Epicondylosis Flashcards
overuse injuries of the elbow
lateral epicondylosis
medial epicondylosis
lateral epicondylosis is also called
tennis elbow
what is affected in lateral epicondylosis
common extenson tendon
common extensor tendon includes
ECRB
ED
EDM
ECU
lateral epicondylosis is a
vicious cycle of collagen malnutrition v. breakdown
contributing factors –> lateral epicondylosis
age
gender
physical work
activity level
extrinsic dysfxn
age –>contributing factors –> lateral epicondylosis
35-50
gender –> contributing factors –> lateral epicondylosis
female > male
extrinsic dysfxn –> contributing factors –> lateral epicondylosis
C/S
shoulder
wrist/hand
chief complaint –> lateral epicondylosis
lateral elbow pain in the epicondylar region
~1 cm distal to epicondyle
what makes the pain worse –> C –> lateral epicondylosis
wrist and finger extension
gripping (worse in pronation)
stretch into wrist flexion
dull ache –> sharp pain
H –> lateral epicondylosis
insidious onset (microtrauma)
change in activity level?
A –> lateral epicondylosis
tenderness
tenderness –> A –> lateral epicondylosis
proximal attachment of common extensor tendon
lateral epicondyle
UQ screen
movement assessment
UQ screen –> lateral epicondylosis
contributing factors –> shoulder and wrist
STTT –> lateral epicondylosis
AROM
PROM
stretching
resistance
palpation
AROM –> STTT –> lateral epicondylosis
could be painful or painless
depending on severity
PROM –> STTT –> lateral epicondylosis
pain free
stretching –> STTT –> lateral epicondylosis
may be painful d/t stretching opposing musculature
stretching into wrist flexion
resistance –> STTT –> lateral epicondylosis
pain w/ resisted wrist extension
palpation –> STTT –> lateral epicondylosis
tender over lateral epicondyle
sometimes into muscle belly
R –> lateral epicondylosis
athrokinematics
end feels
T –> lateral epicondylosis
play
tone
length
MMT
length –> T –> lateral epicodylosis
wrist extensors
muscle length –> wrist extensors
extend elbow
flex wrist
UD wrist
MMT –> T –> lateral epicondylosis
wrist
fingers
elbow
shoulder
special tests –> lateral epicondylosis
valgus/varus stress test
tinel’s sign
neurodynamics
lateral epicondylitis resisted test
lateral epicondylitis stretch test
differential dx –> lateral epicondylosis
dequervains syndrome
supinator syndrome in forearm
radial N entrapment
cervical radiculopathy
pain of lateral epicondylosis
dull
over the epicondyle
painful AROM/RROM w/ wrist extension and supination
ease w/ –> lateral epicondylosis
rest
how do we stretch lateral epicondylosis
into wrist extension
lateral epicondylosis has
no sensory loss
neurodynamics
radial tunnel syndrome
supinator syndrome