Elbow Conditions

Question 1

Presentation of tennis elbow

Answer 1

Pain at lateral epicondyle

- worst when tendon most stretched (wrist and finger flexion with hand pronated)

Question 2

Presentation of golfer’s elbow

Answer 2

Pain at medial epicondyle

Question 3

Presentation of student’s elbow - olecranon bursitis

Answer 3

Pain and swelling behind olecranon

Question 4

Management of olecranon bursitis (student’s elbow)

Answer 4

Aspirate bursa - send fluid for gram stain and microscopy for crystals
Hydrocortisone injection into bursa

if septic bursa drain and abx

Question 5

What is ulnar neuritis / cubital tunnel syndrome?

Answer 5

Osteoarthritis or rheumatoid narrowing of the ulnar groove and constriction of the ulnar nerve as it passes behind the medial epicondyle

Question 6

Presentation of cubital tunnel syndrome

Answer 6

Sensory symptoms usually first - decreased sensation over little and medial half of ring finger
Shooting pain when leaning on elbow
Clumsiness and weakness of small muscles in hand supplied by ulnar n.

Question 7

Muscles in hand supplied by ulnar nerve

Answer 7

Adductor pollicis
Interossei
Abductor digiti minimi
Opponens digiti minimi

Question 8

Test for cubital tunnel syndrome

Answer 8

Nerve conduction study to confirm site of lesion

Question 9

Treatment of cubital tunnel syndrome

Answer 9

Surgical decompression

Question 10

Risk factors for elbow OA

Answer 10

Osteochondritis dissecans

Fractures involving joint