DR Medhat MRCP

Elbow Pain:
- The table below details some of the characteristic features of conditions
causing elbow pain:
Cause
Lateral epicondylitis
(tennis elbow)
features
Pain and tenderness localized to the lateral
epicondyle.
Pain worse on resisted wrist extension with the
elbow extended or supination of the forearm with
the elbow extended also there is pain on middle
finger extension
Episodes typically last between 6 months and 2
years.
Patients tend to have acute pain for 6-12 weeks
Medial epicondylitis
(golfer's elbow)
Pain and tenderness localized to the medial
epicondyle.
Pain is aggravated by wrist flexion and pronation
Symptoms may be accompanied by numbness /
tingling in the 4th and 5th finger due to ulnar nerve
involvement.
Radial tunnel
Syndrome
Cubital tunnel
Syndrome
- Most commonly due to compression of the
posterior interosseous branch of the radial nerve.
- It is thought to be a result of overuse.
- Features :
Symptoms are similar to lateral epicondylitis
making it difficult to diagnose.
However, the pain tends to be around 4-5
cm distal to the lateral epicondyle.
Symptoms may be worsened by extending
the elbow and pronating the forearm, not
like tennis elbow where supinating is the
problem
- Due to the compression of the ulnar nerve.
- Features:
Initially intermittent tingling in the 4th and 5th
finger.
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