Rich
This is a situation that I would use the history of events to help me determine what I would do. For example, has either of the players been called for an aggressive foul earlier, was the elbow a gesture of antaginism or a sincere effort to cause harm....
My initial thought is an intentional personal foul, but that could be more harsh if there was a "history" with the elbowing player. (With 55 fouls called, I suspect there is a "history")
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