Overuse Upper Extremity Injuries in the Skeletally Immature Patient: Beyond Little League Shoulder and Elbow

Marshall, Kelley W.

doi:10.1055/s-0034-1389264

Cited by 13 publications

(2 citation statements)

References 46 publications

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“…Aside from trauma, pediatric elbow evaluation is frequently performed for overuse injuries. Elbow overuse injuries are commonly encountered in young athletes competing in gymnastics and overhead throwing sports, particularly baseball [ 281 ]. Conventional MRI provides adequate evaluation of these injuries in most cases and imaging signs indicating instability have been described [ 282 , 283 ].…”

Section: Joint-specific Indicationsmentioning

confidence: 99%

SSR white paper: guidelines for utilization and performance of direct MR arthrography

Chang,

Bencardino,

French

et al. 2023

Skeletal Radiol

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Objective Direct magnetic resonance arthrography (dMRA) is often considered the most accurate imaging modality for the evaluation of intra-articular structures, but utilization and performance vary widely without consensus. The purpose of this white paper is to develop consensus recommendations on behalf of the Society of Skeletal Radiology (SSR) based on published literature and expert opinion. Materials and methods The Standards and Guidelines Committee of the SSR identified guidelines for utilization and performance of dMRA as an important topic for study and invited all SSR members with expertise and interest to volunteer for the white paper panel. This panel was tasked with determining an outline, reviewing the relevant literature, preparing a written document summarizing the issues and controversies, and providing recommendations. Results Twelve SSR members with expertise in dMRA formed the ad hoc white paper authorship committee. The published literature on dMRA was reviewed and summarized, focusing on clinical indications, technical considerations, safety, imaging protocols, complications, controversies, and gaps in knowledge. Recommendations for the utilization and performance of dMRA in the shoulder, elbow, wrist, hip, knee, and ankle/foot regions were developed in group consensus. Conclusion Although direct MR arthrography has been previously used for a wide variety of clinical indications, the authorship panel recommends more selective application of this minimally invasive procedure. At present, direct MR arthrography remains an important procedure in the armamentarium of the musculoskeletal radiologist and is especially valuable when conventional MRI is indeterminant or results are discrepant with clinical evaluation.

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Section: Joint-specific Indicationsmentioning

confidence: 99%

SSR white paper: guidelines for utilization and performance of direct MR arthrography

Chang,

Bencardino,

French

et al. 2023

Skeletal Radiol

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“…Pain in an elbow injury from overuse is generally localized on the medial side. Frequently occurring injuries include medial epicondylitis, avulsion fracture of the medial epicondyle, injuries to the medial collateral ligament, and ulnar neuritis [4, 5]. On the contrary, olecranon stress fracture or apophyseal nonunion are overuse injuries that occur less frequently on the posterior side of the elbow.…”

Section: Introductionmentioning

confidence: 99%

Olecranon Apophyseal Nonunion in Adolescent Judo Players: A Report of Two Cases

Yamaura

Mifune

Inui

et al. 2018

Case Reports in Orthopedics

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Olecranon apophyseal nonunion is an elbow injury from overuse that affects adolescent athletes such as baseball pitchers who participate in overhead throwing sports. However, such injury is rare in collision sports. Here, we report two patients with this condition who are Judo athletes. The purpose of this report was to describe three elbows with olecranon apophyseal nonunion in two adolescent patients participating in Judo. This is a case series; the level of evidence is 4. Two 15-year-old patients were evaluated. One suffered from unilateral and the other from bilateral chronic posterior elbow pain. They were diagnosed with olecranon apophyseal nonunion, which was treated using internal fixation and bone grafting. Radiographic evidence of the apophyseal union was observed four months postsurgery. Two elbows were treated with tension band wiring, then they underwent hardware removal six months postsurgery. Both patients returned to their previous levels of activities six months postsurgery. Internal fixation using autologous bone grafting was a useful treatment for these Judo athletes with olecranon apophyseal nonunion.

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