(3):311–317

    Article  CAS  PubMed  Google Scholar 

  • Grana W (2001) Medial epicondylitis and cubital tunnel syndrome in the throwing athlete. Clin Sports Med 20(3):541–548

    Article  CAS  PubMed  Google Scholar 

  • Gregory B, Nyland J (2013) Medial elbow injury in young throwing athletes. Muscles Ligaments Tendons J 3(2):91–100. doi:10.11138/mltj/2013.3.2.91

    Article  PubMed  PubMed Central  Google Scholar 

  • Hamilton CD, Glousman RE, Jobe FW et al (1996) Dynamic stability of the elbow: electromyographic analysis of the flexor pronator group and the extensor group in pitchers with valgus instability. J Shoulder Elb Surg 5(5):347–354

    Article  CAS  Google Scholar 

  • Han KJ, Kim YK, Lim SK, Park JY, Oh KS (2009) The effect of physical characteristics and field position on the shoulder and elbow injuries of 490 baseball players: confirmation of diagnosis by magnetic resonance imaging. Clin J Sport Med 19(4):271–276

    Article  PubMed  Google Scholar 

  • Hariri S, Safran MR (2010) Ulnar collateral ligament injury in overhead athlete. Clin Sports Med 29(4):619–644

    Article  PubMed  Google Scholar 

  • Hausman MR, Lang P (2014) Examination of the elbow: current concepts. J Hand Surg Am 39(12):2534–2541. doi:10.1016/j.jhsa.2014.04.028. Epub 2014 Nov 21

    Article  PubMed  Google Scholar 

  • Hechtman KS, Tjin-A-Tsoi EW, Zvijac JE, Uribe JW, Latta LL (1998) Biomechanics of a less invasive procedure for reconstruction of the ulnar collateral ligament of the elbow. Am J Sports Med 26(5):620–624

    Article  CAS  PubMed  Google Scholar 

  • Hines RF, Herndon WA, Evans JP (1987) Operative treatment of medial epicondyle fractures in children. Clin Orthop Relat Res 223:170–174

    Google Scholar 

  • Hirose N (2009) Relationship among birth-month distribution, skeletal age and anthropometric characteristics in adolescent elite soccer players. J Sports Sci 27:1159–1166

    Article  PubMed  Google Scholar 

  • Huang JH, Samadani U, Zager EL (2004) Ulnar nerve entrapment neuropathy at the elbow: simple decompression. Neurosurgery 55(5):1150–1153

    Article  PubMed  Google Scholar 

  • Hurbanek JG, Anderson K, Crabtree S et al (2009) Biomechanical comparison of the Docking technique with and without humeral bioabsorbable interference screw fixation. Am J Sports Med 37(3):526–533

    Article  PubMed  Google Scholar 

  • Ireland ML, Andrews JR (1988) Shoulder and elbow injuries in the young athlete. Clin Sports Med 7(3):473–494

    CAS  PubMed  Google Scholar 

  • Jobe FW, Kvitne RS (1991) Elbow instabilityin the athlete. Instr Course Lect 40:17–23

    Google Scholar 

  • Jobe FW, Moynes DR, Tibone JE et al (1984) An EMG analysis of the shoulder in pitching. A second report. Am J Sports Med 12(3):218–220

    Article  CAS  PubMed  Google Scholar 

  • Jobe FW, Stark H, Lombardo SJ (1986) Reconstruction of the ulnar collateral ligament in athletes. J Bone Joint Surg Am 68(8):1158–1163

    Article  CAS  PubMed  Google Scholar 

  • Kancherla VK, Caggiano NM, Matullo KS (2014) Elbow injuries in the throwing athlete. Orthop Clin North Am 45(4):571–585. doi:10.1016/j.ocl.2014.06.012

    Article  PubMed  Google Scholar 

  • Kelly AM, Pappas AM (1997) Shoulder and elbow injuries and painful syndromes. Adolesc Med 29:225–230

    Google Scholar 

  • Kijowski R, De Smet AA (2005) Magnetic resonance imaging findings in patients with medial epicondylitis. Skelet Radiol 34(4):196–202

