History
• Age: 12 years
• History: Male baseball pitcher with 2-3 month history of gradually increasing right shoulder pain while pitching. Pain is anterior shoulder. No numbness or tingling. Pain relieved with heating pad and ibuprofen.
Course
• Patient told to rest his shoulder from throwing or other sporting activities to prevent further physeal injury
• Return in three weeks for repeat x-ray and reassess whether he can return to practice
• Diagnosis: Little Leaguer’s shoulder of the right shoulder• Radiographic Features
– Little Leaguer’s Shoulder = Widening of the proximal humeral physis in adolescent athletes between the ages of 13 and 16
– Focal physeal widening of the anterior and lateral aspect of the right humeral proximal physis
Differential Diagnosis
• Posterosuperior glenoid impingement (PSGI)– occurs during the hyperextension phase of
throwing– causing the posterosuperior edge of the
glenoid labrum to catch between the humeral head and the rotator cuff
• Salter-Harris type I