Daily Bolus of LR: Medial Epicondylitis

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October 26, 2011 by dailybolusoflr

Medial Epicondylitis

 

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

·         Is the most common cause of pain to the medial side of the elbow but is still 5 times LESS common than lateral epicondylitis

·         Involves primarily the flexor and pronator muscles (vs lateral- which is the extensor and supinator muscles) and is made worse with activity of these muscles

·         Typically involves the insertion tendons of the pronator teres, flexor carpi radialis, palmaris longus at their origin on the anterior medial epicondyle

·         Up to 50% of patients may have symptoms of neuropraxia of the ulnar nerve, which can be caused by compression of the ulnar nerve around the medial epicondylar groove.  They can present with tingling or numbness in the 4th/5th digits and can occasionally have weakness of the intrinsic muscles or wasting at the hypothenar eminence

·         This condition is commonly known as “golf elbow” and can be seen in this activity as well as other activities such as pitching in baseball

·         Peak age is around 20-50, with males being affected at a rate of 2:1

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

·         Treatment should involve NSAIDS, rest, ice and referral for follow up (bracing, strengthening exercises etc. can be beneficial)

 

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

 

 

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