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Epicondylitis Updated 3/2011

Shawn M. Ferullo, MD
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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • General Prevention
  • Pathophysiology
  • Etiology

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • Medication (Drugs)
  • Additional Treatment
  • Complementary and Alternative Medicine
  • Surgery

Ongoing Care

  • Prognosis
The following is an excerpt....
BASICS

Description
  • Tendon injury characterized by pain and tenderness at the tendinous origins of the wrist flexors/extensors on the epicondyles of the humerus
  • May be acute (traumatic) or chronic (overuse)
  • 2 types:
    • Medial epicondylitis or “golfer’s elbow”:
      • Involvement of the wrist flexors and pronators on the medial epicondyle
    • Lateral epicondylitis or “tennis elbow”:
      • Involvement of the wrist extensors and supinators on the lateral epicondyle
  • May be caused by many different athletic or occupational activities
  • Common in carpenters, plumbers, gardeners, and politicians
  • Usually occurs unilaterally on the epicondyles of the dominant arm
  • Lateral epicondyle involvement is more common than medial.
Epidemiology
  • Predominant age: >40
  • Predominant sex: Male = Female
Incidence
  • Very common site of overuse injury
  • Lateral > Medial
Risk Factors ...

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Figure 1-51 E. AP Elbow, Fracture of the Radial Head. A linear fracture line is visible extending from the articular surface distally (arrow). F. AP Elbow, Giant Cell Tumor of the Radius. Within the radial head and extending into the radial neck is a loss of bone density, bone expansion, and thinning of the cortex caused by a slowly growing tumor.Credit: Terry R. Yochum, Lindsay J. Rowe, Yochum And Rowe's Essentials of Skeletal Radiology, Third Edition. Philadelphia: Lippincott Williams & Wilkins, 2004.
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