II. Epidemiology

  1. Children under age 10 years old

III. Pathophysiology

  1. Distal humeral Ossification Center (at capitellum) with abnormal ossification, necrosis and degeneration

IV. Symptoms

  1. Vague lateral Elbow Pain

V. Signs

  1. No point tenderness over lateral elbow

VI. Imaging

  1. XRay elbow
    1. Capitellum of Humerus with fragmentation and fissuring

VII. Management

  1. Relative rest
  2. Acetaminophen or NSAIDs

VIII. Course

  1. Self-limited with spontaneous resolution

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