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Both pitchers presented with pain, tenderness, and swelling over the medial epicondyle of the humerus of the pitching arm.
On physical examination, pain is present from the tip of the medial epicondyle to the pronator teres and flexor carpi radialis muscles.
The first layer is composed of four muscles that arise partly from the medial epicondyle of the humerus and partly from the ulna.
The ulnar may pass in front of the medial epicondyle of the humerus or lie behind the condyle.
On the inner side of this is a smaller protuberance, the medial epicondyle of the humerus - the bone of the upper arm.
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