Synonym: golfer's elbow (although lateral epicondylitis is more common in golfers)
Location: region of the medial epicondyle at the distal humerus
Occurrence:
(1) golf
(2) throwing sports
(3) racket sports
Clinical findings:
(1) It occurs more often in the right elbow of right-handed athletes.
(2) It is associated with hitting the ground rather than the ball during golf or repetitive valgus strain on the elbow.
(3) Pain most often occurs in the junction of the pronator teres and flexor carpi radialis. It is usually aching in character.
(4) The hand grip may be weak.
(5) There may be a paresthesia along the ulnar nerve.
(6) Palpation in the region of the medial epicondyle elicits tenderness.
(7) There is a decreased range of motion, with reduced elbow extension.
(8) Pain may increase with wrist flexion, forearm pronation, and elbow flexion.
(9) An X-ray of the elbow may show widening of the epiphyseal lines.
Exclusions:
(1) medial apophysitis
(2) fracture of the medial epicondyle
