Daily Bolus of LR: Lateral Epicondylitis

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October 25, 2011 by dailybolusoflr

Lateral Epicondylitis


·         Patients usually present with complaints of pain in the lateral elbow

·         This pain is made worse with extension of the elbow (more so than flexion) as well as supination (more so than pronation) and in particular with extension of the wrists and fingers

·         Pain to palpation is focally over the extensor muscles anterior and distal to the lateral epicondyle, which is the location of the insertion of the extensor carpi radialis brevis

·         This condition is commonly known as “tennis elbow” and can be seen in this activity as well as other repetitive activities, such as using a screwdriver or painting walls

·         Peak age is around 40, with 30-60 year old patients being most affected

·         Evaluation rarely involves imaging, unless trauma or an atypical presentation is involved

·         Treatment should involve NSAIDS, sling for immobilization, and consideration of steroid/anesthetic injection into the area


Ref: Buttaravoli and Stair (2000)  Minor Emergencies: Splinters to Fractures



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