Clinical Presentation Of Medial Epicondylitis

Medial epicondylitis is also known as golfer's elbow. It is far less common than lateral epicondylitis. Typically, the patient profile is similar to that for lateral epicondylitis. The exception is the young (i.e., 15 to 25 years of age) throwing athlete who presents with either acute or subacute onset of symptoms.

Tenderness is present at the origin of the common flexor tendon at the medial epicondyle. Resisted wrist flexion with the forearm supinated or resisted pronation reproduces the patient's pain. The examining physician should carefully evaluate the ulnar nerve for signs of neuritis because these conditions commonly coexist. Nirschl reported a 60% incidence of ulnar nerve entrapment in association with medial epicondylitis.11 Most commonly, the site of entrapment was distal to the medial epicondyle (Nirschl's zone III) where the nerve passes between the heads of the flexor carpi ulnaris. In throwing athletes, assessing the integrity of the ulnar collateral ligament is imperative. With the wrist in flexion and the forearm in pronation, the physician applies a valgus force to the slightly flexed elbow. In patients who have medial liga-mentous insufficiency, opening of the joint and pain is evidenced. This test should not cause pain in isolated medial epicondylitis.

Cure Tennis Elbow Without Surgery

Cure Tennis Elbow Without Surgery

Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.

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