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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?
Tommy John lesion
Postero-lateral rotatory instability
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A 12-year-old Little League pitcher reports lateral elbow pain and “catching.” Examination reveals painful pronation and supination and tenderness over the lateral elbow. Radiographs are shown in Figures 22a and 22b. Initial management should consist of
rest and repeat examination and radiographs until complete healing occurs.
rest and resumption of play when he is asymptomatic and examination shows restoration of painless range of motion.
arthroscopic in situ drilling.
arthroscopic drilling and internal fixation.
arthroscopy with removal of the loose body, followed by lateral column osteotomy.