It has been reported that youth pitchers have three times greater activation ofthe rotator cuffand biceps muscles compared to professional pitchers [24]. This puts adolescents at a higher risk for overuse injury and suggests protection measures need to be established early. Protection methods should include avoidance of overuse. This can be accomplished by minimizing pitch counts, avoiding pitching year-round, and avoiding early single-sport specializa- tion. Other protection measures include proper arm care pro- grams and correction of poor pitching biomechanics. Many believe that learning proper mechanics early will allow for sustained proper mechanics with age [26–28].