    Article  Google Scholar 

  • Kooima CL, Anderson K, Craig JV et al (2004) Evidence of subclinical medial collateral ligament injury and posteromedial impingement in professional baseball players. Am J Sports Med 32(7):1602–1606

    Article  PubMed  Google Scholar 

  • Koh JL, Schafer MF, Keuter G et al (2006) Ulnar collateral ligament reconstruction in elite throwing athletes. Arthroscopy 22(11):1187–1191

    Article  PubMed  Google Scholar 

  • Kurvers H, Verhaar J (1995) The results of operative treatment of medial epicondylitis. J Bone Joint Surg Am 77(9):1374–1379

    Article  CAS  PubMed  Google Scholar 

  • Langer P, Fadale P, Hulstyn M (2006) Evolution of the treatment options of ulnar collateral ligament injuries of the elbow. Br J Sports Med 40(6):499–506

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Large TM, Coley ER, Peindl RD et al (2007) A biomechanical comparison of 2 ulnar collateral ligament reconstruction techniques. Arthroscopy 23(2):141–150

    Article  PubMed  Google Scholar 

  • Lawrence JT, Patel NM, Macknin J et al (2013) Return to competitive sports after medial epicondyle fractures in adolescent athletes: results of operative and nonoperative treatment. Am J Sports Med 41(5):1152–1157

    Article  PubMed  Google Scholar 

  • Leach RE, Miller JK (1987) Lateral and medial epicondylitis of the elbow. Clin Sports Med 6:259–273

    CAS  PubMed  Google Scholar 

  • Li X, Dines JS, Gorman M et al (2012) Anconeus epitrochlearis as a source of medial elbow pain in baseball pitchers. Orthopedics 35(7):e1129–e1132

    Article  PubMed  Google Scholar 

  • Limpisvasti O, Elattrache NS, Jobe FW (2007) Understanding shoulder and elbow injuries in baseball. J Am Acad Orthop Surg 15(3):139417

    Article  Google Scholar 

  • Lyman S, Fleisig GS (2005) Baseball injuries. In: Maffulli N, Caine DJ (eds) Epidemiology of pediatric sports injuries: team sports. Karger, Basel, pp 9–30

    Chapter  Google Scholar 

  • Lyman S, Fleisig GS, Andrews JR et al (2002) Effect of pitch type, pitch count, and pitching mechanics on risk of elbow and shoulder pain in youth baseball pitchers. Am J Sports Med 30(4):463–468

    Article  PubMed  Google Scholar 

  • Lyman S, Fleisig GS, Waterbor JW et al (2001) Longitudinal study of elbow and shoulder pain in youth baseball pitchers. Med Sci Sports Exerc 33(11):1803–1810

    Article  CAS  PubMed  Google Scholar 

  • Macadam SA, Gandhi R, Bezuhly M et al (2008) Simple decompression versus anterior subcutaneous and submuscular transposition of the ulnar nerve forcubital tunnel syndrome: a meta-analysis. J Hand Surg 33(8):1314.e1–1314.12

    Article  Google Scholar 

  • Mackinnon SE (2009) Comparative clinical outcomes of submuscular and subcutaneous transposition of the ulnar nerve for cubital tunnel syndrome. J Hand Surg 34(8):1574–1575

    Article  Google Scholar 

  • Martin SD, Baumgarten TE (1996) Elbow injuries in the throwing athlete: diagnosis and arthroscopic treatment. Oper Tech Sports Med 4(2):100–108

    Article  Google Scholar 

  • Masear VR, Hill JJ Jr, Cohen SM (1988) Ulnar compression neuropathysecondary to the anconeus epitrochlearis muscle. J Hand Surg 13(5):720–724

    Article  CAS  Google Scholar 

  • Matheson GO, Clement DB, McKenzie DC et al (1987) Stress fractures in athletes. A study of 320 cases. Am J Sports Med 15(1):46–58

    Article  CAS  PubMed  Google Scholar 

  • Matthys SP, Vaeyens R, Coelho-E-Silva MJ, Lenoir M, Philippaerts R (2012) The contribution of growth and maturation in the functional capacity and skill performance of male adolescent handball players. Int J Sports Med 33:543–549

