Epicondylitis

Question 1

What do the muscles that insert into the medial epicondyle do?

Answer 1

Flex the wrist

Question 2

What do the tendons that insert into the lateral epicondyle do?

Answer 2

Extend the wrist

Question 3

What age does it tend to affect?

Answer 3

middle age

Question 4

What is lateral epicondylitis also known as?

Answer 4

Tennis elbow

Question 5

What tests can diagnosis lateral epicondylitis?

Answer 5

Mill’s test:
- Extend elbow
- Pronate forearm
- Flex wrist
- Pain on palpation of lateral epicondyle

Cozens test:
- Extend elbow
- Pronate forearm
- Hold elbow with pressure on lateral epicondyle
- Apply resistance to the back of the hand whilst pt extends wrist
- pain = positive

Question 6

What is medial epicondylitis also known as?

Answer 6

golfers elbow

Question 7

how can it present?

Answer 7

Pain radiating down forearm
Weakness in grip strength

Question 8

What test. can help diagnose medial epicondylitis?

Answer 8

Golfer’s elbow test
- Extend elbow
- Supinate forearm
- Extend wrists and fingers
- Pain on pressure of medial epicondyle = positive

Question 9

What is prognosis

Answer 9

Mostly self-limiting, can take years to resolve

Question 10

What are management options?

Answer 10

Rest
Analgesia
Physio
Adapting activities
Orthotics
Steroid injections
Platelet-rich plasma injections
Extracorporeal shockwave therapy
Rarely surgery