elbow pain

Question 1

what are the different types of elbow pain

Answer 1

Lateral epicondylitis
Radial tunnel syndrome
Medial epicondylitis
Cubital tunnel syndrome
Olecranon bursitis

Question 2

clinical features of Lateral epicondylitis (tennis elbow)

Answer 2

pain and tenderness localised to the lateral epicondyle

pain worse on resisted wrist extension with the elbow extended

and supination of the forearm with the elbow extended

typically last between 6 months and 2 years.

acute pain for 6-12 weeks

Question 3

what causes radial tunnel syndrome ?

Answer 3

compression of the POSTERIOIR interosseous branch of the radial nerve

Question 4

clinical features of radial tunnel syndrome ?

Answer 4

similar to lateral epicondylitis making it difficult to diagnose
however, the pain tends to be around 4-5 cm distal to the lateral epicondyle
symptoms may be worsened by extending the elbow and pronating the forearm

Question 5

clinical features of Medial epicondylitis (golfer’s elbow)

Answer 5

pain and tenderness localised to the medial epicondyle
pain is aggravated by wrist flexion and pronation
symptoms may be accompanied by numbness / tingling in the 4th and 5th finger due to ulnar nerve involvement

Question 6

what causes cubital tunnel syndrome ?

Answer 6

compression of the ulnar nerve.

Question 7

clinical features of cubital tunnel syndrome ?

Answer 7

initially intermittent tingling in the 4th and 5th finger

may be worse when the elbow is resting on a firm surface

or flexed for extended periods

later numbness in the 4th and 5th finger with associated weakness

Question 8

clinical features of olecranon bursitis ?

Answer 8

Swelling over the posterior aspect of the elbow. There may be associated pain, warmth and erythema. It typically affects middle-aged male patients.

Question 9

in cubital tunnel syndrome loss of sensation to the medial 1.5 digits. There is no loss of sensation in the forearm because what nerve is affected ?

Answer 9

ulnar nerve as it passes through the cubital tunnel.

Question 10

in cubital tunnel syndrome loss of sensation to the medial 1.5 digits. There is no loss of sensation in the forearm because what nerve is affected ?

Answer 10

ulnar nerve as it passes through the cubital tunnel.

Question 11

over time patients also may develop what in cubital tunnel syndrome ?

Answer 11

patients may also develop weakness and muscle wasting

Question 12

Cubital tunnel syndrome often comes with a history of ?

Answer 12

osteoarthritis or prior trauma to the area.

Question 13

MX of cubital tunnel syndrome >

Answer 13

Physiotherapy
Steroid injections
Surgery in resistant cases