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- chronic overuse
- throwing, over head motion (tennis serve)
- excess valgus stress
clinical
- increasing pain medial elbow
- paresthesia forearm, 4th 5th digits
radiograph
- ulnar collateral ligament ossification
- loose bodies
- ulnohumeral osteoarthritis
- capitellum osteochondritis dissecans
- excess medial joint opening in stress radiograph
MRI
- lax, discontinuous ulnar collateral ligament
- high T2 signal of UCL and soft tissue around it
- poor definition of ligament margins
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