Elbow pain

Question 1

Lateral epicondylitis : Definition

Answer 1

1. Lateral epicondylitis, commonly known as tennis elbow, is a condition characterized by pain and inflammation of the lateral (outer) epicondyle of the humerus,

• Lateral epicondyle : is a bony prominence on the outer side of the elbow
  *

Question 2

Lateral epicondylitis : CAUSE

Answer 2

Mainly affects : Extensor carpi radialis brevis (ECRB) muscle, one of the forearm muscles responsible for extending the wrist.

• Repetitive gripping or wrist extension activities

Question 3

Lateral Epicondylitis : Clinical features

Answer 3

1. Pain and tenderness over the lateral epicondyle
2. Elbow extended - pain on wrist extention
3. Elbow extended - pain on supination of forearm
4. Pain on forceful grip/graspine } includes actions like shaking hands, holding a racket

Question 4

Medial epicondylitis : Definition

Answer 4

Medial epicondylitis , commonly known as golfer’s elbow, is a condition characterized by pain and inflammation of the medial (inner) epicondyle of the humerus,

Question 5

Medial epicondylitis : Causes

Answer 5

1. Activities that involve repetitive flexion of the wrist : such as typing, using a computer mouse, or playing musical instruments

Question 6

Medial epicondylitis : Clinical features

Answer 6

1. Pain and tenderness over medial epicondyle
2. Pain on ; Wrist flexion and Pronation of forearm
3. Assoc Ulnar nerve involvement : numbness / tingling in the 4th and 5th finger
   * Ulnar nerve travels along the medial epicondyle of the humerus

Question 7

Olecranon bursitis : Definition

Answer 7

1. Refers to inflammation and swelling of the bursa over the elbow.

2 . This causes thickening of the synovial membrane and increased fluid production, causing swelling.

3 . The olecranon is the bony lump at the elbow, which is part of the ulna bone

Question 8

Olecranon bursitis : Cause

Answer 8

This inflammation can be caused by a number of things:
* Friction from repetitive movements or leaning on the elbow
* Trauma
* Inflammatory conditions (e.g., rheumatoid arthritis or gout)
* Infection – referred to as septic bursitis

Question 9

Olecranon bursitis : Clinical presentation

Answer 9

• young/middle-aged man with an elbow that is
  1. Swollen over posterior aspect
  2. Warm/ tender
  3. Fluid filled and fluctuant