The Elbow pp 447-465 | Cite as

The Throwing Elbow

  • Andrea PellegriniEmail author
  • Filippo Calderazzi
  • Enricomaria Lunini
  • Pietro Tonino


Please check the hierarchy of the section headings and correct if necessary.


  1. Aguinaldo AL, Chambers H (2009) Correlation of throwing mechanics with elbow valgus load in adult baseball pitchers. Am J Sports Med 37:2043–2048PubMedCrossRefGoogle Scholar
  2. Ahmad CS, Lee TQ, ElAttrache NS (2003) Biomechanical evaluation of a new ulnar collateral ligament reconstruction technique with interference screw fixation. Am J Sports Med 31(3):332–337PubMedCrossRefGoogle Scholar
  3. Andrews JR, Jelsma RD, Joyce ME et al (1996) Open surgical procedures for injuries to the elbow in throwers. Op Tech Sports Med 4:109–113CrossRefGoogle Scholar
  4. Andrews JR, Timmerman LA (1995) Outcome of elbow surgery in professional baseball players. Am J Sports Med 23:407–413PubMedCrossRefGoogle Scholar
  5. Aoki M, Kanaya K, Aiki H et al (2005) Cubital tunnel syndrome in adolescent baseball players: a report of six cases with 3- to 5-year follow-up. Arthroscopy 21(6):758PubMedCrossRefGoogle Scholar
  6. Arendt EA (ed) (1999) Orthopaedic knowledge update sports medicine. AAOS, Rosemont, ILGoogle Scholar
  7. Armstrong AD, Dunning CE, Ferreira LM et al (2005) A biomechanicalcomparison of four reconstruction techniques for the medial collateral ligamentdeficient elbow. J Shoulder Elb Surg 14(2):207–215CrossRefGoogle Scholar
  8. Azar FM, Andrews JR, Wilk KE et al (2000) Operative treatment of ulnar collateral ligament injuries of the elbow in athletes. Am J Sports Med 28(1):16–23PubMedCrossRefGoogle Scholar
  9. Bartels RH (2004) Redefining the arcade of Struthers. J Hand Surg 29(2):335. [author reply: 335]CrossRefGoogle Scholar
  10. Beelen M, Burke LM, Gibala MJ, van Loon LJC (2010) Nutritional strategies to promote postexercise recovery. Int J Sport Nutr Exerc Metab 20:515–532PubMedCrossRefGoogle Scholar
  11. Benjamin HJ, Briner W Jr (2005) Little league elbow. Clin J Sport Med 15(1):37–40PubMedCrossRefGoogle Scholar
  12. Bennett GE (1959) Elbow and shoulder lesions of baseball players. Am J Surg 98:484–492PubMedCrossRefGoogle Scholar
  13. Boatright JR, D’Alessandro DF (1996) Nerve entrapment syndromes at the elbow. Operative techniques in upper extremity sports injuries. Mosby-Year, St Louis, MO, pp 518–537Google Scholar
  14. Bonci L (2009) Performance eating for baseball. Strength Condit J 31:59–63CrossRefGoogle Scholar
  15. Bowers AL, Dines JS, Dines DM et al (2010) Elbow medial ulnar collateral ligament reconstruction: clinical relevance and the Docking technique. J Shoulder Elb Surg 19(Suppl 2):110–117CrossRefGoogle Scholar
  16. Bradshaw DY, Shefner JM (1999) Ulnar neuropathyat the elbow. Neurol Clin 17(3):447–461. v–viPubMedCrossRefGoogle Scholar
  17. Burkhart SS, Morgan CD, Kibler WB (2003) The disabled throwing shoulder: spectrum of pathology part I: pathoanatomy and biomechanics. Arthroscopy 19(4):404–420PubMedPubMedCentralCrossRefGoogle Scholar
  18. Cain EL, Andrews JR, Dugas JR et al (2010) Outcome of ulnar collateral ligament reconstruction of the elbow in 1281 athletes: results in 743 athletes with minimum 2-year follow-up. Am J Sports Med 38(12):2426–2434PubMedCrossRefGoogle Scholar
  19. Cain EL Jr, Dugas JR, Wolf RS, Andrews JR (2003) Elbow injuries in throwing athletes: a current concepts review. Am J Sports Med 31(4):621–635CrossRefPubMedGoogle Scholar
  20. Caine D, Maffulli N, Caine C (2008) Epidemiology of injury in child and adolescent sports: injury rates, risk factors, and prevention. Clin Sports Med 27(1):19–50PubMedCrossRefGoogle Scholar
