Elbow pain related to pitching felt a pop

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Case History

Elbow pain related to pitching felt a pop. Pain and swelling difficulty with daily activity

Technical Factors

Case Findings

Mild extensor origin tendinosis without macrotear or radial collateral ligament injury.
High-grade partial tear versus complete tear of the anterior band of the ulnar collateral ligament midsubstance proximal nonretracted greater than 75% of the ligament is torn but not avulsed. Mild adjacent flexor strain without avulsion. Mild soft tissue swelling. Slight peel-away of the distal attachment of the UCL from the sublime tubercle.
Normal biceps triceps and brachialis attachments.
Swollen ulnar nerve.
Normal radial nerve branches median nerve.
No internal derangement or OCD. No loose body.
No muscle atrophy or tear.

Case Conclusion

Anterior band ulnar collateral ligament tear near complete greater than 75% midsubstance proximal nonretracted tear with additional finding of slight stripping of the distal UCL from the sublime tubercle. No avulsion fracture. Mild adjacent flexor strain without tear. Soft tissue swelling.
No internal derangement. Swollen ulnar nerve

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