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A 19-year-old college baseball player has posterior elbow pain despite non-operative treatment for 9 months. He developed acute worsening of pain and inability to throw. His imaging is shown in Figure A. What is the next most appropriate step in management?
Open removal of osteophytes
Ulnar nerve transposition
Internal fixation with a compression screw
Cast immobolization, followed by gradual return to strengthening program
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