During this injury, the ligament attached to the inner side of the elbow begins to pull one of the growth plates away from the rest of the bone. Because the bones are still growing, the growth plates are weak and susceptible to injury. Certain types of throwing may lead to this condition, such as:
- Throwing too hard and too often
- Increasing the number of pitches per week too quickly
- Throwing too many curves or sliders at a young age
- Changing to a league where the pitcher's mound is farther away from home plate or the mound is elevated
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