Review Question - QID 217958

A 17-year-old high school male presents to your office with complaints of elbow pain. He is a pitcher on his high-school baseball team and is being recruited to pitch in college. On examination, his pain is vaguely localized to the medial aspect of the elbow. He denies any paresthesias in the ulnar nerve distribution. The test seen in Figure A elicits significant discomfort. You explain your suspected findings to him and note that his injury is likely related to repetitive overhead throwing. Which stage of throwing seen in Figure B would place the most stress on the structure in question?