Little League Shoulder

Little league shoulder (LLS) and biceps tendonitis are both overuse injuries that are common in young athletes. LLS presents as insidious onset shoulder pain with arm flexion, point tenderness over the physis, and limited range of motion. It is best seen on radiography as widening of the physis. Biceps tendonitis presents similarly, but there is pain at rest and the point tenderness is located over the long head biceps tendonitis. Both conditions are treated supportively with rest, physical therapy, and gradual return to activity.