  21. Callaway GH, Field LD, Deng XH, Torzilli PA, O’Brien SJ, Altchek DW, Warren RF (1997) Biomechanical evaluation of the medial collateral ligament of the elbow. J Bone Joint Surg Am 79(8):1223–1231PubMedCrossRefGoogle Scholar
  22. Carrino JA, Morrison WB, Zou KH et al (2001) Noncon—trast MR imaging and MR arthrographyof the ulnar collateral ligament of the elbow: prospective evaluation of two—dimensional pulse sequences for detection of complete tears. Skeletal Radiol 30(11):625–632PubMedCrossRefGoogle Scholar
  23. Charles YP, Coulet B, Rouzaud JC et al (2009) Comparative clinical outcomes of submuscular and subcutaneous transposition of the ulnar nerve for cubital tunnel syndrome. J Hand Surg 34(5):866–874CrossRefGoogle Scholar
  24. Chen FS, Diaz VA, Loebenberg M, Rosen JE (2005) Shoulder and elbow injuries in the skeletally immature athlete. J Am Acad Orthop Surg 13(3):172–185PubMedCrossRefGoogle Scholar
  25. Chen FS, Rokito AS, Jobe FW (2001) Medial elbow problems in the overhead-throwing athlete. J Am Acad Orthop Surg 9(2):99–113PubMedCrossRefGoogle Scholar
  26. Cheng CJ, Mackinnon-Patterson B, Beck JL et al (2008) Scratch collapse test for evaluation of carpal and cubital tunnel syndrome. J Hand Surg 33(9):1518–1524CrossRefGoogle Scholar
  27. Chung KC (2008) Treatment of ulnar nerve compression at the elbow. J Hand Surg 33(9):1625–1627CrossRefGoogle Scholar
  28. Ciccotti MG (1999) Epicondylitis in the athlete. Instr Course Lect 48:375–381PubMedGoogle Scholar
  29. Ciccotti MG, Siegler S, Kuri JA 2nd et al (2009) Murphy DJt. Comparison of the biomechanical profile of the intact ulnar collateral ligament with the modified jobs and the Docking reconstructed elbow: an in vitro study. Am J Sports Med 37(5):974–981PubMedCrossRefGoogle Scholar
  30. Collins CL, Comstock RD (2008) Epidemiological features of high school baseball injuries in the United States, 2005–2007. Pediatrics 121:1181–1187PubMedCrossRefGoogle Scholar
  31. Conway JE, Jobe FW, Glousman RE et al (1992) Medial instability of the elbow in throwing athletes. Treatment by repairor reconstruction of the ulnar collateral ligament. J Bone Joint Surg Am 74(1):67–83PubMedCrossRefGoogle Scholar
  32. Crockett HC, Gross LB, Wilk KE et al (2002) Osseous adaptation and range of motion at the glenohumeral joint in professional baseball pitchers. Am J Sports Med 30(1):20–26PubMedPubMedCentralCrossRefGoogle Scholar
  33. Davidson PA, Pink M, Perry J, Jobe FW (1995) Functional anatomy of the flexor pronator muscle group in relation to the medial collateral ligament of the elbow. Am J Sports Med 23(2):245–250PubMedCrossRefGoogle Scholar
  34. Davis JT, Limpisvasti O, Fluhme D et al (2009) The effect of pitching biomechanics on the upper extremity in youth and adolescent baseball pitchers. Am J Sports Med 37:1484–1491PubMedCrossRefGoogle Scholar
  35. Dehaven KE, Evarts CM (1973) Throwing injuries of tile elbow in athletes. Orthop Clin North Am 4:801–809PubMedGoogle Scholar
  36. Del Pizzo W, Jobe FW, Norwood L (1977) Ulnar nerve entrapment syndrome in baseball players. Am J Sports Med 5(5):182–185PubMedCrossRefGoogle Scholar
  37. Demorest RA, Landry GL (2003) Prevention of pediatric sports injuries. Curr Sports Med Rep 2(6):337–343PubMedCrossRefGoogle Scholar
  38. Digiovine NM, Jobe FW, Pink M et al (1992) An electromyographic analysis of the upper extremity in pitching. J Shoulder Elb Surg 1(1):15–25CrossRefGoogle Scholar
  39. Dines JS, Elattrache NS, Conway JE et al (2007) Clinical outcomes of the DANE TJ technique to treat ulnar collateral ligament insufficiency of the elbow. Am J Sports Med 35(12):2089–2044CrossRefGoogle Scholar
  40. Dines JS, Frank JB, Akerman M, Yocum LA (2009) Glenohumeral internal rotation deficits in baseball players with ulnar collateral ligament insufficiency. Am J Sports Med 37(3):566–570PubMedPubMedCentralCrossRefGoogle Scholar
