Abstract
1. Pain in the elbow in javelin throwers is a common complaint.
2. The commonest type is caused by recurrent strain of the medial ligament. It develops in individuals who employ an incorrect throwing technique. The symptoms are cumulative, increasing with throwing and decreasing and resolving with rest. Treatment consists in improving the throwing technique. Local anaesthetic injected into the tender area produces complete but temporary relief. Hydrocortisone may produce partial or complete relief.
3. A second type of "javelin elbow" occurs in expert throwers and is the result of hyperextension of the elbow at the end of the throw, causing an injury to the tip of the olecranon. The symptoms are the result of a single throw or "mal-throw" and are completely disabling. They resolve with rest but tend to recur. If the tip of the olecranon is fractured excision of the fragment completely relieves the symptoms.
