Table 1.
Clinical patient characteristics may orient the diagnosis of medial elbow pain. Some presentations may be complex and include more than one diagnosis
| Adult |
Children (open physes) |
||||||
|---|---|---|---|---|---|---|---|
| Trauma | Non-trauma | Trauma | Non-trauma | ||||
| Acute pain +/- instability | Pain with resisted wrist flexion +/- pronation | MVT + | Medial Snapping | Positive Tinel | Acute pain +/- instability | Insidious pain, decreased throwing velocity, Positive MVT, Anomalous Rx | Pain with abnormal imaging findings |
| Acute MCL tear | Medial epicondylitis | MCL injury | Snapping ulnar nerve +/- snapping triceps | Ulnar neuritis/neuropathy | Acute MCL injury | Little League elbow | OCD trochlea |
| Fx. sublime tubercule | Avulsion Fx. medial epicondyle | ||||||
Fx., fracture; MVT, moving valgus test; MCL, medial collateral ligament; OCD, osteochondritis dissecans