January 24, 2018
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Baseball players prohibited from throwing after overuse injury had greater return-to-play rate

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Results published in the Journal of Shoulder and Elbow Surgery showed young baseball players who underwent conservative treatment for Little League shoulder had a greater return-to-play rate if they were prohibited from throwing immediately after initial presentation.

Researchers analyzed 87 young baseball players with Little League shoulder who underwent conservative treatment for factors associated with poor results at 2 months and pain recurrence. Researchers prohibited throwing for an average of 1.2 months in 78% of players and the remaining 22% of players continued throwing with limitations.

Results showed 18% of participants reported the presence of pain at 2 months. Researchers found 43%, 33% and 24% of participants had a complete return, incomplete return and no return to play, respectively. At an average of 2.8 months, 95% of players had completely returned to play. Researchers also found 25% of players had pain recurrence at an average of 6.2 months. According to statistical analysis, longer period from initial presentation to throwing prohibition and worse shoulder flexibility were significantly associated with poor results at 2 months. Higher frequency of pain at 2 months and longer duration until complete return were significantly associated with pain recurrence. – by Casey Tingle

Disclosure s : The authors report no relevant financial disclosures.