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Little League Baseball Jordan D. Metzl, M.D. Mickey Levinson, PT
HSS educational activities are carried out in a manner that serves the educational component of our Mission.  As faculty we are committed to providing transparency in any/all external relationships prior to giving an academic presentation. Jordan Metzl, MD Hospital for Special Surgery Disclosure:  I DO  have a financial relationship with any commercial interest.  Types of financial relationships and the companies with whom I have relationships are as follows: Speakers Bureau - Ferring; Pharma; DePuy; Gatorade
Sports Are Great For Kids! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sports Injuries in the Athletic Patient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Overview: Adolescent Development ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Little League Baseball: Participant Demographics ,[object Object],[object Object],[object Object],[object Object]
Orbital “Blowout” Fracture
Eye Injuries ,[object Object]
Eye  Protection in Baseball Batting Facemask Batting Facemask Field Goggles
Sports Injury Prevention ,[object Object],[object Object],[object Object]
Commotio Cordis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Reported Cases of Commotio Cordis Frequency by Sport (1973-2002) Baseball 52 Sotball 7 Ice Hockey  7 Lacrosse 6 Karate 3 MVA/Bike 3 Others Total - 121
Schematic Representation of the Locations of Impact Points ,[object Object],Baseball Hockey puck Lacrosse ball
Impact Object Hardness is Related to the Risk of Sudden Death in an Animal Model of Commotio Cordis ,[object Object],[object Object],[object Object],[object Object],Frequency of VF with hardness of object
Anabolic Steroid Use in Youth Sports ,[object Object],[object Object],[object Object]
Anabolic Steroids: Kids vs. Adults
Shoulder Pain in the Young Thrower ,[object Object],[object Object],[object Object],[object Object]
Developmental Phases of Throwing Facing target – Push Facing target, Cocking, Toss Age 2
Developmental Phases of Throwing Facing target, Ipsilateral step Perpendicular to target, Contralateral step Age 4
Developmental Phases of Throwing Wind-up, Cocking, Contralateral step Body momentum, Follow-thru Age 6-9
Phases of Throwing Wind-up  Cocking  Acceleration  Deceleration   Follow- thru  E.McFarland ACSM-kinematics
A mature mechanic by age 10? Age 10 Division 1 collegiate athlete
Little League Shoulder: Case 1
Little League Shoulder: Case 2
Little League Shoulder:  Case 3
Proximal Humeral Physis ,[object Object],[object Object],[object Object],[object Object]
Treatment: LLS ,[object Object],[object Object],[object Object],[object Object]
Pitch Counts Guidelines for maximum effort pitches 10 pitches per years of age per 7 day period.
Guidelines for Appropriate Pitch Types
Biomechanics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prevention Program for Throwers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Elbow Pain in a Pitcher ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pediatric Elbow ,[object Object],[object Object],[object Object],[object Object]
Little League Elbow
 
 
 
Treatment - LLE ,[object Object],[object Object],[object Object],[object Object],[object Object]
Ligamentous Anatomy (UCL) ,[object Object],[object Object]
 
Radiocapitellum Overload ,[object Object],[object Object],[object Object]
Osteochondritis Dessicans ,[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object]

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Overview of Adolescent Throwing Problems

Editor's Notes

  1. 9 year male. Acute elbow trauma. MR : Avulsion of medial epicondyle apophysis, with posterior and anterior bands of medial collateral ligament attached. Bone marrow oedema pattern in remaining portion of apophysis. Signal abnormality in captilleum may represent early OCD. Patient : Inkeles, Issac MRN : 776041 Scan date : 9/22/2003 Ref physician : Francisco Laplaza