  41. Dines JS, Jones KJ, Kahlenberg C et al (2012) Elbow ulnar collateral ligament reconstruction in javelin throwers at a minimum 2-year followup. Am J Sports Med 40(1):148–151PubMedCrossRefGoogle Scholar
  42. Dlabach JA, Baker CL (2001) Lateral and medial epicondylitis in the overhead athlete. Oper Tech Orthop 1(1):46–54CrossRefGoogle Scholar
  43. Dodson CC, Thomas A, Dines JS et al (2006) Medial ulnar collateral ligament reconstruction of the elbow in throwing athletes. Am J Sports Med 34(12):1926–1932PubMedCrossRefGoogle Scholar
  44. Dun S, Loftice J, Fleisig GS et al (2008) A biomechanical comparison of youth baseball pitches: is the curveball potentially harmful? Am J Sports Med 36(4):686–692CrossRefPubMedGoogle Scholar
  45. Ellenbecker TS, Mattalino AJ, Elam EA et al (1998) Medial elbow joint laxity in professional baseball pitchers. A bilateral comparison using stress radiography. Am J Sports Med 26(8):420–424PubMedPubMedCentralCrossRefGoogle Scholar
  46. Emery KH (2006) Imaging of sports injuries of the upper extremity in children. Clin Sports Med 25(3):543–568PubMedCrossRefGoogle Scholar
  47. Field LD, Callaway GH, O’Brien SJ, Altchek DW (1995) Arthroscopic assessment of the medial collateral ligament complex of the elbow. Am J Sports Med 23:396–400PubMedCrossRefGoogle Scholar
  48. Field LD, Savoie FH (1998) Common elbow injuries in sport. Sports Med 26(3):193–205PubMedCrossRefGoogle Scholar
  49. Fleisig GS (1994) The biomechanics of baseball pitching. Dissertation, University of Alabama at BirminghamGoogle Scholar
  50. Fleisig GS, Andrews JR (2012) Prevention of elbow injuries in youth baseball pitchers. Sports Health 4(5):419–424PubMedPubMedCentralCrossRefGoogle Scholar
  51. Fleisig GS, Andrews JR, Cutter GR et al (2011) Risk of serious injury for young baseball pitchers: a 10-year prospective study. Am J Sports Med 39:253–257PubMedPubMedCentralCrossRefGoogle Scholar
  52. Fleisig GS, Andrews JR, Dillman CJ et al (1995) Kinetics of baseball pitching with implications about injury mechanisms. Am J Sports Med 23(2):233–239CrossRefPubMedGoogle Scholar
  53. Fleisig GS, Barrentine SW, Zheng N, Escamilla RF, Andrews JR (1999) Kinematic and kinetic comparison of baseball pitching among various levels of development. J Biomech 32(12):1371–1375PubMedCrossRefGoogle Scholar
  54. Fleisig GS, Chu Y, Weber A, Andrews JR (2009) Variability in baseball pitching biomechanics among various levels of competition. Sports Biomech 8:10–21PubMedCrossRefGoogle Scholar
  55. Fortenbaugh D, Fleisig GS, Andrews JR (2009) Baseball pitching biomechanics in relation to injury risk and performance. Sports Health 1:314–320PubMedPubMedCentralCrossRefGoogle Scholar
  56. Gabel GT, Morrey BF (1995a) Operative treatment of medical epicondylitis. Influence of concomitant ulnar neuropathy at the elbow. J Bone Joint Surg Am 77(7):1065–1069PubMedCrossRefGoogle Scholar
  57. Gabel GT, Morrey BF (1995b) Operative treatment of medial epicondylitis. J Bone Joint Surg Am 77:1065–1069PubMedCrossRefGoogle Scholar
  58. Glousman RE (1990) Ulnar nerve problems in the athlete’s elbow. Clin Sports Med 9(2):365–377PubMedGoogle Scholar
  59. Glousman RE, Barron J, Jobe FW et al (1992) An electromyographic analysis of the elbow in normal and injured pitchers with medial collateral ligament insufficiency. Am J Sports Med 20(3):311–317PubMedCrossRefGoogle Scholar
  60. Grana W (2001) Medial epicondylitis and cubital tunnel syndrome in the throwing athlete. Clin Sports Med 20(3):541–548PubMedCrossRefGoogle Scholar
  61. Gregory B, Nyland J (2013) Medial elbow injury in young throwing athletes. Muscles Ligaments Tendons J 3(2):91–100. doi: 10.11138/mltj/2013.3.2.91 CrossRefPubMedPubMedCentralGoogle Scholar
