Little League Shoulder M89.9 733.9

• M89.8X1 - Other specified disorders of bone, shoulder
• M89.9 - Disorder of bone, unspecified
• M94.9 - Disorder of cartilage, unspecified
• M94.8X1 - Other specified disorders of cartilage, shoulder

Little League Shoulder ICD-9

• 733.9 Other and unspecified disorders of bone and cartilage

Little League Shoulder

• stress fracture of the proximal humeral epiphyseal plate.
• Average age = 14yrs.

Little League Shoulder Clinical Evaluation

• classic history=adolescent pitcher who has increased his pitching level and now has poorly localized aching shoulder pain after attempts to throw.
• Tenderness over proximal humerus
• discomfort at the proximal humerus and weakness.

Little League Shouder Xray

• A/P, scapular-Y, axillary views of shoulder. Internal and external rotation A/P xrays for the both shoulders indicated. Little Leagure's shoulder is indicated by widening of the proximal humerus physis on the injured side.
• initial xrays normal
• Later xrays show physis widening, fragmentation, demineralization, periosteal stripping, callus.

Little League Shoulder Treatment

• Cessation of repetitive physeal stress. There is no long-term sequelae.
• Rest from throwing for at least 3 months with gradual return to throwing after shoulder is asymptomatic is indicated.

Little League Shoulder References

1. Carson WG, Am J Sports Med 26:575;1998
2. Cahill BR, AJSM 1974;2:150