Pediatric emergency medicine trisk 3956 3956
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FIGURE 121.11 Elbow MRI with abnormal marrow edema within the medial epicondylar
apophysis and hyperintensity of ulnar collateral ligament at the attachment to the medial
epicondyle.
Treatment emphasizes rest for a period of at least 1 month, application of ice,
and return to activity only after all pain is gone. Once activity is resumed, the
athlete must concentrate on limiting the total amount of pitching, as well as
minimizing stress on the medial epicondyle by employing an overhand rather
than sidearm pitching motion. Routine stretching and range-of-motion exercises
