Elbow pain

Question 1

pain and tenderness localised to the lateral epicondyle

pain worse on resisted wrist extension with the elbow extended or supination of the forearm with the elbow extended

episodes typically last between 6 months and 2 years.
Patients tend to have acute pain for 6-12 weeks

Answer 1

lateral epicondylitis (tennis elbow)

Question 2

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

Answer 2

Medial Epicondylitis (Golfer’s Elbow)

Question 3

Most commonly due to compression of the posterior interosseous branch of the radial nerve

Features
- symptoms similar to lateral epicondylitis
- pain tends to be around 4-5 cm distal to the lateral epicondyle
- symptoms worsened by extending the elbow and pronating the forearm

Answer 3

Radial tunnel syndrome

Question 4

Compression of the ulnar nerve.

Features
- intermittent tingling in the 4th and 5th finger
- worse when the elbow is resting on a firm surface or flexed for extended periods

Answer 4

Cubital Tunnel Syndrome

Question 5

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

Answer 5

Olecranon Bursitis