Lateral epicondylitis

Question 1

what is lateral epicondylitis more commonly know

Answer 1

Tennis elbow

Question 2

What causes lateral epicondylitis

Answer 2

derangement of collagen

Question 3

what are the symptoms of lateral epicondylitis

Answer 3

PAIN

• insidious - occurs 24 hours after unaccustomed activity involving wrist extension
• actute - single exertion involving wrist extensors (heavy lifting)
• pain may radiate down forearm into dorsum of hand

Question 4

what are the signs?

Answer 4

• pain on resisted wrist and finger extension and radial deviation
  pain on passive extensor stretch
  -reduced grip strength

Question 5

what investigation would take place

Answer 5

usually not performed

• X-ray - degenerative change
• ultrasound may should tendon damage

Question 6

what management would be given

Answer 6

• rest
• NSAID’s
• mobilisation
• stretches
• muscle strengthening
• bracing/taping
• ultrasound
• corticoseroid injection
• botulinum toxin
• autologous blood injection
• shock wave therapy
• surgery