Description

Lateral epicondylitis is an overuse injury that presents with pain in the lateral aspect of the elbow.


 

Synonym: tennis elbow (although most patients with the condition do not play tennis)

 

Location: region of the lateral epicondyle at the distal humerus

 

Occurrence:

(1) tennis or other racquet sports

(2) golf

(3) throwing sports

(4) any sport with overhead arm motion

 

Clinical features:

(1) The condition is associated with overuse of the wrist extensors in the affected arm or contusion to the lateral epicondyle.

(2) Tendinosis of the extensor carpi radialis brevis, extensor communis, extensor carpi radialis longus and/or extensor carpi ulnaris tendons.

(3) There is tenderness to palpation at the lateral epicondyle.

(4) Pain occurs with passive wrist flexion and active wrist extension.

(5) Pain occurs with full elbow extension.

(6) The patient is unable to lift and drink from a full cup of coffee or tea (Conrad's test).

 

Exclusions:

(1) radial tunnel syndrome

(2) osteochondritis dissecans

 


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