  62. Hamilton CD, Glousman RE, Jobe FW et al (1996) Dynamic stability of the elbow: electromyographic analysis of the flexor pronator group and the extensor group in pitchers with valgus instability. J Shoulder Elb Surg 5(5):347–354CrossRefGoogle Scholar
  63. Han KJ, Kim YK, Lim SK, Park JY, Oh KS (2009) The effect of physical characteristics and field position on the shoulder and elbow injuries of 490 baseball players: confirmation of diagnosis by magnetic resonance imaging. Clin J Sport Med 19(4):271–276PubMedCrossRefGoogle Scholar
  64. Hariri S, Safran MR (2010) Ulnar collateral ligament injury in overhead athlete. Clin Sports Med 29(4):619–644PubMedPubMedCentralCrossRefGoogle Scholar
  65. Hausman MR, Lang P (2014) Examination of the elbow: current concepts. J Hand Surg Am 39(12):2534–2541. doi: 10.1016/j.jhsa.2014.04.028. Epub 2014 Nov 21CrossRefPubMedGoogle Scholar
  66. Hechtman KS, Tjin-A-Tsoi EW, Zvijac JE, Uribe JW, Latta LL (1998) Biomechanics of a less invasive procedure for reconstruction of the ulnar collateral ligament of the elbow. Am J Sports Med 26(5):620–624PubMedCrossRefGoogle Scholar
  67. Hines RF, Herndon WA, Evans JP (1987) Operative treatment of medial epicondyle fractures in children. Clin Orthop Relat Res 223:170–174Google Scholar
  68. Hirose N (2009) Relationship among birth-month distribution, skeletal age and anthropometric characteristics in adolescent elite soccer players. J Sports Sci 27:1159–1166PubMedCrossRefGoogle Scholar
  69. Huang JH, Samadani U, Zager EL (2004) Ulnar nerve entrapment neuropathy at the elbow: simple decompression. Neurosurgery 55(5):1150–1153CrossRefPubMedGoogle Scholar
  70. Hurbanek JG, Anderson K, Crabtree S et al (2009) Biomechanical comparison of the Docking technique with and without humeral bioabsorbable interference screw fixation. Am J Sports Med 37(3):526–533PubMedCrossRefGoogle Scholar
  71. Ireland ML, Andrews JR (1988) Shoulder and elbow injuries in the young athlete. Clin Sports Med 7(3):473–494PubMedGoogle Scholar
  72. Jobe FW, Kvitne RS (1991) Elbow instabilityin the athlete. Instr Course Lect 40:17–23Google Scholar
  73. Jobe FW, Moynes DR, Tibone JE et al (1984) An EMG analysis of the shoulder in pitching. A second report. Am J Sports Med 12(3):218–220PubMedCrossRefGoogle Scholar
  74. Jobe FW, Stark H, Lombardo SJ (1986) Reconstruction of the ulnar collateral ligament in athletes. J Bone Joint Surg Am 68(8):1158–1163PubMedCrossRefGoogle Scholar
  75. Kancherla VK, Caggiano NM, Matullo KS (2014) Elbow injuries in the throwing athlete. Orthop Clin North Am 45(4):571–585. doi: 10.1016/j.ocl.2014.06.012 CrossRefPubMedGoogle Scholar
  76. Kelly AM, Pappas AM (1997) Shoulder and elbow injuries and painful syndromes. Adolesc Med 29:225–230Google Scholar
  77. Kijowski R, De Smet AA (2005) Magnetic resonance imaging findings in patients with medial epicondylitis. Skelet Radiol 34(4):196–202CrossRefGoogle Scholar
  78. Kooima CL, Anderson K, Craig JV et al (2004) Evidence of subclinical medial collateral ligament injury and posteromedial impingement in professional baseball players. Am J Sports Med 32(7):1602–1606PubMedCrossRefGoogle Scholar
  79. Koh JL, Schafer MF, Keuter G et al (2006) Ulnar collateral ligament reconstruction in elite throwing athletes. Arthroscopy 22(11):1187–1191PubMedCrossRefGoogle Scholar
  80. Kurvers H, Verhaar J (1995) The results of operative treatment of medial epicondylitis. J Bone Joint Surg Am 77(9):1374–1379PubMedCrossRefGoogle Scholar
  81. Langer P, Fadale P, Hulstyn M (2006) Evolution of the treatment options of ulnar collateral ligament injuries of the elbow. Br J Sports Med 40(6):499–506PubMedPubMedCentralCrossRefGoogle Scholar
  82. Large TM, Coley ER, Peindl RD et al (2007) A biomechanical comparison of 2 ulnar collateral ligament reconstruction techniques. Arthroscopy 23(2):141–150PubMedCrossRefGoogle Scholar
