This week's Quick Hit topic for our softball/baseball theme is a radiology case. Please review the question stem and image below and leave your answer in the comments!
A 26 y/o minor league pitcher presents to the clinic with 2 days of medial elbow pain starting after he threw a curveball and heard a pop. There was immediate onset of pain and swelling. He has a positive valgus stress test at the elbow. An MRI is ordered (see image below).
What is the diagnosis? How do you counsel the patient about management?
says... Posted Thursday, April 18, 2019
Answer: UCL rupture; the recommended management in a high level pitcher is UCL reconstruction (aka Tommy John surgery)