Tennis elbow


Tennis elbow (Lateral epicondylitis)

  • This is a condition characterised by pain and tenderness at the lateral epicondyle of the humerus
  • Occurs due to non-specific inflammation at the origin of the extensor muscles of the forearm. (MCQ)
  • Activites causing Lateral epicondylitis (MCQ)
    • tennis players
    • squeezing clothes
    • carrying a suitcase
  • Clinical presentation
    • Patient presents with tenderness, precisely localised to the lateral epicondyle of the humerus.
    • Pain is aggravated by putting the extensor tendons to a stretch; for example, by palmar-flexing the wrist and fingers with the forearm pronated. (MCQ)
    • Elbow movements are normal. (MCQ)
  • X-ray does not reveal any abnormality.
  • Treatment
    • Analgesics-anti-inflammatory drugs for a week
    • If there is no response, a local injection of hydrocortisone at the point of maximum tenderness generally brings relief.
  • Golfer’s elbow (Medial epicondylitis) (MCQ)
  • inflammation is at the origin of the flexor tendons at the medial epicondyle of the humerus.
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