β£What is the main ligament in question?Ligament in question β Anterior band of AOLβ£What is it called in paeds? Eponymous name?Paeds β Little leaguerβs Elbow (Apophysitis of medial epicondyle/ avulsion)β£In Adults what they get?Adults Bone stronger than ligament β Ligament injuryβ£What special test?Milking manoeuvre - flexed elbow, with valgus force by pulling on thumb laterallyβ£What looking for in XR?Avulsion of Medial epicondyle and the displacementβ£Acute Mx?Rest from throwingIf avulsion > 2cm β ORIF of epicondyle avulsionβ£Why is there better healing of the MCL ligament?Chronic tensile gravitational loads occur on the lateral ligaments.