Musculoskeletal Medicine and PainREVIEW ARTICLE

Elbow injuries in overhead throwing athletes: clinical evaluation, treatment, and osteopathic considerations

Benjamin W. King, BS; George M. Raum, DO; Arthur J. De Luigi, DO, MHSA; and Robert L. Bowers, DO, PhD
Notes and Affiliations
Notes and Affiliations

Received: February 18, 2024

Accepted: October 3, 2024

Published: November 29, 2024

  • Benjamin W. King, BS, 

    Georgia Institute of Technology, Atlanta, GA, USA

  • George M. Raum, DO, 

    Department of Physical Medicine and Rehabilitation, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

  • Arthur J. De Luigi, DO, MHSA, 

    Hall of Fame Sports, LLC, Scottsdale, AZ, USA

  • Robert L. Bowers, DO, PhD, 

    Department of Orthopaedics, Emory University School of Medicine, Atlanta, GA, USA

Abstract

Injury to the elbow is very common in the throwing athlete and can potentially lead to long absences from play and, in the most severe scenarios, medical retirement. The throwing motion is a highly complex series of movements through the entire kinetic chain that results in very high angular velocities and valgus forces at the elbow joint. The repetitive nature of overhead throwing in combination with the high levels of accumulated force at the elbow puts both pediatric and adult athletes at risk of both acute and chronic overuse injuries of the elbow. This review provides an update on common injuries in the throwing athlete and covers clinical presentation, diagnosis, and treatment of these injuries.

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