Shoulder and more
A 13-year-old baseball pitcher reports gradual onset lateral shoulder pain without trauma that worsens during the arm-cocking through deceleration phases, with point tenderness over the outer, proximal humerus.
Little Leagur Shoulder
A 12-year-old pitcher reports medial elbow pain that worsens with throwing and is tender over the medial epicondyle during palpation.
Littel Leadgue Elbow
A 15-year-old athlete has ulnar-sided wrist pain and swelling after a twisting injury with pain on full passive supination.
TFCC Tear
A 15-year-old male presents with thoracic kyphosis and mid-back pain that worsens with prolonged sitting; posture does not correct with voluntary extension, and imaging shows anterior wedging of multiple thoracic vertebrae.
Scheuremanns
A 15-year-old volleyball player reports a non-traumatic feeling of shoulder looseness during serving; exam reveals excessive inferior translation and a positive sulcus sign.
Multidirectional Glenohumeral Instability
A 14-year-old athlete presents with lateral elbow pain, loss of extension, and pain with gripping activities. This issue is due to vascular compromise in the osseous structures from repeated compression of the radiocapitellar joint.
Osteochondritis Dissecans of the Capitellum
A 14-year-old volleyball player reports dorsal wrist pain with repetitive extension loading.
Wirst Tendonitis
A 13-year-old female presents for a pre-participation exam with no pain complaints but is noted to have asymmetry of the shoulders and rib prominence during a forward bend test; the curve remains visible in flexion and extension, and there is no history of trauma or neurologic symptoms.
Idiopathic Scoliossis
A 16-year-old pitcher presents with posterior shoulder tightness, decreased internal rotation compared to the non-throwing arm, and late-game fatigue.
Posterior Capsular Restriction
A 16-year-old pitcher reports medial elbow pain with intermittent numbness in the ring and small fingers during throwing.
Valgsu Stress leading to Ulnar Nerve Entrapment
A 13-year-old female with a recent growth spurt demonstrates a visible right-sided rib prominence during Adam’s forward bend test that does not correct with flexion; postural assessment shows the spinous processes deviating toward the left, and a scoliometer reading >10° at the thoracic apex. Which side is the concavity of the curve on?
Left thoracic concavity
A 12-year-old baseball player presents with lateral elbow pain that developed gradually over the season, accompanied by stiffness and loss of extension; pain worsens with throwing and pushing up from the floor, and imaging reveals changes in the radial head consistent with impaired blood supply.
Panner's Disease
A 17-year-old wrestler falls on an outstretched arm during a match and presents with immediate elbow pain, swelling, gross instability, and inability to move the joint; exam reveals tenderness over the radial head, significant loss of ROM, and apprehension with minimal movement, and imaging confirms an elbow dislocation with associated fractures.
Terrible Traid of the Elbow