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Differential Diagnosis for Elbow Pain in a 10-year-old without Trauma

Single Most Likely Diagnosis

  • Medial Epicondylitis (Little League Elbow): This condition is common in young athletes, particularly those involved in throwing sports. It results from repetitive stress on the medial epicondyle, leading to pain and inflammation.

Other Likely Diagnoses

  • Olecranon Bursitis: Inflammation of the bursa at the elbow can cause pain and swelling, often due to repetitive motion or pressure on the elbow.
  • Elbow Hygroma: A benign condition where a fluid-filled cyst forms near the elbow, which can cause discomfort or pain.
  • Referred Pain from the Neck or Shoulder: Sometimes, pain from the neck or shoulder can radiate to the elbow, especially if there are issues with the nerves or musculoskeletal system in these areas.

Do Not Miss Diagnoses

  • Osteomyelitis or Septic Arthritis: Although less common, these infections can cause severe pain and have significant consequences if not promptly treated. They require immediate medical attention.
  • Tumor (e.g., Osteosarcoma): While rare, bone tumors can cause persistent pain and should be considered to ensure early detection and treatment.
  • Radial Head Subluxation (Nursemaid's Elbow): Common in younger children, this condition can occur without significant trauma and causes pain and limited mobility of the elbow.

Rare Diagnoses

  • Gout or Pseudogout: These conditions are rare in children but can cause sudden, severe joint pain and should be considered in the differential diagnosis, especially if other symptoms are present.
  • Sickle Cell Crisis: In children with sickle cell disease, a crisis can cause bone pain, including in the elbow, due to vaso-occlusive episodes.
  • Juvenile Idiopathic Arthritis (JIA): A chronic autoimmune disease that can cause joint pain and inflammation, including in the elbows, and should be considered in children with persistent or recurrent joint symptoms.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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