Article

Since 1996, when the first article on pitch restriction recommendations was
published, the number of research articles involving skeletally immature pitchers
has increased. Potential shoulder injuries in this age group are proximal humeral
epiphysiolysis, glenohumeral instability, rotator cuff dysfunction, and superior
labrum anteroposterior lesions. Fatigue, improper biomechanics, and overuse are
the most common reasons for these injuries. In the hopes of preventing injury to
young pitchers, numerous organizations, including the USA Baseball Medical &
Safety Advisory Committee,
The American Sports Medicine Institute, Little League
Baseball & Softball, and the Long Term Athlete Development Program for Baseball
Canada, have developed recommendations on pitching restrictions that include
limits on pitch count, pitches per week, pitches per season,
and rest between
pitching. Awareness by sports medicine providers, coaches,
and parents/guardians
of the most up-to-date recommendations on injury prevention and return to play
guidelines should reduce the incidence of acute and chronic injuries in
adolescent baseball pitchers.
CI - Copyright (c) 2012 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

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