QUESTIONS 1 of 2 1 2 Previous Next (OBQ08.258) A 13-year-old pitcher develops pain over the lateral aspect of his throwing elbow. He has an effusion and a painful click on passive elbow rotation. What is the most likely diagnosis? QID: 644 Type & Select Correct Answer 1 Tommy John lesion 4% (193/5005) 2 Postero-lateral rotatory instability 15% (758/5005) 3 Osteochondritis dissecans 70% (3509/5005) 4 Stress fracture 3% (129/5005) 5 Plica syndrome 8% (399/5005) L 3 Question Complexity C Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 3 Review Tested Concept Review Full Topic This is an AAOS Self Assessment Exam (SAE) question. Orthobullets was not involved in the editorial process and does not have the ability to alter the question. If you prefer to hide SAE questions, simply turn them off in your Learning Goals. (SAE07PE.83) A 6-year-old Little League pitcher has had pain in the right elbow for the past 2 weeks. Examination reveals mild lateral elbow joint tenderness with full range of motion and no effusion or collateral laxity. A radiograph is shown in Figure 38. Initial management should consist of QID: 6143 FIGURES: A Type & Select Correct Answer 1 cessation of throwing activities. 93% (583/625) 2 a long arm cast for 3 months. 4% (27/625) 3 a corticosteroid injection into the elbow joint. 1% (4/625) 4 excision of the fragment. 1% (6/625) 5 arthroscopic drilling of the lesion. 0% (2/625) L 1 Question Complexity E Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 1 Review Tested Concept Review Full Topic