Little league shoulder (LLS), or proximal humeral epiphysiolysis, is being diagnosed more often by orthopaedic surgeons. LLS is an overuse injury to the growth area of the shoulder joint. New research shows LLS occurs in patients ranging from 8-17 years old and occurs 97% of the time in males. Baseball pitchers and tennis players are at most risk. Treatment of LLS continues to focus on rest and physical therapy, but symptoms can recur. Continuing to participate in pain can result in growth arrest of the growth plate or fracture. Ways to avoid LLS include proper throwing mechanics, proper rest, and the identification and treatment of range of motion asymmetries between shoulders. Table 1 below, courtesy of Little League Baseball, provides recommended pitch counts and rest periods.
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