    Article  CAS  PubMed  Google Scholar 

  • Matsuo T, Fleisig GS, Zheng N, Andrews JR (2006) Influence of shoulder abduction and lateral trunk tilt on peak elbow varus torque for college baseball pitchers during suimulated pitching. J Appl Biomech 22:93–102

    Article  PubMed  Google Scholar 

  • McAdams TR, Lee AT, Centeno J et al (2007) Two ulnar collateral ligament reconstruction methods: the Docking technique versus bioabsorbable interference screw fixation—a biomechanical evaluation with cyclic loading. J Shoulder Elb Surg 16(2):224–228

    Article  Google Scholar 

  • McFarland EG, Ireland ML (2003) Rehabilitation programs and prevention strategies in adolescent throwing athletes. Instruc Course Lect 52:37–42

    Google Scholar 

  • Miller CD, Savoie FH 3rd (1994) Valgus extension injuries of the elbow in the throwing athlete. J Am Acad Orthop Surg 2(5):261–269

    Article  CAS  PubMed  Google Scholar 

  • Morgan RJ, Starman JS, Habet NA et al (2010) A biomechanical evaluation of ulnar collateral ligament reconstruction using a novel technique for ulnar-sided fixation. Am J Sports Med 38(7):1448–1455

    Article  PubMed  Google Scholar 

  • Morrey BF (1986) Applied anatomy and biomechanics of the elbow joint. Instr Course Lect 35:59–68

    CAS  PubMed  Google Scholar 

  • Morrey BF, An KN (1983) Articular and ligamentous contributions to the stability of the elbow joint. Am J Sports Med 11(5):315–319

    Article  CAS  PubMed  Google Scholar 

  • Morrey BF, Regan WD (1994) Throwing injuries. In: DeLee JC, Drez D Jr (eds) Orthopaedic sports medicine: principles and practice. WB Saunders, Philadelphia, PA, pp 882–889

    Google Scholar 

  • Morrey BF, Tanaka S, An KN (1991) Valgus stabilityof the elbow, a definition of primary and secondary constraints. Clin Orthop Relat Res 265:187–195

    Google Scholar 

  • Murphy BJ (1992) MR imaging of the elbow. Radiol 184(2):525–529

    Article  CAS  Google Scholar 

  • Murthi AM, Keener JD, Armstrong AD et al (2011) The recurrent unstable elbow: diagnosis and treatment. Instr Course Lect 60:215–226

    PubMed  Google Scholar 

  • Nassab PF, Schickendantz MS (2006) Evaluation and treatment of medial ulnar collateral ligament injuries in the throwing athlete. Sports Med Arthrosc 14(4):221–231

    Article  PubMed  Google Scholar 

  • Nazarian LN, McShane JM, Ciccotti MG et al (2003) Dynamic US of the anterior band of the ulnar collateral ligament of the elbow in asymptomatic major league baseball pitchers. Radiology 227(1):149–154

    Article  PubMed  Google Scholar 

  • Nirschl RP (1992) Elbow tendinosis/tennis elbow. Clin Sports Med 11:851–870

    CAS  PubMed  Google Scholar 

  • Nissen CW (2008) Effectiveness of interference screw fixation in ulnar collateral ligament reconstruction. Orthopedics 31(7):646

    Article  PubMed  Google Scholar 

  • Norwood LA, Shook JA, Andrews JR (1981) Acute medial elbow ruptures. Am J Sports Med 9(1):16–19

    Article  CAS  PubMed  Google Scholar 

  • O’Driscoll SW, Lawton RL, Smith AM (2005) The moving valgus stress test for medial collateral ligament tears of the elbow. Am J Sports Med 33(2):231–239

    Article  PubMed  Google Scholar 

  • Ollivierre CO, Nirschl RP, Pettrone FA (1995) Resection and repair for medial tennis elbow: a prospective analysis. Am J Sports Med 23(2):214–221

    Article  CAS  PubMed  Google Scholar 

  • Olsen SJ 2nd, Fleisig GS, Dun S et al (2006) Risk factors for shoulder and elbow injuries in adolescent baseball pitchers. Am J Sports Med 34(6):905–912

