Presentation Type
Poster Presentation
Category
STEM (science, technology, engineering, mathematics)
Abstract/Artist Statement
Valgus Extension Overload Injury in a Professional Baseball Pitcher: A Case Report
Walsh, R, Moody, VJ, University of Montana
Background: Baseball has one of the highest incidences of injury to the elbow as it is most vulnerable during the late cocking phase of throwing. Throwing creates an abutment of the olecranon into the olecranon fossa, leading to valgus extension overload (VEO). These stresses cause a tensile force upon the elbow, which may lead to cartilaginous degeneration, loose bodies, and many other pathologies.
Patient: A 22-year-old male professional league baseball pitcher, diagnosed with valgus extension overload, with associated triceps tendinopathy and stress reaction of the olecranon. Pain was associated with the end ranges of both elbow flexion and extension. The athlete was removed from play as evaluated by the athletic trainer. Imaging was obtained, and VEO was diagnosed and affirmed by both a PT and the physician.
Intervention or Treatment: Imaging included radiographs (x-ray), diagnostic ultrasound (DU), and magnetic resonance imaging (MRI). These revealed a stress reaction of 5mm on the olecranon. Additionally, triceps tendinopathy was diagnosed, paired with the valgus extension overload. The athlete was withheld from throwing for 6 weeks for healing and to reduce stress on the elbow. Rehabilitation exercises were prescribed, and the shoulder and abdominal muscles were targeted. Then a 5-week-long throwing progression occurred, and the athlete returned to one inning pitched.
Outcomes: This athlete was able to return to a live at-bat situation 10 weeks after the injury date and was able to reach speeds within 10 mph of his peak velocity prior to injury. The athlete was able to return to maximal effort from the mound with little to no discomfort.
Clinical Bottom Line: Many overhead athletes are at risk for this type of injury, and it’s important to have the right precautions taken so that further injury does not occur. Appropriate imaging and rest for healing, and being able to have a strong return to sport.
Word Count: 304
Mentor Name
Valerie Moody
Valgus Extension Overload Injury in a Professional Baseball Pitcher: A Case Report
UC North Ballroom
Valgus Extension Overload Injury in a Professional Baseball Pitcher: A Case Report
Walsh, R, Moody, VJ, University of Montana
Background: Baseball has one of the highest incidences of injury to the elbow as it is most vulnerable during the late cocking phase of throwing. Throwing creates an abutment of the olecranon into the olecranon fossa, leading to valgus extension overload (VEO). These stresses cause a tensile force upon the elbow, which may lead to cartilaginous degeneration, loose bodies, and many other pathologies.
Patient: A 22-year-old male professional league baseball pitcher, diagnosed with valgus extension overload, with associated triceps tendinopathy and stress reaction of the olecranon. Pain was associated with the end ranges of both elbow flexion and extension. The athlete was removed from play as evaluated by the athletic trainer. Imaging was obtained, and VEO was diagnosed and affirmed by both a PT and the physician.
Intervention or Treatment: Imaging included radiographs (x-ray), diagnostic ultrasound (DU), and magnetic resonance imaging (MRI). These revealed a stress reaction of 5mm on the olecranon. Additionally, triceps tendinopathy was diagnosed, paired with the valgus extension overload. The athlete was withheld from throwing for 6 weeks for healing and to reduce stress on the elbow. Rehabilitation exercises were prescribed, and the shoulder and abdominal muscles were targeted. Then a 5-week-long throwing progression occurred, and the athlete returned to one inning pitched.
Outcomes: This athlete was able to return to a live at-bat situation 10 weeks after the injury date and was able to reach speeds within 10 mph of his peak velocity prior to injury. The athlete was able to return to maximal effort from the mound with little to no discomfort.
Clinical Bottom Line: Many overhead athletes are at risk for this type of injury, and it’s important to have the right precautions taken so that further injury does not occur. Appropriate imaging and rest for healing, and being able to have a strong return to sport.
Word Count: 304