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Sport-specific guide

Common Baseball & Softball injuries

Baseball and softball place unique demands on the throwing shoulder and elbow, producing a distinct pattern of overuse injuries seen almost exclusively in overhead throwing athletes. Proper mechanics and pitch count limits are the primary prevention tools.

Injury prevention tips

  • Follow age-appropriate pitch count and rest guidelines for youth pitchers
  • Do not pitch through arm pain - pain is a signal, not weakness
  • Perform a proper arm care and shoulder strengthening program year-round
  • Maintain mechanics with coaching review - fatigue-related mechanical breakdown increases injury risk
  • Avoid playing catcher and pitcher in the same day

Return to baseball & softball timeline

Tommy John surgery (UCL reconstruction) requires 12-18 months for pitchers to return to throwing. SLAP repair: 6-12 months depending on type and repair. Minor rotator cuff surgery: 4-6 months. Shoulder impingement managed conservatively: 6-12 weeks.

Common procedures for baseball & softball injuries

Common questions

What is Tommy John surgery?
Tommy John surgery is reconstruction of the ulnar collateral ligament (UCL) of the elbow using a tendon graft, typically from the opposite forearm or leg. It is named after the pitcher who was the first to undergo the procedure in 1974. Return to pitching takes 12-18 months. Success rates for returning to the same or higher level of play are approximately 80-85%.
What is a SLAP tear?
SLAP stands for Superior Labrum Anterior to Posterior. It is a tear of the cartilage rim (labrum) where the biceps tendon attaches to the shoulder socket. In overhead throwers, it typically causes pain and loss of velocity in the late cocking phase of throwing. Diagnosis requires MRI arthrogram (with contrast injection into the joint).

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