Lateral Epicondylitis (Tennis Elbow)

Question 1

define

Answer 1

repetitive strain injury due to resisted extension at the wrist or enthesopathy

Question 2

presentation

Answer 2

• 10-20% are bilateral
• pain over lateral epicondyle at attachment of forearm muscles
• pain worse with muscle stretching (middle finger and wrist extension e.g. opening jar)

Question 3

diagnosis

Answer 3

Mill’s test positive
USS and MRI if diagnosis uncertain
NCS if nerve symptoms

Question 4

management

Answer 4

conservative= rest, physio, injection of LA and steroids and orthotics
surgical release for refractory cases