Olecranon Apophysitis Treatment in Sharjah

Olecranon apophysitis, often referred to as “Little League Elbow,” is a common overuse injury in young athletes, particularly baseball pitchers and other athletes involved in overhead throwing sports. It is caused by repetitive stress on the growth plate (apophysis) at the tip of the elbow (olecranon). In Sharjah, treatment for this condition focuses on a conservative, non-surgical approach combining expert medical care with specialized physiotherapy.

 
 

 

1. Orthopedic Consultation and Diagnosis

 

The first step is to seek an orthopedic specialist, ideally one with a background in pediatric or sports medicine. A proper diagnosis is crucial to rule out other, more serious conditions and to create an effective treatment plan. The doctor will:

 

  • Take a Detailed History: They will ask about the young athlete’s sports activities, frequency of throwing, and the nature of their pain.

  • Perform a Physical Examination: The specialist will check for tenderness, swelling, and pain at the inner side of the elbow and assess the range of motion.

     

  • Order Imaging: An X-ray is often used to visualize the growth plate and check for widening, fragmentation, or other signs of injury. In some cases, a more advanced imaging test like an MRI might be required.

     

Clinics in Sharjah with Pediatric Orthopedic and Sports Medicine Expertise:

  • Saudi German Hospital, Sharjah: The hospital has a well-established orthopedic department with a focus on pediatric orthopedics and rehabilitation services.

  • Burjeel Specialty Hospital, Sharjah: Known for its sports medicine and orthopedics departments, which can cater to the needs of young athletes.

     

  • Zulekha Hospital, Sharjah: This hospital also has a pediatric orthopedics service that provides both surgical and non-surgical treatments for children.

     

  • The Emirates European Hospital: Their orthopedic department offers child-specific evaluations for orthopedic conditions, including growth plate injuries, and provides both non-operative and operative options.

     

 

2. Conservative Treatment

 

The primary treatment for olecranon apophysitis is non-surgical and centers on allowing the injured growth plate to heal.

 

  • Rest and Activity Modification: This is the most critical part of the treatment. The athlete must completely stop all throwing activities for a minimum of 4-6 weeks, or until they are completely pain-free. A doctor will provide a specific rest period based on the severity of the injury.

     

  • Pain and Inflammation Management: Applying ice to the elbow for 15-20 minutes several times a day can help reduce swelling and pain. The doctor may also recommend over-the-counter anti-inflammatory medication if necessary.

     
     

  • Physiotherapy and Rehabilitation: Once the initial rest period is over and the pain has subsided, a structured physiotherapy program is essential for a safe return to sports. A sports physiotherapist will work with the athlete on:

    • Stretching and Flexibility: To improve the flexibility of the forearm, wrist, and shoulder muscles.

    • Strengthening Exercises: To build strength in the arm, shoulder, and core to better support the throwing motion and reduce stress on the elbow.

    • Proper Throwing Mechanics: The therapist and a coach can work together to correct any technique flaws that might have contributed to the injury.

    • Gradual Return-to-Throwing Program: This is a carefully monitored program that slowly increases the number and intensity of throws, ensuring the athlete’s arm can handle the stress without re-injury.

       

Physiotherapy Centers in Sharjah for Sports Injuries:

  • Al Resalah Specialty Clinic: They offer sports physiotherapy and rehabilitation services with tailored programs for athletes of all ages.

  • Cure Physiotherapy Center: This clinic specializes in sports injuries rehabilitation and can provide a personalized recovery plan.

  • Saudi German Hospital, Sharjah: Their rehabilitation center provides pediatric rehabilitation services, which are crucial for this condition.

 

3. Prevention and Follow-up

 

To prevent the injury from recurring, it’s vital to follow a strict prevention plan once the athlete returns to their sport. This includes:

  • Following age-appropriate pitching and throwing guidelines.

  • Avoiding throwing through pain.

     

  • Ensuring proper warm-ups and cool-downs.

  • Taking at least 3-4 months off from throwing sports each year to give the arm a complete rest.