Maine Orthopaedic Review Monthly Challenge

Test Your Knowledge of Treating Sports Injuries

Bruce F. Gomberg, MD; Kenneth R. Morse, MD

Disclosures

May 12, 2017

This condition describes proximal humeral epiphysiolysis, or Little League shoulder. This is most common in young male pitchers but can occur in females, positional players, and athletes in other sports. It is caused by traction and rotatory torque on the proximal humerus, resulting in widening of the proximal humeral physis. Most commonly, rest and gradual return to sports is successful. This may take several months. Physical therapy can also be helpful but is more typically a gentle stretching program. Recurrence of symptoms is rare.[7]

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