Throwing Injuries

Throwing athletes are particularly susceptible to injuries in their shoulders and elbows due to the repetitive overhead motion that places significant strain on these joints. The constant stress can lead to both acute and chronic injuries, as well as progressive structural changes over time. A thorough understanding of throwing biomechanics, along with expertise in the anatomy and function of the shoulder and elbow, is crucial for diagnosing and treating these injuries effectively. 

Common Throwing Elbow Injuries: 

1. Flexor Tendonitis: Inflammation of the flexor/pronator tendons attached to the humerus. Initial treatments include rest, stretching, ice, and physical therapy. An arm brace may be recommended for stabilization during recovery. 

2. Ulnar Collateral Ligament (UCL) Tear: This ligament stabilizes the elbow during throwing. Tears can be caused by repetitive motion or trauma. Conservative treatments include rest, ice, anti-inflammatory medications, and physical therapy. Platelet-rich plasma (PRP) therapy may also be used for younger athletes to enhance healing. 

3. Stress Fractures: Result from muscle fatigue and bone stress, often in areas like the olecranon and medial epicondyle. Depending on the severity, these may heal with rest or require surgical intervention. 

Common Throwing Shoulder Injuries: 

1. Labral Tear: The labrum is cartilage that supports the shoulder socket. Tears can occur from acute injury or wear over time. Treatment involves rest, anti-inflammatory medication, and rehabilitation exercises. 

2. Bursitis: Inflammation of the fluid-filled sacs (bursae) in the shoulder joint. Treatments include rest, ice, steroid injections, and oral medications. 

3. Rotator Cuff Tear: A tear in the muscles and tendons that connect the humerus to the shoulder blade. Conservative treatment may involve rest, physical therapy, and pain management. If symptoms persist, surgery may be necessary. 

4. Glenohumeral Internal Rotation Deficit (GIRD): A condition where repetitive throwing motion reduces internal rotation ability, often accompanied by scarring of the joint capsule, labral tears, or rotator cuff damage. Treatment typically involves stretching and strengthening through physical therapy. 

Preventing and Treating Throwing Injuries 

Preventing throwing injuries is best achieved with a balanced training program that addresses both upper body strength and flexibility. However, even with prevention, injuries can occur, and prompt diagnosis and treatment are essential. Non-surgical treatments such as rest, physical therapy, and anti-inflammatory medications are often effective in managing these conditions. For more severe injuries, surgery may be required to repair damaged tissues and restore function. 

Choose Rothman Orthopaedic Institute for Expert Care 

Rothman Orthopaedic Institute’s Sports Medicine and Shoulder & Elbow teams specialize in treating throwing injuries with a range of non-surgical and surgical options. With extensive experience and expertise, our specialists provide comprehensive care and support to athletes throughout their recovery. If you’re dealing with a throwing injury, schedule an appointment with our team to explore treatment options and get back to doing what you love. 

For more information or to book an appointment, contact us at 1-800-321-9999.