What is Medial Apophysitis?
Little League Elbow, or medial apophysitis, is an overuse injury affecting the growth plate on the inner elbow of young athletes, especially baseball players. It’s most common in pitchers between the ages of 8 and 15 and is caused by repetitive throwing motions that place stress on the inner elbow.
Causes
Medial apophysitis is typically caused by:
- Repetitive throwing, especially curveballs and sliders
- Poor pitching mechanics
- Inadequate rest between games
- Playing on multiple teams year-round
Symptoms
Signs and symptoms include:
- Pain on the inside of the elbow
- Swelling or tenderness
- Decreased range of motion
- Loss of throwing velocity or accuracy
- Discomfort during or after activity
Treatment
Without Surgery
- Rest from throwing or overhead activities
- Ice and anti-inflammatory medications
- Physical therapy to improve flexibility and strength
- Gradual return-to-play program
With Surgery
Surgery is rarely needed, but in severe or chronic cases involving bone fragmentation or instability, surgical intervention may be required to repair the growth plate.
Recovery
Recovery typically takes 6 to 12 weeks with rest and rehabilitation. Full return to play depends on the severity of the injury and compliance with the treatment plan.
Prevention
To reduce the risk of Little League Elbow:
- Limit pitch counts and enforce rest days
- Emphasize proper mechanics
- Avoid early use of breaking pitches
- Encourage multiple sports throughout the year
FAQs
Yes, if left untreated, it can lead to long-term elbow damage or deformity. Early diagnosis and rest are essential.
In mild cases, hitting may be possible, but all throwing activities should be avoided until pain subsides and healing occurs.
Most athletes recover in 6 to 12 weeks with non-surgical treatment. Severe cases may take longer.
Risk factors include excessive pitching, poor mechanics, inadequate rest, and early specialization in baseball.