  83. Lawrence JT, Patel NM, Macknin J et al (2013) Return to competitive sports after medial epicondyle fractures in adolescent athletes: results of operative and nonoperative treatment. Am J Sports Med 41(5):1152–1157PubMedCrossRefGoogle Scholar
  84. Leach RE, Miller JK (1987) Lateral and medial epicondylitis of the elbow. Clin Sports Med 6:259–273PubMedGoogle Scholar
  85. Li X, Dines JS, Gorman M et al (2012) Anconeus epitrochlearis as a source of medial elbow pain in baseball pitchers. Orthopedics 35(7):e1129–e1132PubMedCrossRefGoogle Scholar
  86. Limpisvasti O, Elattrache NS, Jobe FW (2007) Understanding shoulder and elbow injuries in baseball. J Am Acad Orthop Surg 15(3):139417CrossRefGoogle Scholar
  87. Lyman S, Fleisig GS (2005) Baseball injuries. In: Maffulli N, Caine DJ (eds) Epidemiology of pediatric sports injuries: team sports. Karger, Basel, pp 9–30CrossRefGoogle Scholar
  88. Lyman S, Fleisig GS, Andrews JR et al (2002) Effect of pitch type, pitch count, and pitching mechanics on risk of elbow and shoulder pain in youth baseball pitchers. Am J Sports Med 30(4):463–468PubMedPubMedCentralCrossRefGoogle Scholar
  89. Lyman S, Fleisig GS, Waterbor JW et al (2001) Longitudinal study of elbow and shoulder pain in youth baseball pitchers. Med Sci Sports Exerc 33(11):1803–1810PubMedPubMedCentralCrossRefGoogle Scholar
  90. Macadam SA, Gandhi R, Bezuhly M et al (2008) Simple decompression versus anterior subcutaneous and submuscular transposition of the ulnar nerve forcubital tunnel syndrome: a meta-analysis. J Hand Surg 33(8):1314.e1–1314.12CrossRefGoogle Scholar
  91. Mackinnon SE (2009) Comparative clinical outcomes of submuscular and subcutaneous transposition of the ulnar nerve for cubital tunnel syndrome. J Hand Surg 34(8):1574–1575CrossRefGoogle Scholar
  92. Martin SD, Baumgarten TE (1996) Elbow injuries in the throwing athlete: diagnosis and arthroscopic treatment. Oper Tech Sports Med 4(2):100–108CrossRefGoogle Scholar
  93. Masear VR, Hill JJ Jr, Cohen SM (1988) Ulnar compression neuropathysecondary to the anconeus epitrochlearis muscle. J Hand Surg 13(5):720–724CrossRefGoogle Scholar
  94. Matheson GO, Clement DB, McKenzie DC et al (1987) Stress fractures in athletes. A study of 320 cases. Am J Sports Med 15(1):46–58PubMedCrossRefGoogle Scholar
  95. Matthys SP, Vaeyens R, Coelho-E-Silva MJ, Lenoir M, Philippaerts R (2012) The contribution of growth and maturation in the functional capacity and skill performance of male adolescent handball players. Int J Sports Med 33:543–549PubMedCrossRefGoogle Scholar
  96. Matsuo T, Fleisig GS, Zheng N, Andrews JR (2006) Influence of shoulder abduction and lateral trunk tilt on peak elbow varus torque for college baseball pitchers during suimulated pitching. J Appl Biomech 22:93–102PubMedCrossRefGoogle Scholar
  97. McAdams TR, Lee AT, Centeno J et al (2007) Two ulnar collateral ligament reconstruction methods: the Docking technique versus bioabsorbable interference screw fixation—a biomechanical evaluation with cyclic loading. J Shoulder Elb Surg 16(2):224–228CrossRefGoogle Scholar
  98. McFarland EG, Ireland ML (2003) Rehabilitation programs and prevention strategies in adolescent throwing athletes. Instruc Course Lect 52:37–42Google Scholar
  99. Miller CD, Savoie FH 3rd (1994) Valgus extension injuries of the elbow in the throwing athlete. J Am Acad Orthop Surg 2(5):261–269PubMedCrossRefGoogle Scholar
  100. Morgan RJ, Starman JS, Habet NA et al (2010) A biomechanical evaluation of ulnar collateral ligament reconstruction using a novel technique for ulnar-sided fixation. Am J Sports Med 38(7):1448–1455PubMedCrossRefGoogle Scholar
