Elbow Pain

Question 1

CUBITAL TUNNEL SYNDROME

• compression of which nerve?
• initial presentation?
• when is pain worse?
• later presentation?

Answer 1

Due to the compression of the ulnar nerve.

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 2

OLECRANON BURSITIS

• Swelling over anterior or posterior aspect of elbow?
• typically affects whom?

Answer 2

Swelling over the posterior aspect of the elbow

It typically affects middle-aged male patients

Question 3

MEDIAL EPICONDYLITIS

• also known as?
• pain is aggravated by wrist flexion/extension and pronation/supination? (pick one of each)
• symptoms may be accompanied by tingling and numbness of which fingers?

Answer 3

golfer’s elbow

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

medial = golfer 
lateral = tennis 

G before T

Question 4

LATERAL EPICONDYLITIS

• also known as?
• pain is aggravated by wrist flexion/extension and pronation/supination? (pick one of each)
• episodes typically last how long?
• and acute epsiodes last?

Answer 4

tennis elbow

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