UW revision Lateral epicondylitis 12-26 (1)

Question 1

CP? 3

Answer 1

Lateral elbow pain
Hx of repetitive or forceful risk extension
Peak age 45-54

Question 2

Dx. Where tenderness?

Answer 2

Tenderness at epicondyle and proximal extensor muscles

Question 3

Dx. Pain? 2

Answer 3

Pain with resisted wrist extension or supination
Pain with passive wrist flexion.

Question 4

Mx? 2

Answer 4

Activity modification + Inelastic counterforce brace

Question 5

Pathophysiology?

Answer 5

Repetitive, forceful overuse of wrist and digit extensors
Angiofibroblastic tendinosis of extensor tendons at lateral epicondyle

Question 6

CP (other table). Pain onset.

Answer 6

Insidious pain, onset weeks to months

Question 7

CP (other table). Pain location?

Answer 7

Pain 1 cm distal to lateral epicondyle
Pain elicited by resisted wrist extension and passive wrist flexion

Question 8

How is Dx made?

Answer 8

Clinical findings

Question 9

When do UG?

Answer 9

for doubtful cases

Question 10

Tx of refractory symtpoms?

Answer 10

NSAIDs (short term), corticosteroids injection, surgery

LE is degenerative tendinopathy rather than inflammatory, therefore nsaids can be used in addition to primary Mx, but their effect is uncertain

Question 11

how lateral epicondylitis is called?

Answer 11

tennis elbow

Question 12

Surgery - can be considered for patients with prolonged (>6 months) severe symptoms, but ir rarely necessary

Answer 12

Corticosteroid injection can be used for short term, but does not provide long term. also no oral due to systemic effects

Question 13

LE due to overuse of wrist extensors

Answer 13

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