Medial Epicondylitis

Question 1

What is another term for medial epicondylitis

Answer 1

Golfers elbow
*pain and tenderness medially at flexor tendon attachment

Question 2

What is the presentation of golfers elbow?

Answer 2

1. Activities that involve repetitive wrist flexion
2. Golf swing, baseball pitching, lifting with palm up
3. May have associated numbness and tingling in ulnar distribution
   *positive Tinel’s over cubital tunnel

Question 3

What will be found on the PE?

Answer 3

1. Tender at and distal to the medial epicondyle
2. Pain with testing of wrist flexors (arm in pronation and flex wrist against resistance)
3. Pain with limiting with palm up

Question 4

What are the tests for golfers elbow?

Answer 4

1. Radiographs
2. MRI

Question 5

What is the treatment for golfers and tennis elbow?

Answer 5

1. Lifestyle modifications #1
2. Chopat strap (goes around the proximal elbow, put it over the tendon. Will take pressure off of the attachment spot)
3. NSAIDs
4. Heat/ice
5. PT
   *stretching/strengthening
6. Corticosteroid injection (2-3 total)
   *can cause tendon rupture, fatty atrophy
7. Surgical debridement
   *if conservative treatment fails