Elbow Conditions Flashcards
What is lateral epicondylalgia commonly known as?
Tennis elbow.
What causes lateral epicondylalgia?
Pain in the lateral aspect of the elbow due to tendinosis, most likely from overuse of wrist extension.
Which tendon is primarily affected in lateral epicondylalgia?
The extensor carpi radialis brevis (ECRB) tendon.
What activities reproduce pain in lateral epicondylalgia?
Gripping, lifting, or performing wrist extension.
What are the symptoms of lateral epicondylalgia?
Pain radiating down to the forearm, weakness in grip strength, but typically no numbness or tingling.
What is medial epicondylalgia commonly known as?
Golfer’s elbow.
What causes medial epicondylalgia?
Pain in the medial aspect of the elbow due to wrist flexion overuse.
What nerve may be affected in medial epicondylalgia?
The ulnar nerve.
What are the symptoms of medial epicondylalgia?
Possible changes in sensation in the medial aspect of the hand and grip weakness.
What are some differential diagnoses for epicondylalgia?
Intra-articular pathology, radiocapitellar pathology, radial tunnel syndrome, posterior interosseous nerve entrapment, cervical referred pain or radiculopathy, posterolateral rotatory instability, nonspecific arm pain, local arthritis.
What key examination findings are associated with epicondylalgia?
History of repetitive movements, pain over CEO (lateral) or CFO (medial), pain on resisted middle finger extension, restricted range of motion, reduced grip strength, tenderness on palpation.
What is the gold standard for diagnostic imaging of epicondylalgia?
MRI.
What is a common management strategy for epicondylalgia?
Patient education and reassurance.
What does load management involve for epicondylalgia?
Not lifting with a pronated forearm and allowing recovery from high tendon loads.
What types of therapy can be used in the management of epicondylalgia?
Manual therapy, exercise rehab, taping/bracing, shockwave therapy, dry needling.
What is the purpose of corticosteroid injections in epicondylalgia management?
Effective for short-term pain relief.
