Presentation
Two weeks of right shoulder pain. He is a pitcher in little league and has been practicing and playing daily.
Patient Data
Age: 14 years
Gender: Male
From the case:
Slipped proximal humeral epiphysis
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Subluxation and separation of the proximal humeral epiphysis (Salter-Harris I) of the right shoulder is noted. The normal left side is provided for comparison.
Case Discussion
A slipped humeral epiphysis is a known complication of teenager baseball players who are pitchers. As a result there is a limit to the number of pitches they can make over a week. This lad exceeded this number by about 50%.
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