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Tarsal rotation or “swivel” injury according to the classification of Main and Jowett among injuries of the midtarsal joint is uncommon. We experienced a case of subluxation of the talonavicular and talocalcaneal joints without fracture and reviewed it.The patient was a 33-year-old man who suffered injury at the moment of falling down on the floor in volleyball game. On physical examination, depressed deformity with intensive tenderness was seen in medial metatarsus region of the right foot. Radiologically there was medial subluxation of the talonavicular and talocalcaneal joint. Manual reduction was done under intravenous anesthesia and immobilization by plaster splint was followed The clinical course was favorable and the patient was now able to join the volleyball team again.

We reviewed 19 cases of so called “little league's shoulder” treated from 1981 to 1987. Follow-up period ranged from 5 months to 71 months (average, 26). Those cases were all boys and their age ranged from 10 to 15 years old (average, 12.2). Physical examination revealed no characteristic signs, but radiographic findings are important to make a diagnosis. Widening of the anterior and lateral physis is essential for this disease. In addition reactive bone formation such as bony spur and demineralization of the lateral half of the epiphysis are seen. Rest for 2 or 3 months led to rapid healing on X-ray examination and no pain on hard throwing is present at the final examination. We consider that the pathological feature of the little league's shoulder is separation of the proximal humeral physis, Very early diagnosis and treatment is stressed in this paper.