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5b - Answer: 15-year-old male with elbow pain for two months

Pomeranz, Stephen
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
Includes DICOM files

MOST LIKELY DIAGNOSIS: Olecranon Apophysitis

This 15-year-old male has had elbow pain for two months. The posterior pain was noticed after playing tennis, and it is made worse with weightlifting. What seems to be his issue, and what are some potential causes you can rule out?

CLINICAL CONSIDERATIONS:

This patient has olecranon apophysitis or epiphyseolysis as a repetitive overuse injury or stress injury secondary to chronic valgus extension overload. There is mild widening of the physis and diffuse marrrow edema (arrows). Among the diagnoses you can rule out are a UCL injury, medial humeral apophysitis and Little Leaguer's elbow (another overstress injury often seen in young athletes).

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LESSON 2, TOPIC 15

Case Challenge: Musculoskeletal (MSK) MRI Cases

Case Challenge

Content reviewed: September 8, 2021

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