• Etiology: Trauma at tunnel. Overuse of the extensor or forearm muscles causing irritation of the nerve in the tunnel or at the entrance. Fibrous adhesions between the anterior radiohmeral joing capsule and the DBRN
• Presentation: Weakness in hand, pain reproduction with MMT, tender to palpation (away from ocromion

Cubital Tunnel Syndrom

• Cause
• Treatment

• Caused by repetitive use in flexed position or trauma
• Treatment: splinting, ulnar nerve transposition, subcutateous transposition

Nursemaid's Elbow (Radial head dislocation)

• Demographics
• Etiology
• Presentation
• Treatment

• Radial head slips out of annular ligament, traction injury
• Occurs in children ages 1-5, because annular ligament is immature
• Child will hold arm in guarded position, reluctant to move
• Closed reduction by physician

"Little League Elbow"

Medial epicondyle apophysitis

• Affects anterior band of MCL, overuse injury caused by excessive volumes of throwing and stress on the medial elbow, severe cases the growth plate may actually break away (avulsion fracture)
• Presentation: Tenerness at Medial Epicondyle, valgus test, swelling, loss of ROM, X-Ray may show widening of growth plate, POP
• Treatment: Rest, ice, strengthening of girdle, core muscles, ROM of shoulder girdle, rotation of trunk. Time is friendly to this type of injury. EDUCATION on pitch count