TENNIS ELBOW

Question 1

DEFINE

Answer 1

ALSO KA LATERAL EPICONDALGIA
CHARACTERISED BY PAIN AND TENDERNESS OVER LATERAL EPICONDYLE OF ELBOW
DUE TO INFLAMMATION OF SITE OF ORIGIN OF COMMON EXTENSOR MUSCLES OF FOREARM

Question 2

PATHOLOGY

Answer 2

SAMLL TEARS
FIBROCARTILAGENOUS METAPLASIA
MICROSCOPIC CALCIFICATION
PAINFUL VASCULAR RXN

Question 3

CLINICAL FEATURES

Answer 3

SYMPTOMS -
PAIN GRADUAL AND AGGRAVATED BY ACTIVITIES INVOLVING FORCEFUL GRIPPING
PAIN LOCALISED TO LATERAL EPICONDYLE

Question 4

EXAMINATION

Answer 4

ELBOW LOOKS NORMAL
ELBOW MOVEMENT NORMAL
COZENS TEST - PATIENT ASKED TO EXTEND THE ELBOW
CLENCH THE FIST , AND EXTEND THE WRIST AGAINST RESISTANCE
IF PAIN THEN LATERAL EPICONDALGIA
MAUDSLEYS TEST

Question 5

TREATMENT

Answer 5

CONSERVATIVE
MILLS MANEUVRE
SURGICAL MANAGEMENT

Question 6

CONSERVATIVE

Answer 6

NSAIDS
IF NO RESPONSE INJECTION OF HYDROCORTISONE

Question 7

SURGICAL

Answer 7

PERCUTANEOUS RELEASE OF EPICONDYLAR MUSCLES
BOSWORTH TECHNIQUE