1. Injuries to the Shoulder and Elbow in the Young Athlete

2. John F. Meyers, M.D.

3. Shoulder Girdle

4. Ligaments 2-5X Stronger that Epiphyses

7. Glenohumeral Joint

8. Little League Shoulder

10. Perry-Anterior Restraints

11. Retroversion Labrum AIGHL Subscapularis Retroversion Labrum AIGHL Subscapularis

12. Surgical Treatment 86% Returned to Sports

13. Surgical Treatment Remove loose bodies Excise Capitellar Lesions Curette Base Remove loose bodies Excise Capitellar Lesions Curette Base

14. Posterior Elbow Problems

15. Triceps Tendonitis Traction Apophysitis Nonunion Olecranon Epiphysis Triceps Tendonitis Traction Apophysitis Nonunion Olecranon Epiphysis

16. Long Term Effects Jobe

17. Olecranon Spurs Loose Bodies Stretching of the UCL Olecranon Spurs Loose Bodies Stretching of the UCL

18. Prevention

19. Pappas Curve – Medial Fast Ball – Lateral Curve – Medial Fast Ball – Lateral

20. Albright Sidearm – 75% Elbow Pain Overhead – 27% Elbow Pain Sidearm – 75% Elbow Pain Overhead – 27% Elbow Pain

21. Torg Limit the number of innings pitched

22. Gymnastics

24. Fractures and Dislocations

25. Valgus Injuries

27. Singer & Roy 4 of 5 Returned

28. Jackson 0 of 12 Returned

29. Thank You

30. Orthopaedic Research of Virginia

31. Elbow Injuries in Athletes

32. John F. Meyers, M.D.

33. Anatomy

43. Trauma

44. Dislocation

46. Monteggia

48. Supracondylar Fracture

49. Olecranon Fracture

52. Radial Head Fracture

56. Throwing Injuries

57. Ligament Injuries

59. Osteochondritis Dissecans

60. Little League Elbow

63. Nerve Injuries

66. Overuse Injuries

67. Tennis Elbow

74. Elbow Arthroscopy

75. Nirschl Tendonitis Muscle Weakness Upward Migration of Head Tendonitis Muscle Weakness Upward Migration of Head

76. Micheli Glousman Subtle Instability Traction Injury to Rotator Cuff Subtle Instability Traction Injury to Rotator Cuff

77. Elbow Injuries

78. Baseball Gymnastics

79. Little League Studies 20% Elbow Pain 33% X-Ray Changes 20% Elbow Pain 33% X-Ray Changes

80. Adolescent Pitchers 58% Elbow Pain 56% X-Ray Changes 4% Loose Bodies 58% Elbow Pain 56% X-Ray Changes 4% Loose Bodies

82. Ligament Injuries

83. Nerve Injuries

85. Panner’s Disease < age 11 Entire Capitellum Self Limited < age 11 Entire Capitellum Self Limited

86. O.C.D. > age 11 Localized Loose bodies > age 11 Localized Loose bodies

88. Simonet & Cofield

89. 82% Recurrence in Athletes

90. Anterior Subluxation

91. Dead Arm Syndrome

92. Diagnosis Apprehension Arthroscopy Apprehension Arthroscopy

93. McGlynn & Caspari Hill Sachs Lesion Labral Tearing Incompetent AIGHL Hill Sachs Lesion Labral Tearing Incompetent AIGHL

94. Arthroscopic Treatment of Anterior Shoulder Instability

95. Bankart Lesion – Repair Incompetent – Graft AIGHL Bankart Lesion – Repair Incompetent – Graft AIGHL

96. Posterior Dislocation 4%

97. Posterior Subluxation Average Age at Onset 16

98. Posterior Subluxation Voluntary Unintentional Habitual Voluntary Unintentional Habitual

99. Function Instability Pappas