Post by thelongrider99 on Jul 21, 2016 14:39:51 GMT -6
H.S. & Travel Pitcher 17yrs 6 months age - experienced Pain in pitching arm elbow. 1st diagnosis 1/30/2016 - Stress Fracture of Olecranon - spent 4 months inactive - MRI indicated healed. Resumed play after PT & Throwing program. Pitched 105 pitches in games & pain re-occurred. Now MRI Findings are: significant interval increase marrow edema within the Olecranon and increased edema in the medial humeral epicondyle. No elbow joint effusion and no intraarticular bodies. No cartilage defects. NO fracture identified. THE QUESTION - After healing time, up to 6 months, will I be able to resume Pitching career ?
thelongrider99, sorry to hear about your trouble. Elbow problems can be prolonged in their recovery, especially in someone with such stress on the elbow as a pitcher. It is concerning that you now have stress reaction on both the olecranon and the humerus. I have a few questions for you. Did you have an MRI with an arthrogram? (dye injected into the elbow) During your rest time, what sort of therapy were you doing? When you returned to pitching, how many games did it take for you to build up to 105 pitches? Were you throwing through pain or did the pain begin after the game? Have you or anyone in your family been diagnosed with any bone diseases or had stress fractures in other parts of the body? As for your healing time, that is difficult to predict. Usually after 4 months this would have resolved. Unfortunately you may have reset the clock. I await your responses, and we are always happy to review your MRI to get a better understanding.
Post by Ajay Lall, MD on Jul 27, 2016 23:35:27 GMT -6
thelongrider99, Olecranon stress fractures have become an increasingly common overuse injury amongst overhead athletes. After cessation from activity it seems as though you progressed appropriately with PT/throwing program. Did you return to pre-injury level prior to returning to sport? Any major changes in mechanics, pitch count, type of pitches thrown after return?
Your latest MRI findings showing edema in both the medial epicondyle and olecranon are concerning for recurrent stress related changes. It is difficult to say what the future will hold after a period of healing. Your throwing mechanics may need to be re-evaluated thereby helping to reduce tensile and valgus stress during termination of the throwing motion.
At the end of the day each individual is different and making smaller changes at a younger age (even with suffering some setbacks in activity) may in fact help increase the longevity of a career and prevent future injury.