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Paediatrics
intermediate
X-Type

Little League Shoulder

Sports Injuries

A 13-year-old right-handed baseball pitcher presents with 6 weeks of progressive right shoulder pain. The pain is worse during throwing, particularly in the late cocking and acceleration phases. He pitches for multiple teams and has been playing year-round. Examination reveals tenderness over the lateral proximal humerus. Regarding Little League shoulder:

Mark each as TRUE or FALSE

A

Little League shoulder is a stress injury to the proximal humeral physis caused by repetitive rotati...

B

Risk factors include excessive pitch counts, year-round play without rest, pitching while fatigued, ...

C

Radiographic diagnosis requires bilateral comparison views showing complete physeal separation with ...

D

Radiographic findings include widening of the proximal humeral physis compared to the contralateral ...

E

MRI findings include physeal widening with edema signal, metaphyseal edema, and periosteal reaction;...

Answer the questions to see explanations

Click T (True) or F (False) for each option