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Tommy John surgeries increasing for youth athletes

Tommy John surgeries increasing for youth athletes


Surgeries related to overuse elbow injuries – Tommy John Surgery – are more common among youth athletes than previously believed, according to research presented at the American Orthopaedic Society for Sports Medicine's (AOSSM) annual meeting in Orlando, Fla., recently.

"Our results showed that 15- to 19-year-olds accounted for 56.7 percent of the Ulnar Collateral Ligament Reconstruction (UCLR) or Tommy John surgeries performed in the U.S. between 2007-2011,” said Dr. Brandon Erickson of the Rush University Medical Center in Chicago, Ill., and the lead author of the study. “This is a significant increase over time with an average increase of 9.12 percent per year."

The southern region of the U.S. performed significantly more UCLR procedures than any other region with 53 percent. Most of the surgeries were also performed between April and June.

Fifty-eight percent of the procedures were performed in an outpatient hospital setting, 40 percent were performed at a surgical center and three percent were performed in an inpatient hospital setting.

"The research numbers suggest that more young athletes believe that having an UCLR procedure performed earlier in their career may lead to the big leagues or a scholarship, even though only one in 200 kids who play high school baseball will make it to the MLB,” Erickson said. “This paradigm shift needs to be evaluated further to help prevent overuse injuries in kids from the beginning of the season when most issues arise."

Erickson and his team performed a retrospective analysis of a private payer database using the PearlDiver Supercomputer to identify UCLR procedures performed throughout the U.S.

Overuse Injuries Pitching Tommy John Surgery

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