  101. Morrey BF (1986) Applied anatomy and biomechanics of the elbow joint. Instr Course Lect 35:59–68PubMedGoogle Scholar
  102. Morrey BF, An KN (1983) Articular and ligamentous contributions to the stability of the elbow joint. Am J Sports Med 11(5):315–319PubMedPubMedCentralCrossRefGoogle Scholar
  103. Morrey BF, Regan WD (1994) Throwing injuries. In: DeLee JC, Drez D Jr (eds) Orthopaedic sports medicine: principles and practice. WB Saunders, Philadelphia, PA, pp 882–889Google Scholar
  104. Morrey BF, Tanaka S, An KN (1991) Valgus stabilityof the elbow, a definition of primary and secondary constraints. Clin Orthop Relat Res 265:187–195Google Scholar
  105. Murphy BJ (1992) MR imaging of the elbow. Radiol 184(2):525–529CrossRefGoogle Scholar
  106. Murthi AM, Keener JD, Armstrong AD et al (2011) The recurrent unstable elbow: diagnosis and treatment. Instr Course Lect 60:215–226PubMedGoogle Scholar
  107. Nassab PF, Schickendantz MS (2006) Evaluation and treatment of medial ulnar collateral ligament injuries in the throwing athlete. Sports Med Arthrosc 14(4):221–231PubMedCrossRefGoogle Scholar
  108. Nazarian LN, McShane JM, Ciccotti MG et al (2003) Dynamic US of the anterior band of the ulnar collateral ligament of the elbow in asymptomatic major league baseball pitchers. Radiology 227(1):149–154PubMedCrossRefGoogle Scholar
  109. Nirschl RP (1992) Elbow tendinosis/tennis elbow. Clin Sports Med 11:851–870PubMedGoogle Scholar
  110. Nissen CW (2008) Effectiveness of interference screw fixation in ulnar collateral ligament reconstruction. Orthopedics 31(7):646PubMedCrossRefGoogle Scholar
  111. Norwood LA, Shook JA, Andrews JR (1981) Acute medial elbow ruptures. Am J Sports Med 9(1):16–19PubMedCrossRefGoogle Scholar
  112. O’Driscoll SW, Lawton RL, Smith AM (2005) The moving valgus stress test for medial collateral ligament tears of the elbow. Am J Sports Med 33(2):231–239CrossRefPubMedGoogle Scholar
  113. Ollivierre CO, Nirschl RP, Pettrone FA (1995) Resection and repair for medial tennis elbow: a prospective analysis. Am J Sports Med 23(2):214–221PubMedCrossRefGoogle Scholar
  114. Olsen SJ 2nd, Fleisig GS, Dun S et al (2006) Risk factors for shoulder and elbow injuries in adolescent baseball pitchers. Am J Sports Med 34(6):905–912PubMedPubMedCentralCrossRefGoogle Scholar
  115. Paletta GA Jr, Klepps SJ, Difelice GS, Allen T, Brodt MD, Burns ME, Silva MJ, Wright RW (2006) Biomechanical evaluation of 2 techniques for ulnar collateral ligament reconstruction of the elbow. Am J Sports Med 34(10):1599–1603PubMedCrossRefGoogle Scholar
  116. Patel RM, Lynch TS, Amin NH, Calabrese G, Gryzlo SM, Schickendantz MS (2014) The thrower’s elbow. Orthop Clin North Am 45(3):355–376. doi: 10.1016/j.ocl.2014.03.007 CrossRefPubMedGoogle Scholar
  117. Petty DH, Andrews JR, Fleisig GS et al (2004) Ulnar collateral ligament reconstruction in high school baseball players: clinical results and injury risk factors. Am J Sports Med 32(5):1158–1164PubMedCrossRefGoogle Scholar
  118. Pienimaki TT, Siira PT, Vanharanta H (2002) Chronic medial and lateral epicondylitis: a comparison of pain, disability, and function. Arch Phys Med Rehabil 83(3):317–321PubMedCrossRefGoogle Scholar
  119. Plancher KD, Halbrecht J, Lourie GM (1996) Medial and lateral epicondy lifts in tile athlete. Clin Sports Med 15:283–305PubMedGoogle Scholar
  120. Podesta L, Crow SA, Volkmer D et al (2013) Treatment of partial ulnar collateral ligament tears in the elbow with platelet-rich plasma. Am J Sports Med 41(7):1689–1694PubMedCrossRefGoogle Scholar
  121. Posner MA (1998) Compressive ulnar neuropathiesat the elbow: I. Etiology and diagnosis. J Am Acad Orthop Surg 6(5):282–288PubMedCrossRefGoogle Scholar
  122. Purcell DB, Matava MJ, Wright RW (2007) Ulnar collateral ligament reconstruction: a systematic review. Clin Orthop Relat Res 455:72–77PubMedCrossRefGoogle Scholar
