Elbow conditions

Question 1

another name for lateral epicondylitis

why

Answer 1

tennis elbow

tennis players use back hand = lateral movement

Question 2

pathophysiology of tennis elbow (lateral epicondylitis)

where

why

Answer 2

micro tears/inflammation of common extensor tendon origin

its the extensor bc tennis players use back hand = extension movement

Question 3

presentation of tennis elbow (lateral epicondylitis) (2)

Answer 3

painful lateral epicondyle

resisted middle finger and wrist extension

Question 4

when is the pain worse in tennis elbow (lateral epicondylitis) - example

Answer 4

when opening a jar

Question 5

tennis elbow (lateral epicondylitis) treatment (5)

Answer 5

rest 
physio 
pain relief 
steroid injections 
surgery last resort

Question 6

another name for golfers elbow

why

Answer 6

medial epicondylitis

golfers only swing forwards = medial movement

Question 7

pathophysiology of golfers elbow (medial epicondylitis)

where

why

Answer 7

degeneration of common flexor origin

its the flexor bc golfers only swing forwards = flexion

Question 8

painful medial epicondyle
pain worse when opening a jar
painful wrist flexion

Answer 8

medial epicondylitis (golfers elbow)

Question 9

what movement of the wrist is affected in tennis elbow (lateral epicondylitis)

Answer 9

extension

Question 10

what movement of the wrist is affected by golfers elbow

Answer 10

flexion

Question 11

treatment of golfers elbow (medial epicondylitis) (4+1 not)

Answer 11

rest
pain relief
physio
surgery last resort

NOT steroid injections - may damage ulnar nerve!

Question 12

what type of arthritis is more common in the elbow

Answer 12

rheumatoid

Question 13

when might you get osteoarthritis in the elbow

Answer 13

after trauma

Question 14

what is an olecranon bursitis

Answer 14

inflammation of the olecranon process with effusion/swelling

Question 15

what nerve is involved in cubital tunnel syndrome

Answer 15

ulnar

Question 16

where is the ulnar nerve compressed in cubital tunnel syndrome

Answer 16

behind medial epicondyle at the elbow (‘funny bone’ aka cubital tunnel)

Question 17

which age and gender get cubital tunnel more

Answer 17

> 30s

males

Question 18

early presentation of cubital tunnel syndrome (2)

Answer 18

pins and needles

pain

Question 19

late presentation of cubital tunnel syndrome (2)

Answer 19

paraesthesia (pins and needles) of medial 1.5 fingers

weakness of 1st dorsal interosseous and adductor pollicis muscles = thumb function affected

Question 20

what is tinels test for cubital tunnel syndrome

Answer 20

tap over cubital fossa = may cause pins and needles in medial 1.5 fingers

Question 21

treatment of cubital tunnel syndrome

Answer 21

surgery - nerve decompression, release of tight structures