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Shoulder · Shoulder and Sports Medicine

Shoulder Cartilage Injury

Damage to the smooth cartilage surface of the ball or socket, from a dislocation, an injury or early wear, that causes pain, catching and the start of arthritis.
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Shoulder · Shoulder and Sports Medicine

Throwing Injuries

Overuse injuries of the shoulder and elbow in baseball, softball and other overhead athletes: labral tears, internal impingement, biceps problems and elbow ligament strain.
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ContactTalk toa real person.
Two clinics, one number to call or text. Same-day appointments for acute injuries whenever we can. The front desk will match you with the right surgeon.
Provo1055 N 300 W, Ste 104
Orem700 W 800 N, Ste 330
What it is

Throwing Injuries

Throwing loads the shoulder and elbow thousands of times a season.
Over time the back of the shoulder tightens, the labrum frays, the biceps anchor loosens, and the elbow ligament stretches.Dr. Christensen trained at the Andrews Institute, where the throwing athlete is the daily case.
Treated by
Kevin Christensen, MD, Knee, Shoulder and Sports Medicine surgeon at Ridgeline Orthopedic Specialists
Dr. ChristensenKnee, Shoulder and Sports Medicine
J. Ryan Taylor, MD, Shoulder and Sports Medicine surgeon at Ridgeline Orthopedic Specialists
Dr. TaylorShoulder and Sports Medicine
Toby Johnson, MD, Hand and Upper Extremity surgeon at Ridgeline Orthopedic Specialists
Dr. JohnsonHand and Upper Extremity
Throwing Injuries

Symptoms

Pain at the back or deep inside the shoulder during the late cocking phase of a throw.Loss of velocity or control. A dead-arm feeling. Pain on the inside of the elbow with throwing.
Symptoms often build over a season rather than from one pitch.
Common signs
Pain in late cocking
Lost velocity
Dead-arm feeling
Inside elbow pain
See us sooner if
Pain in a young thrower
Numbness in the hand
Throwing Injuries

Causes

Pitch counts, year-round throwing without rest, poor mechanics, and tightness in the back of the shoulder that shifts the load forward.Growth plate stress in younger throwers.Most throwing injuries are overuse injuries, not accidents.
Throwing Injuries

How We Diagnose It

Exam measures rotation and tightness, tests the labrum and biceps, and checks the elbow ligament.MRI with contrast shows labral and ligament damage when surgery is being considered.A throwing-specific history matters as much as the imaging.Baseball and softball athletes from Utah County schools and colleges are seen throughout the season. Dr. Christensen, Dr. Taylor and Dr. Johnson operate at Utah Valley Hospital and American Fork Hospital.
Throwing Injuries

Treatment Options

Rest from throwing, a structured stretching and strengthening program, mechanics correction and a graduated return-to-throw program resolve most throwing injuries.
Confirmed labral tears and elbow ligament tears that fail rehabilitation are treated surgically, with arthroscopic repair or ligament reconstruction.
Your options
Non-surgical
Rest from throwing
Stretch and strengthen
Return-to-throw program
Surgical
Labral repair
Ligament reconstruction
Related
Throwing Injuries

Procedures That Address It

Throwing Injuries

Surgeons Who Treat It

Dr. Christensen, MD
Andrews Institute sports medicine fellowship under Dr. James Andrews. Board certified in orthopedic surgery and orthopedic sports medicine. Fluent in Spanish.
Dr. Taylor, MD
Dual fellowship trained in sports medicine and in shoulder and elbow surgery. Former Division I football player.
Dr. Johnson, MD
Weill Cornell graduate, hand fellowship at Allegheny General. Twenty-one years in practice and seventeen as a collegiate team physician.
ContactTalk toa real person.
Two clinics, one number to call or text. Same-day appointments for acute injuries whenever we can. The front desk will match you with the right surgeon.
Provo1055 N 300 W, Ste 104
Orem700 W 800 N, Ste 330