KMID : 0359420130310020115
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Korean Journal of Sports Medicine 2013 Volume.31 No. 2 p.115 ~ p.119
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Intra-Apophyseal Avulsion Fracture of Medial Epicondyle in a Adolescent Baseball Player
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Kim Tae-Kyun
Park Jong-Tae Cho Hyung-Lae Jin Hong-Ki
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Abstract
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Overuse elbow injuries in young throwing athletes are generally defined as ¡¯Little Leaguer¡¯s elbow¡¯. Repetitive submaximal valgus forces on the medial epicondylar apophysis in such athletes can result in apophyseal separation or chronic apophyseal fragmentation, which would usually take over more than a year to heal. We report of a unique case of a 13-year-old male baseball pitcher who, due to the traction of the medial collateral ligament, presented with an acute intra-apophyseal avulsion fracture of the medial epicondyle. The fracture was successfully healed using a long arm cast, and correct union was confirmed by 3 dimensional computed tomography at 8 weeks post-trauma. This acute avulsion fracture is a variant of Little Leaguer¡¯s elbow and should be distinguished in terms of diagnosis and treatment from common lesion such as chronic fragmentation of the medial epicondylar apophysis.
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KEYWORD
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Intra-apophyseal avulsion fracture, Little leaguer¡¯s elbow, Medial epicondylar fragmentation
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