Elbow

Question 1

recommended pitch count (# innings)

Answer 1

• Under 14 yo= 6 innings

- high school=10 innings

Question 2

Max pitches

Answer 2

-8-10 yo: 50 pitches
-11-14 yo: 75 pitches
-15-18 yo: 90-100 pitches
(per game–not successive games days)

Question 3

Lateral Epicondylitis

Answer 3

• AKA wrist ext with pron syndrome/tennis elbow
• repetitive stress injury of ext tendons to lat epicondyle
• ECRB most involved

Question 4

Lat Epicondylitis Profile

Answer 4

• 1-3% population

- 30-50y/o-dominant extremity

Question 5

Lat epic. Agg factors

Answer 5

• gripping, lifting

- wrist extension with forearm pronated

Question 6

Lat Epic.Loc of Sx

Answer 6

• gradual
• pain/burning of lat epic
• weak grip strength

Question 7

Lat Epic: Key findings

Answer 7

• Cozen’s test/Mill’s test
• decreased lat glide of HU joint
• wrist/finger ext short
• finger flex short

Question 8

Cozen’s test

Answer 8

-resisted wrist ext

Question 9

Cross Friction Massage

Answer 9

-create inflammatory response to increase blood flow to area to heal

Question 10

MWM

Answer 10

• mobilization with movement
• -lateral glide of ulna (with gripping)
• -forced radial head ant (with elbow ext)

Question 11

Lat Epic:Treatment

Answer 11

• stretches
• radial nerve glide
• cross friction
• MWM
• eccentrics

Question 12

eccentrics

Answer 12

• increased tensile strength
• less recruitment for a given force
• less O2 demand

Question 13

Cross friction massage

Answer 13

• make scar more mobile
• reduce abnormal fibrous adhesions
• Re-align normal soft tissue fibers

Question 14

Change-Up Pitch (age)

Answer 14

-11 years

Question 15

Curve Ball Pitch (age)

Answer 15

14 years

Question 16

Knuckleball Pitch (age)

Answer 16

15 years

Question 17

Slider/Fork Pitch (age)

Answer 17

16-18 years

Question 18

Screwball Pitch (age)

Answer 18

17 years