    Article  PubMed  Google Scholar 

  • Paletta GA Jr, Klepps SJ, Difelice GS, Allen T, Brodt MD, Burns ME, Silva MJ, Wright RW (2006) Biomechanical evaluation of 2 techniques for ulnar collateral ligament reconstruction of the elbow. Am J Sports Med 34(10):1599–1603

    Article  PubMed  Google Scholar 

  • Patel RM, Lynch TS, Amin NH, Calabrese G, Gryzlo SM, Schickendantz MS (2014) The thrower’s elbow. Orthop Clin North Am 45(3):355–376. doi:10.1016/j.ocl.2014.03.007

    Article  PubMed  Google Scholar 

  • Petty DH, Andrews JR, Fleisig GS et al (2004) Ulnar collateral ligament reconstruction in high school baseball players: clinical results and injury risk factors. Am J Sports Med 32(5):1158–1164

    Article  PubMed  Google Scholar 

  • Pienimaki TT, Siira PT, Vanharanta H (2002) Chronic medial and lateral epicondylitis: a comparison of pain, disability, and function. Arch Phys Med Rehabil 83(3):317–321

    Article  PubMed  Google Scholar 

  • Plancher KD, Halbrecht J, Lourie GM (1996) Medial and lateral epicondy lifts in tile athlete. Clin Sports Med 15:283–305

    CAS  PubMed  Google Scholar 

  • Podesta L, Crow SA, Volkmer D et al (2013) Treatment of partial ulnar collateral ligament tears in the elbow with platelet-rich plasma. Am J Sports Med 41(7):1689–1694

    Article  PubMed  Google Scholar 

  • Posner MA (1998) Compressive ulnar neuropathiesat the elbow: I. Etiology and diagnosis. J Am Acad Orthop Surg 6(5):282–288

    Article  CAS  PubMed  Google Scholar 

  • Purcell DB, Matava MJ, Wright RW (2007) Ulnar collateral ligament reconstruction: a systematic review. Clin Orthop Relat Res 455:72–77

    Article  PubMed  Google Scholar 

  • Rayan GM, Jensen C, Duke J (1992) Elbow flexion test in the normal population. J Hand Surg 17(1):86–89

    Article  CAS  Google Scholar 

  • Regan WD, Korinek SL, Morrey BF et al (1991) Biomechanical study of ligaments around the elbow joint. Clin Orthop Relat Res 271:170–179

    Google Scholar 

  • Rettig AC, Ebben JR (1993) Anterior subcutaneous transfer of the ulnar nerve in the athlete. Am J Sports Med 21(6):836–839. [discussion: 839–40]

    Article  CAS  PubMed  Google Scholar 

  • Rettig AC, Sherrill C, Snead DS et al (2001) Nonoperative treatment of ulnar collateral ligament injuries in throwing athletes. Am J Sports Med 29(1):15–17

    Article  CAS  PubMed  Google Scholar 

  • Rijke AM, Goitz HT, McCue FC, Andrews JR, Berr SS (1994) Stress radiography of the medial elbow ligaments. Radiol 191(1):213–216

    Article  CAS  Google Scholar 

  • Rohrbough JT, Altchek DW, Hyman J et al (2002) Medial collateral ligament reconstruction of the elbow using the Docking technique. Am J Sports Med 30(4):541–548

    Article  PubMed  Google Scholar 

  • Rokito AS, Iviclviahon PJ, Jobe FW (1996) Cubital tunnel syndrome. Oper Tech Sports Med 4(1):15–20

    Article  Google Scholar 

  • Roub LW, Gumerman LW, Hanley EN Jr et al (1979) Bone stress: a radionuclide imaging perspective. Radiology 132(2):431–438

    Article  CAS  PubMed  Google Scholar 

  • Sabick MB, Torry MR, Lawton RL, Hawkins RJ (2004) Valgus torque in youth baseball pitchers: A biomechanical study. J Shoulder Elbow Surg 13(3):349–355

