Little League Shoulder | Figure 1

Little League Shoulder

AP (image 1) and internal rotation (image 2) radiograph of the proximal humerus shows widening of the lateral aspect of the proximal humerus physis (arrow) consistent with Little League shoulder. Little League shoulder is an overuse injury of the proximal humerus and treated as a Salter-Harris type I equivalent injury. On radiograph, the typical finding is widening of the proximal humerus physis. Patients are typically treated with rest. Affected patients are usually adolescent overhand throwing athletes.

Similar cases

AP (image 1) and internal rotation (image 2) radiographs of the shoulder in a baseball pitcher show widening of the proximal humeral physis (arrow), consistent with Little League shoulder. Little League shoulder is an overuse injury affecting overhead throwing athletes and is considered a Salter-Harris type I fracture equivalent. Treatment involves rest.](https://app.figure1.com/case-detail/19fb9448-36a3-4c7b-9c92-455dcea44221)

AP (image 1) and external rotation (image 2) radiographs of the elbow show widening of the physis (arrow) of the medial epicondyle consistent with Little League elbow. Little League elbow is a term used to represent a range of abnormalities affecting the medial epicondyle of the distal humerus. Abnormalities can range from widening of the physis, fragmentation of the medial epicondyle, and avulsion.](https://app.figure1.com/case-detail/29d8d8b3-ae12-45a9-b55d-792aa34897e9)

Radiograph of the shoulder in external rotation (image 1) and zoomed image of the acromial apophysis (image 2) in an adolescent with shoulder pain shows widening and irregularity of the acromial physis (arrow). Acromial apophysitis is an uncommon chronic repetitive physeal injury occurring in pitchers who throw more than 100 pitches per week. Patients present with superior shoulder pain. #MSKMonday #MusculoskeletalMonday](https://app.figure1.com/case-detail/30d8e48a-ebcd-4203-9e37-35a806b7821f)

AP (image 1) and lateral (image 2) radiograph of the wrist show widening (arrow) of the distal radius physis and sclerosis along the metaphyseal margin consistent with gymnast wrist. Gymnast wrist is an overuse injury of the distal radius physis caused by chronic stress related to weightbearing caused by handstands and handsprings.](https://app.figure1.com/case-detail/3a3c14da-292c-45db-b9e4-4a4c92673b96)