apophysitis

Little league elbow

Definition

 

Medial epicondyle physeal injury

 

Aetiology

 

Overthrowing / valgus overload

 

Pitching

 

Pathology

 

Medial epicondylar epicondylitis / apophysitis

- traction / fragmentation

 

Medial epicondylar separation

 

UCL injury

 

Capitellum osteochondritis dissecans

 

Sinding - Larson - Johanssen

Epidemiology

 

Active pre teen boy

- activity related pain

- common in high jumpers

 

Diagnosis

 

Fragmentation / calcification of inferior pole

- repetitive traction injury where PT inserts

- tender at this point

 

Stages 

 

I     Normal

II    Ca inferior pole irregularity

III   Coalesce Ca inferior pole

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