    Article  PubMed  Google Scholar 

  • Safran MR, McGarry MH, Shin S, Han S, Lee TQ (2005) Effects of elbow flexion and forearm rotation on valgus laxity of the elbow. J Bone Joint Surg Am 87(9):2065–2074

    Article  PubMed  Google Scholar 

  • Sasaki J, Takahara M, Ogino T et al (2002) Ultrasonographic assessment of the ulnar collateral ligament and medial elbow laxity in college baseball players. J Bone Joint Surg Am 84-A(4):525–531

    Article  Google Scholar 

  • Savoie FH 3rd, Morgan C, Yaste J et al (2013) Medial ulnar collateral ligament reconstruction using hamstring allograft in overhead throwing athletes. J Bone Joint Surg Am 95(12):1062–1066

    Article  PubMed  Google Scholar 

  • Schickendantz MS (2002) Diagnosis and treatment of elbow disorders in the overhead athlete. Hand Clin 18(1):65–75

    Article  PubMed  Google Scholar 

  • von Schroeder HP, Scheker LR (2003) Redefining the arcade of Struthers. J Hand Surg 28(6):1018–1021

    Article  Google Scholar 

  • Schwab GH, Bennett JB, Woods GW et al (1980) Biomechanics of elbow instability:the role of the medial collateral ligament. Clin Orthop Relat Res 146:42–52

    Google Scholar 

  • Schwartz ML, al-Zahrani S, Morwessel RM et al (1995) Ulnar collateral ligament injury in the throwing athlete: evaluation with saline-enhanced MR arthrography. Radiology 197(1):297–299

    Article  CAS  PubMed  Google Scholar 

  • Shah RP, Lindsey DP, Sungar GW et al (2009) An analysis of four ulnar collateral ligament reconstruction procedures with cyclic valgus loading. J Shoulder Elb Surg 18(1):58–63

    Article  Google Scholar 

  • Sisto DJ, Jobe FW, Moynes DR et al (1987) An electromyographic analysis of the elbow in pitching. Am J Sports Med 15(3):260–263

    Article  CAS  PubMed  Google Scholar 

  • Smith GR, Altchek DW, Pagnani MJ et al (1996) A muscle-splitting approach to the ulnar collateral ligament of the elbow. Neuroanatomy and operative technique. Am J Sports Med 24(5):575–580

    Article  CAS  PubMed  Google Scholar 

  • Sojbjerg JO, Ovesen J, Nielsen S (1987) Experimental elbow instability after transection of the medial collateral ligament. Clin Orthop Relat Res 218:186–190

    Google Scholar 

  • Stachowicz RZ, Agnoda AM, Baratz ME (2014) Medial collateral ligament of the elbow: acute deterioration in throwing athletes. J Hand Surg Am 39(8):1603–1605. doi:10.1016/j.jhsa.2014.04.011. Epub 2014 May 23

    Article  PubMed  Google Scholar 

  • Starman JS, Morgan RJ, Fleischli JE et al (2010) Ulnar collateral ligament reconstruction using the Toggle—Loc with ZipLoop for ulnar side fixation. Orthopedics 33(5):312–316

    Article  PubMed  Google Scholar 

  • Stahl S, Kaufman T (1997) Ulnar nerve injury at the elbow after steroid injection for medial epicondylitis. J Hand Surg Br 22(1):69–70

    Article  CAS  PubMed  Google Scholar 

  • Stapleton TR, Baker CL (1996) Arthroscopic treatment of lateral epicondylitis: a clinical study. Arthroscopy 12:365–366. (abstr)

    Google Scholar 

  • Taylor SA, Hannafin JA (2012) Evaluation and management of elbow tendinopathy. Sports Health 4(5):384–393

    Article  PubMed  PubMed Central  Google Scholar 

  • Thompson NW, Mockford BJ, Cran GW (2001b) Absence of the palmaris longus muscle: a population study. Ulster Med J 70:22–24

    CAS  PubMed  PubMed Central  Google Scholar 

  • Thompson WH, Jobe FW, Yocum LA et al (2001a) Ulnar collateral ligament reconstruction in athletes: muscle-splitting approach without transposition of the ulnar nerve. J Shoulder Elb Surg 10(2):152–157