  123. Rayan GM, Jensen C, Duke J (1992) Elbow flexion test in the normal population. J Hand Surg 17(1):86–89CrossRefGoogle Scholar
  124. Regan WD, Korinek SL, Morrey BF et al (1991) Biomechanical study of ligaments around the elbow joint. Clin Orthop Relat Res 271:170–179Google Scholar
  125. Rettig AC, Ebben JR (1993) Anterior subcutaneous transfer of the ulnar nerve in the athlete. Am J Sports Med 21(6):836–839. [discussion: 839–40]PubMedCrossRefGoogle Scholar
  126. Rettig AC, Sherrill C, Snead DS et al (2001) Nonoperative treatment of ulnar collateral ligament injuries in throwing athletes. Am J Sports Med 29(1):15–17PubMedCrossRefGoogle Scholar
  127. Rijke AM, Goitz HT, McCue FC, Andrews JR, Berr SS (1994) Stress radiography of the medial elbow ligaments. Radiol 191(1):213–216CrossRefGoogle Scholar
  128. Rohrbough JT, Altchek DW, Hyman J et al (2002) Medial collateral ligament reconstruction of the elbow using the Docking technique. Am J Sports Med 30(4):541–548PubMedCrossRefGoogle Scholar
  129. Rokito AS, Iviclviahon PJ, Jobe FW (1996) Cubital tunnel syndrome. Oper Tech Sports Med 4(1):15–20CrossRefGoogle Scholar
  130. Roub LW, Gumerman LW, Hanley EN Jr et al (1979) Bone stress: a radionuclide imaging perspective. Radiology 132(2):431–438PubMedCrossRefGoogle Scholar
  131. Sabick MB, Torry MR, Lawton RL, Hawkins RJ (2004) Valgus torque in youth baseball pitchers: A biomechanical study. J Shoulder Elbow Surg 13(3):349–355PubMedCrossRefGoogle Scholar
  132. Safran MR, McGarry MH, Shin S, Han S, Lee TQ (2005) Effects of elbow flexion and forearm rotation on valgus laxity of the elbow. J Bone Joint Surg Am 87(9):2065–2074PubMedPubMedCentralCrossRefGoogle Scholar
  133. Sasaki J, Takahara M, Ogino T et al (2002) Ultrasonographic assessment of the ulnar collateral ligament and medial elbow laxity in college baseball players. J Bone Joint Surg Am 84-A(4):525–531PubMedCrossRefGoogle Scholar
  134. Savoie FH 3rd, Morgan C, Yaste J et al (2013) Medial ulnar collateral ligament reconstruction using hamstring allograft in overhead throwing athletes. J Bone Joint Surg Am 95(12):1062–1066PubMedCrossRefGoogle Scholar
  135. Schickendantz MS (2002) Diagnosis and treatment of elbow disorders in the overhead athlete. Hand Clin 18(1):65–75PubMedCrossRefGoogle Scholar
  136. von Schroeder HP, Scheker LR (2003) Redefining the arcade of Struthers. J Hand Surg 28(6):1018–1021CrossRefGoogle Scholar
  137. Schwab GH, Bennett JB, Woods GW et al (1980) Biomechanics of elbow instability:the role of the medial collateral ligament. Clin Orthop Relat Res 146:42–52Google Scholar
  138. Schwartz ML, al-Zahrani S, Morwessel RM et al (1995) Ulnar collateral ligament injury in the throwing athlete: evaluation with saline-enhanced MR arthrography. Radiology 197(1):297–299PubMedPubMedCentralCrossRefGoogle Scholar
  139. Shah RP, Lindsey DP, Sungar GW et al (2009) An analysis of four ulnar collateral ligament reconstruction procedures with cyclic valgus loading. J Shoulder Elb Surg 18(1):58–63CrossRefGoogle Scholar
  140. Sisto DJ, Jobe FW, Moynes DR et al (1987) An electromyographic analysis of the elbow in pitching. Am J Sports Med 15(3):260–263PubMedCrossRefGoogle Scholar
  141. Smith GR, Altchek DW, Pagnani MJ et al (1996) A muscle-splitting approach to the ulnar collateral ligament of the elbow. Neuroanatomy and operative technique. Am J Sports Med 24(5):575–580PubMedCrossRefGoogle Scholar
  142. Sojbjerg JO, Ovesen J, Nielsen S (1987) Experimental elbow instability after transection of the medial collateral ligament. Clin Orthop Relat Res 218:186–190Google Scholar
