Unusual cause of elbow pain in a baseball pitcher

Nithin Natwa, Alan Zakaria, George Pujalte

Research output: Contribution to journalArticle

Abstract

An adolescent, right hand-dominant, baseball pitcher presented to sports medicine clinic with posterolateral right elbow pain over 4 months. He rated his pain as 8/10 with pitching, especially at the late cocking phase of throwing. Prior to consult, he had rested 3 months from pitching, progressing to strengthening exercises, with no pain relief. On physical examination, he had 120° of active external rotation, 80° of active internal rotation, mild tenderness to palpation over the capitellum and normal elbow radiography. Magnetic resonance arthrogram of the right elbow revealed subtle, posterolateral joint capsular tear and adjacent synovial hypertrophy. The patient was diagnosed with elbow synovial fold syndrome that was causing impingement at the radiocapitellar joint and was referred to an orthopaedic surgeon. Arthroscopy revealed redundant tissue; scar formation at the radiocapitellar joint was debrided. The patient participated in physical therapy for 2 months and was able to start throwing 3 months later.

Original languageEnglish (US)
Article numberbcr-2018-224287
JournalBMJ Case Reports
Volume2018
DOIs
StatePublished - Jan 1 2018

Fingerprint

Baseball
Elbow
Pain
Joints
Sports Medicine
Synovitis
Palpation
Arthroscopy
Tears
Radiography
Physical Examination
Cicatrix
Magnetic Resonance Spectroscopy
Hand
Exercise

Keywords

  • orthopaedics
  • sports and exercise medicine

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Natwa, N., Zakaria, A., & Pujalte, G. (2018). Unusual cause of elbow pain in a baseball pitcher. BMJ Case Reports, 2018, [bcr-2018-224287]. https://doi.org/10.1136/bcr-2018-224287

Unusual cause of elbow pain in a baseball pitcher. / Natwa, Nithin; Zakaria, Alan; Pujalte, George.

In: BMJ Case Reports, Vol. 2018, bcr-2018-224287, 01.01.2018.

Research output: Contribution to journalArticle

Natwa, N, Zakaria, A & Pujalte, G 2018, 'Unusual cause of elbow pain in a baseball pitcher', BMJ Case Reports, vol. 2018, bcr-2018-224287. https://doi.org/10.1136/bcr-2018-224287
Natwa, Nithin ; Zakaria, Alan ; Pujalte, George. / Unusual cause of elbow pain in a baseball pitcher. In: BMJ Case Reports. 2018 ; Vol. 2018.
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