Protecting Little League Pitchers

“Little League Elbow” has become a common injury among young pitchers. While one might think a child’s body is more resilient, Dr. Donald J. Zolten, an orthopedic surgeon specializing in sports medicine, cautions that “a child’s bones, muscles, ligaments, and tendons are still growing, making them more susceptible to injury, especially from overuse.”

According to the American Academy of Orthopedic Surgeons (AAOS), “‘Little Leaguer’s elbow’ and osteochondritis dissecans affect pitchers and other players who throw repetitively. Continuing to throw may lead to major complications and jeopardize a child’s ability to remain active in a sport that requires throwing.”

To prevent the problem, AAOS recommends no more than 200 throws per week, including all practices and games, and a pitcher should not throw for more than three or four innings in one game.

A child should stop pitching immediately and seek medical attention if there is any pain or locking in the elbow or if range of motion becomes restricted.