Transcript Throwing Injuries - Mr Thornton`s Wiki

Throwing Injuries
Tommy John
By: Tyler Roth
March 19, 2012
Table of Contents

The Joint- Radioulnar Joint

How the Injury Occurs

Symptoms of the Injury

Classifications/ Severity of the Injury

Treatment

Tommy John Surgery Facts/Procedure

Rehabilitation

Post Rehab Prevention

Bibliography
The Joint- Radioulnar Joint
The proximal radioulnar
articulation (superior
radioulnar joint) is a
trochoid or pivot joint
between the
circumference of the
head of the radius and
the ring formed by the
radial notch of the ulna
and the annular
ligament.
How the Injury Occurs
Activities: Throwing any object (baseball, football,
etc.). The injury can also be related to tennis since
the motion of swinging a racket is very similar to a
throwing motion. That injury is known as tennis
elbow.
Symptoms of Tommy John
Symptoms:
-Pain in the elbow area
-The pain lingers and won't go 100% away
-Feels a great amount of pain when one attempts
to throw an object
-Swelling in the elbow, Loss of velocity, Loss of
control, Tingling in the ring and pinky fingers,
pain in the elbow joint, popping of the
radioulnar joint.
Classification/Severity of Injury
-Very serious injury
-Comeback rate of 85%
-Can be as successful as before the injury but unlikely
Treatment
Treatment: There are two treatments to the
Tommy John injury. One is to simply never
throw again, the other is Tommy John Surgery.
Tommy John Surgery
-Known in medical practice as ulnar collateral ligament
(UCL) reconstruction
-Results in a surgical procedure where a ligament in the
medial elbow is replaced with a tendon from elsewhere in
the body
-Tendons used most often are from forearm, hamstring, hip,
knee, or foot
-The procedure is common among collegiate and
professional athletes in several sports, most notably
baseball.
Facts of Tommy John Surgery
-The procedure was first performed in 1974 by Dr.
Frank Jobe
-Jobe now serves as a Special Advisor to the Los
Angeles Dodgers
-Surgery is named after former major league pitcher
Tommy John whose 288 career victories ranks seventh
all time among left-handed pitchers.
Procedure of Tommy John Surgery
1.Holes, to accommodate a new tendon, are drilled in the
ulna and humerus bones of the elbow.
2.A harvested tendon - from the forearm of the same or
opposite elbow, below the knee, or from a cadaver – is
taken from it’s original placing
3.The tendon is then woven in a figure-eight pattern through
the holes.
Rehabilitation
-For baseball players, full rehabilitation takes about one year for
pitchers and about six months for position players.
-Players begin throwing about 16 weeks after surgery.
-There's no way to speed up recovery from the injury but some
players might try to get into the swing of things again earlier
without fully rehabilitating the elbow. This will most likely result
in the injury repeating itself.
Post Rehab Prevention
Elbow Sleeves:
-Holds the muscles tight together.
-Still allows muscle movement but can
reduce the chances of elbow injury.
The best way to avoid future injury
is to build that muscle up over
time. This process can't be
rushed.
Time and commitment will heal the
injury but after a muscle,
ligament, tendon, or bone has
been injured, it can happen again.
Multiple Choice (1-5)
1. What is a good age to start lifting weights?
A 5 B 15
C 9 D 13
2. From a thrower's perspective, while lifting weights, which is the least
important?
A Quantity B Quality
C Repetition