  143. Stachowicz RZ, Agnoda AM, Baratz ME (2014) Medial collateral ligament of the elbow: acute deterioration in throwing athletes. J Hand Surg Am 39(8):1603–1605. doi: 10.1016/j.jhsa.2014.04.011. Epub 2014 May 23CrossRefPubMedGoogle Scholar
  144. Starman JS, Morgan RJ, Fleischli JE et al (2010) Ulnar collateral ligament reconstruction using the Toggle—Loc with ZipLoop for ulnar side fixation. Orthopedics 33(5):312–316PubMedCrossRefGoogle Scholar
  145. Stahl S, Kaufman T (1997) Ulnar nerve injury at the elbow after steroid injection for medial epicondylitis. J Hand Surg Br 22(1):69–70PubMedCrossRefGoogle Scholar
  146. Stapleton TR, Baker CL (1996) Arthroscopic treatment of lateral epicondylitis: a clinical study. Arthroscopy 12:365–366. (abstr)Google Scholar
  147. Taylor SA, Hannafin JA (2012) Evaluation and management of elbow tendinopathy. Sports Health 4(5):384–393PubMedPubMedCentralCrossRefGoogle Scholar
  148. Thompson NW, Mockford BJ, Cran GW (2001b) Absence of the palmaris longus muscle: a population study. Ulster Med J 70:22–24PubMedPubMedCentralGoogle Scholar
  149. Thompson WH, Jobe FW, Yocum LA et al (2001a) Ulnar collateral ligament reconstruction in athletes: muscle-splitting approach without transposition of the ulnar nerve. J Shoulder Elb Surg 10(2):152–157CrossRefGoogle Scholar
  150. Timmerman LA, Schwartz ML, Andrews JR (1994) Preoperative evaluation of the ulnar collateral ligament by magnetic resonance imaging and computed tomography arthrography. Evaluation in 25 baseball players with surgical confirmation. Am J Sports Med 22(1):26–31. [discussion: 32]PubMedPubMedCentralCrossRefGoogle Scholar
  151. Toby EB, Hanesworth D (1998) Ulnar nerve strains at the elbow. J Hand Surg 23(6):992–997PubMedCrossRefGoogle Scholar
  152. Torg JS (1972) The little league pitcher. Am Fam Physiclan 6(2):71–76Google Scholar
  153. Tuite MJ, Kijowski R (2006) Sports-related injuries of the elbow: an approach to MRI interpretation. Clin Sports Med 25(3):387–408CrossRefPubMedGoogle Scholar
  154. Vangsness CT, Jobe FW (1991) Surgical treatment of medial epicondylitis: results in 35 elbows. J Bone Joint Surg Br 73:409–411PubMedCrossRefGoogle Scholar
  155. Vitale MA, Ahmad CS (2008) The outcome of elbow ulnar collateral ligament reconstruction in overhead athletes: a systematic review. Am J Sports Med 36(6):1193–1205PubMedCrossRefGoogle Scholar
  156. Watson JN, McQueen P, Hutchinson MR (2014) A systematic review of ulnar collateral ligament reconstruction techniques. Am J Sports Med 42:2510–2516PubMedCrossRefGoogle Scholar
  157. Wilson FD, Andrews JR, Blackburn TA et al (1983) Valgus extension overload in the pitching elbow. Am J Sports Med 11(2):83–88PubMedCrossRefGoogle Scholar
  158. Wei AS, Khana S, Limpisvasti O et al (2010) Clinical and magnetic resonance imaging findings associated with little league elbow. J Pediatr Orthop 30(7):715–719PubMedCrossRefGoogle Scholar
  159. Werner SL, Murray TA, Hawkins RJ, Gill TJ (2002) Relationship between throwing mechanics and elbow valgus in professional baseball pitchers. J Shoulder Elb Surg 11(2):151–155CrossRefGoogle Scholar
  160. Williams RJ, Urquhart ER, Altchek DW (2004) Medial collateral ligament tears in the throwing athlete. Instr Course Lect 53:579–586PubMedGoogle Scholar
  161. Woods GW, Tullos HS (1977) Elbow instability and medial epicondyle fractures. Am J Sports Med 5(1):23–30PubMedCrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Andrea Pellegrini
    • 1
    • 2
    Email author
  • Filippo Calderazzi
    • 1
    • 2
  • Enricomaria Lunini
    • 1
    • 2
  • Pietro Tonino
    • 1
    • 2
  1. 1.Clinica Ortopedica, Orthopaedic and Traumatologic DepartmentParma UniversityParmaItaly
  2. 2.Sports Medicine Unit, Orthopaedic and Traumatologic DepartmentLoyola University ChicagoChicagoUSA

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