Department of Orthopedics, Good Samaritan Regional Medical Center, Corvallis, Oregon.
Department of Orthopedics, Pediatric Orthopedic Surgery-Board Certified, Randall Children's Hospital, Portland, Oregon; and.
Clin J Sport Med. 2022 Sep 1;32(5):e553-e555. doi: 10.1097/JSM.0000000000001009. Epub 2022 Jan 5.
The young, overhead throwing athlete is prone to overuse injuries because of their variable skeletal maturity and often improper technique. An overuse injury to the digit(s) in the overhead throwing athlete, Little Leaguer's Finger, has never been discussed in the literature to our knowledge. We present a case of a 14-year-old man with atraumatic pain, swelling, and edema to his dominant pitching index finger after throwing greater than 90 pitches in one setting. Initial workup of the patient, including an MRI, ruled out an infectious process, and it was determined that there was a stress epiphysitis within the proximal phalanx of the digit. Symptoms within the digit resolved given time, rest, and cessation of throwing activities. The purpose of this report was to stress the importance of establishing the etiology of finger pain in the throwing athlete and to describe a previously unreported overuse injury, Little Leaguer's Finger.
年轻的过头投掷运动员由于骨骼成熟度的变化和技术往往不正确，容易发生过度使用损伤。据我们所知，过头投掷运动员（如少年棒球队员）的手指过度使用损伤（Little Leaguer's Finger）在文献中从未被讨论过。我们报告了一例 14 岁男性患者，在一次投掷超过 90 次后，其优势投球食指出现无创伤性疼痛、肿胀和水肿。对患者的初步检查，包括 MRI，排除了感染过程，并确定在该手指的近节指骨存在应力性骺炎。通过休息、停止投掷活动，手指的症状得到了缓解。本报告的目的是强调确定投掷运动员手指疼痛病因的重要性，并描述一种以前未报道的过度使用损伤，即 Little Leaguer's Finger。
