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Shoulder

Little League Shoulder

What is Little League Shoulder?

The shoulder is a complex joint that includes the humerus (upper arm bone), the scapula (shoulder blade), and the clavicle (collarbone). In growing children, the humerus has a growth plate near the shoulder, also known as the proximal humeral physis, which allows the bone to lengthen until growth is complete. The rotator cuff, a group of muscles and tendons that stabilize the shoulder, also plays a crucial role in throwing motions.

Little League Shoulder is a condition seen in young athletes, typically between the ages of 11 and 16, who engage in overhead sports such as baseball, softball, or tennis. The condition involves stress injuries or microfractures at the growth plate (physis) of the humerus (upper arm bone), near the shoulder. This area is vulnerable to injury in growing children and adolescents due to its relative weakness compared to the surrounding tissues.

Specializing in diagnosing and managing Little League Shoulder, Dr. Ben Mayo is a highly respected shoulder surgeon serving the Detroit area. He is known for his patient-centered approach and commitment to delivering top-tier care. Reach out to schedule your appointment at either his Livonia or Sterling Heights office and start your journey towards recovery.

Little League Shoulder occurs due to repetitive overhead throwing motions that place stress on the proximal humeral physis. These repeated stresses can cause the growth plate to widen or crack, leading to pain and inflammation.

Symptoms of Little League Shoulder can vary in intensity, but typically include:

  • Pain in the shoulder, often worsening with throwing
  • Reduced throwing speed or distance
  • Difficulty or inability to play due to pain
  • Aching or throbbing after throwing

Yes, Little League Shoulder can heal on its own with rest, a modification of activities, and a proper throwing regimen upon return to play. However, it’s crucial to seek proper medical guidance to ensure the correct healing process and prevent complications.

Diagnosis of Little League Shoulder involves a comprehensive physical examination and a review of the patient’s medical history. Imaging tests such as X-rays and MRI may be used to confirm the diagnosis and assess the extent of injury to the growth plate.

The mainstay of treatment for Little League Shoulder is rest from throwing activities to allow the injured growth plate to heal. Physical therapy, focusing on strengthening and conditioning the rotator cuff and shoulder muscles, can help prevent future injuries. In some cases, non-steroidal anti-inflammatory drugs (NSAIDs) may be used to reduce pain and inflammation.

Surgery is rarely needed for Little League Shoulder. Non-surgical treatments are typically effective at treating this condition. Surgery may be considered only if the shoulder does not improve with conservative treatments, or if there is a large fracture or displacement. The timing and necessity for surgery would be individualized based on specific patient factors.

In rare cases when surgery is needed, the procedure would be tailored based on the specific injury. This could involve stabilizing the growth plate or realigning the displaced bones.

The recovery process involves rest and refraining from overhead throwing activities for several weeks to months. A physical therapy program is typically initiated to strengthen the shoulder and improve flexibility. Gradual return to throwing can usually begin once pain-free range of motion and strength have been restored.

Schedule a shoulder consultation

Dr. Ben Mayo is a fellowship trained shoulder surgeon who specializes in the diagnosis and treatment of complex shoulder problems such as Little League Shoulder. Dr. Mayo is regarded as one of the best shoulder surgeons in Michigan, and delivers tailored care that suits your needs, helping you return to your sport, your job, or your everyday activities as quickly and safely as possible. Dr. Mayo’s clinics, located in Livonia, Sterling Heights, and Troy, serve patients across Detroit and the nearby areas such as Canton, Macomb, Farmington Hills, Novi, and Royal Oak. If you or your child are having shoulder pain from Little League Shoulder, contact Dr. Mayo to schedule a consultation today.

At a Glance

Ben Mayo, MD

  • Board-Certified, Fellowship Trained Sports Surgeon
  • Specializes in Minimally Invasive Arthroscopic Shoulder, Elbow, Hip, & Knee Surgery
  • Published over 50 peer-reviewed articles and 10 book chapters
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