    Article  CAS  Google Scholar 

  • Timmerman LA, Schwartz ML, Andrews JR (1994) Preoperative evaluation of the ulnar collateral ligament by magnetic resonance imaging and computed tomography arthrography. Evaluation in 25 baseball players with surgical confirmation. Am J Sports Med 22(1):26–31. [discussion: 32]

    Article  CAS  PubMed  Google Scholar 

  • Toby EB, Hanesworth D (1998) Ulnar nerve strains at the elbow. J Hand Surg 23(6):992–997

    Article  CAS  PubMed  Google Scholar 

  • Torg JS (1972) The little league pitcher. Am Fam Physiclan 6(2):71–76

    CAS  Google Scholar 

  • Tuite MJ, Kijowski R (2006) Sports-related injuries of the elbow: an approach to MRI interpretation. Clin Sports Med 25(3):387–408

    Article  PubMed  Google Scholar 

  • Vangsness CT, Jobe FW (1991) Surgical treatment of medial epicondylitis: results in 35 elbows. J Bone Joint Surg Br 73:409–411

    Article  PubMed  Google Scholar 

  • Vitale MA, Ahmad CS (2008) The outcome of elbow ulnar collateral ligament reconstruction in overhead athletes: a systematic review. Am J Sports Med 36(6):1193–1205

    Article  PubMed  Google Scholar 

  • Watson JN, McQueen P, Hutchinson MR (2014) A systematic review of ulnar collateral ligament reconstruction techniques. Am J Sports Med 42:2510–2516

    Article  PubMed  Google Scholar 

  • Wilson FD, Andrews JR, Blackburn TA et al (1983) Valgus extension overload in the pitching elbow. Am J Sports Med 11(2):83–88

    Article  CAS  PubMed  Google Scholar 

  • Wei AS, Khana S, Limpisvasti O et al (2010) Clinical and magnetic resonance imaging findings associated with little league elbow. J Pediatr Orthop 30(7):715–719

    Article  PubMed  Google Scholar 

  • Werner SL, Murray TA, Hawkins RJ, Gill TJ (2002) Relationship between throwing mechanics and elbow valgus in professional baseball pitchers. J Shoulder Elb Surg 11(2):151–155

    Article  Google Scholar 

  • Williams RJ, Urquhart ER, Altchek DW (2004) Medial collateral ligament tears in the throwing athlete. Instr Course Lect 53:579–586

    PubMed  Google Scholar 

  • Woods GW, Tullos HS (1977) Elbow instability and medial epicondyle fractures. Am J Sports Med 5(1):23–30

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Clinica Ortopedica, Orthopaedic and Traumatologic Department, Parma University, Parma, Italy

    Andrea Pellegrini, Filippo Calderazzi, Enricomaria Lunini & Pietro Tonino

  2. Sports Medicine Unit, Orthopaedic and Traumatologic Department, Loyola University Chicago, Chicago, IL, 60660, USA

    Andrea Pellegrini, Filippo Calderazzi, Enricomaria Lunini & Pietro Tonino

Authors
  1. Andrea Pellegrini
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  2. Filippo Calderazzi
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  3. Enricomaria Lunini
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  4. Pietro Tonino
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Corresponding author

Correspondence to Andrea Pellegrini .

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Editors and Affiliations

  1. Policlinico di Modena, Shoulder and Elbow Unit, D. Cervesi Hospital, Cattolica, Italy

    Giuseppe Porcellini

  2. Rizzoli Institute, Bologna, Italy

    Roberto Rotini

  3. Terme di San Petronio - Antalgik, Bologna, Physiomedica, Faenza, Italy

    Susanna Stignani Kantar

  4. Shoulder Team, ForlìCio - Collegio Italiano Osteopatia, Parma, Italy

    Silvia Di Giacomo

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Pellegrini, A., Calderazzi, F., Lunini, E., Tonino, P. (2018). The Throwing Elbow. In: Porcellini, G., Rotini, R., Stignani Kantar, S., Di Giacomo, S. (eds) The Elbow. Springer, Cham. https://doi.org/10.1007/978-3-319-27805-6_34

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