Medial Epicondylar Apophyseal Avulsion Fractures in Youth Throwers: A Severe Variant of Little League Elbow

Displaced medial epicondylar apophyseal avulsion fractures in youth throwers may be effectively treated with operative screw fixation, although >40% of patients may require secondary screw removal. Nonoperative treatment may be appropriate for minimally displaced cases. Given that a large majority of patients reported preexisting elbow pain, and a substantial cohort demonstrated GIRD, this severe presentation of Little League elbow may be preventable.

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Publication Details

Journal
Orthopaedic Journal of Sports Medicine
Published
2025-09-01
DOI
https://doi.org/10.1177/23259671251365974
Primary Topic
Shoulder Injury and Treatment
Type
article
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article

Medial Epicondylar Apophyseal Avulsion Fractures in Youth Throwers: A Severe Variant of Little League Elbow

Yi‐Meng Yen, Benton E. Heyworth, Evan T. Zheng, Carley Vuillermin et al.
Orthopaedic Journal of Sports Medicine
Shoulder Injury and Treatment
article

Medial Epicondylar Apophyseal Avulsion Fractures in Youth Throwers: A Severe Variant of Little League Elbow

Yi‐Meng Yen, Benton E. Heyworth, Evan T. Zheng, Carley Vuillermin, Patricia E. Miller, Donald S. Bae
article en

Abstract

Displaced medial epicondylar apophyseal avulsion fractures in youth throwers may be effectively treated with operative screw fixation, although >40% of patients may require secondary screw removal. Nonoperative treatment may be appropriate for minimally displaced cases. Given that a large majority of patients reported preexisting elbow pain, and a substantial cohort demonstrated GIRD, this severe presentation of Little League elbow may be preventable.

Orthopaedic Journal of Sports MedicineVol. 13(9)
Boston Children's Hospital (US), Harvard University (US), Boston Children's Museum (US)
Openalex Percentile: Top 61%
Shoulder Injury and Treatment
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Medial Epicondylar Apophyseal Avulsion Fractures in Youth Throwers: A Severe Variant of Little League Elbow — Yi‐Meng Yen, Benton E. Heyworth, et al. · Orthopaedic Journal of Sports Medicine (2025) | TGRS Research Map | TGRS