A closer look at "Little League Elbow" (LLE)


Sounds like there is no question in her mind whether curveballs and sliders are risky in developing youths.

Author: Holly J Benjamin, MD, FACSM, FAAP, Assistant Professor of Clinical Pediatrics and Surgery, Section of Orthopedic Surgery and Rehabilitation Medicine, The University of Chicago and The University of Chicago Physicians Group; Appointed Director of Primary Care Sports Medicine, The University of Chicago

Holly J Benjamin is a member of the following medical societies: American Academy of Pediatrics, American College of Sports Medicine, and American Medical Society for Sports Medicine

“Recent changes in pitch types, counts, or other alterations in training should be carefully noted. For example, fastballs and change-up pitches result in less medial elbow stress than curveballs and sliders. Curveballs thrown at a young age, regardless of prior pitching experience, are associated with an increased risk of little league elbow and more serious injuries such as medial epicondylar avulsion fractures due to shear forces over a immature growth plate.”