D Weight
3. With proper mechanics, what body part should be used the most while
throwing?
A Shoulder (Rotator Cuff)
B Legs
C Chest
D Arm
4. How can one recover from the swollen muscles after throwing?
A Ice
B Heat C Throw more D Do nothing
E All of the above
5. What is the success rate of an athlete after receiving Tommy John surgery?
A 30%
B 50%
C 85%
D 65%
Multiple Choice (6-10)
6. What sport could Tommy John surgery be needed for?
A Baseball B Tennis
C Football D Javelin
E All of the above
7. Is Tommy John surgery used on more or less kids than before?
A Lowering B On the rise C The same
issues yet
D They're kids, they don't have
8. What's the best way for a pitcher to strengthen his arm?
A Weights B Weighted baseballs
C Just throwing D None of the above
9. What tool can someone use to strengthen their arm while keeping their
elasticity?
A Weights B Rubber bands
the above
C Throwing in cold weather
10. What body part should be used the least while throwing?
A Legs
B Arm
C Shoulder D Chest
D None of
Multiple Choice (11-15)
11. To reduce strain while throwing, when one takes their step to throw, how
far should that step be?
A 6 feetB 5 feetC Your body length D Doesn't matter
12. How long should the swelling in your arm last after you've thrown?
A 5 minutesB 30 minutes
C 2 Hours D Depends
13. When throwing, what muscles are under the most strain?
A Elbow
B Shoulder C Forearm D Core
14. What's the average speed of an MLB fastball?
A 100 KPH B 84 MPH C 90 MPH D 95 MPH
15. What was the fastest pitch ever clocked?
A 90 MPH B 105 MPH C 95 MPH D 101 MPH
Multiple Choice Answers
1. C
2. D
3. B
4. A
5. C
6. E
7. B 8. B
9. B
10. D 11. C 12. D
13. A 14. C 15. B
Bibliography
http://www.hss.edu/conditions_elbow-throwing-injuries-mcl-tommy-john.asp, Throwing Injuries- Tommy John, March 19, 2012.
http://www.google.ca/search?q=elbow+band&rls=com.microsoft:en-us&oe=UTF8&startIndex=&startPage=1&redir_esc=&safe=on&um=1&ie=UTF8&hl=en&tbm=isch&source=og&sa=N&tab=wi&ei=4CpnT9mmJcelgwexxpXZAg&biw=1016&bih=592&sei=4ipnT_XPK8X8ggftbD4Ag#um=1&hl=en&safe=active&rls=com.microsoft:enus&tbm=isch&sa=1&q=baseball+elbow+sleeve&oq=baseball+elbow+&aq=1&aqi=g3gS7&aql=&gs_sm=3&gs_upl=5513l15274l0l18257l35l35l9l6l6l0l79l1374l20l20l0&gs_l=img.3.1.0l3j0i24l7.5513l15274l0l18257l3
5l35l9l6l6l0l79l1374l20l20l0.frgbld.&bav=on.2,or.r_gc.r_pw.r_qf.,cf.osb&fp=c43e6a1cf682416d&biw=1016&bih=592, Google
images (Elbow sleeve), March 19, 2012.
http://www.google.ca/search?q=elbow+band&rls=com.microsoft:en-us&oe=UTF8&startIndex=&startPage=1&redir_esc=&safe=on&um=1&ie=UTF8&hl=en&tbm=isch&source=og&sa=N&tab=wi&ei=4CpnT9mmJcelgwexxpXZAg&biw=1016&bih=592&sei=4ipnT_XPK8X8ggftbD4Ag#um=1&hl=en&safe=active&rls=com.microsoft:enus&tbm=isch&sa=1&q=radioulnar+joint&oq=radioul&aq=0&aqi=g10&aql=&gs_sm=3&gs_upl=74283l79735l0l81031l19l17l1l0l0
l2l203l1188l14.0.1l16l0&gs_l=img.3.0.0l10.74283l79735l0l81031l19l17l1l0l0l2l203l1188l14j0j1l16l0.frgbld.&bav=on.2,or.r_gc.r_
pw.r_qf.,cf.osb&fp=c43e6a1cf682416d&biw=1016&bih=592, Google images (Radioulnar joint), March 19, 2012.
http://en.wikipedia.org/wiki/Proximal_radioulnar_articulation, Radioulnar joint- Wikipedia, March 19, 2012.
http://wiki.answers.com/Q/How_do_you_know_if_you_need_Tommy_john_surgery, Tommy John Surgery, March 19, 2012.
http://www.symptomfind.com/procedures-tests/tommy-john-surgery/, Tommy John Surgery, March 19, 2012.
http://en.wikipedia.org/wiki/Tommy_John_surgery, Tommy John Surgery- Wikipedia, March 19, 2012.