Little League Shoulder

Little League shoulder is an overuse injury affecting the growth plate at the top of the upper arm bone (humerus) in young throwers.

Symptoms

• Soreness or pain in the shoulder during or after throwing
• Decreased pitching speed, distance, or accuracy
• Tenderness when pressing on the upper arm bone

Causes

Repetitive stress from high-velocity throwing places excessive rotational force on the open growth plate, causing micro-fractures.

Risk Factors

• Frequent pitching without adequate rest
• Playing catcher as a secondary position
• Poor throwing mechanics

Diagnosis

Our specialists perform a comprehensive physical examination and use advanced imaging, such as X-rays, to evaluate growth plate widening or stress.

Treatment

Recovery primarily requires a period of relative rest from throwing (usually several weeks to months) combined with physical therapy to correct mechanics and strengthen the rotator cuff.