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Most elbow injuries are the result of overuse activities involved in upper limb sports.
The aetiology is a combination of vascular and micro traumatic factors seen in throwing type sports or gymnastics. In the older or arthritic changes. Mechanical symptoms related to loose bodies may require drilling and fixation or removal. Little league elbow Medial epicondyle avulsion or any number of conditions causing medial sided elbow pain. A valgus force and resistance load on the flexor muscles occurring during throwing are the main cause.