Final answer:
A pitcher with posterior elbow pain and a crack in the olecranon has an olecranon stress fracture. Treatment includes rest, bracing, and possibly surgery if the fracture is severe. Rehabilitation and technique adjustments are key for recovery and injury prevention.
Step-by-step explanation:
A pitcher with posterior elbow pain and a small crack in the olecranon on a CT scan likely has a condition called olecranon stress fracture. This kind of fracture is common in athletes, especially baseball pitchers, due to repetitive throwing motions that put stress on the elbow. Considering the anatomy of the elbow, where the articular capsule is thin on its anterior and posterior aspects, but is thickened along its outside margins by strong intrinsic ligaments like the ulnar collateral ligament (UCL), athletes are at risk of injuries such as UCL tears, which could lead to Tommy John surgery for repair.
The treatment for an olecranon stress fracture typically involves rest from throwing, bracing or casting to stabilize the elbow, and physical therapy focused on rehabilitation to regain strength and mobility. If conservative measures fail or the fracture is severe, surgical intervention may be required to repair the fracture site. To prevent future injuries, modifications in pitching technique and load management are often recommended as part of the return-to-sport strategy.