Elbow Pathology Flashcards

1
Q

What is medial epicondylitis?

A

Tendinopathy of the common flexor-pronator origin distal to medial epicondyle

Caused by recurrent microtrauma placing valgus stress on the body e.g. golf swings

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2
Q

What are the symptoms of medial epicondylitis?

A

Subacute pain that develops over wks to months
Worse on movement and relieved by rest
Severe pain- radiates updown arm esp when using affected muscle

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3
Q

What are the signs of medial epicondylitis?

A

Tenderness around medial epicondyle
Pain triggered by flexion of hand
Normal range of movement
No neurological symptoms

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4
Q

What is the management of medial epicondylitis?

A

NSAIDs and rest
Physio
Epicondylar clasp- splint
Steroid injection
XR if treatment unsuccessful to rule out OA
Surgery- to remove abnormal tissue of other tx fails

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5
Q

What is lateral epicondylitis?

A

Tendinopathy of the common extensory tendon origin just distal to lateral epicondyle

Associated with obesity, smoking and carpal tunnel syndrome
Can be caused by repetitive gripping or grasping movements

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6
Q

What are the symptoms of lateral epicondylitis?

A

Subacute pain around lateral epicondyle

Exacerbated by movement and relieved by rest

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7
Q

What are signs of lateral epicondylitis?

A

Point tenderness distal to lateral epicondyle
Pain reproduced by resisted extension of the wrist
Passive range of movement normal

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8
Q

What is the management of lateral epicondylitis?

A

Conservative management

Surgical intervention- excision of abnormal tissue from tendon is required

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