Lateral and Medial Epicondylosis Flashcards Preview

724: Medical Lectures > Lateral and Medial Epicondylosis > Flashcards

Flashcards in Lateral and Medial Epicondylosis Deck (13)
1

What is the underlying mechanism behind epicondylosis?

chronic repetitive overuse causing microtrauma at the tendon insertion

2

Lateral epicondylosis involves the wrist _____, especially what muscle tendon?

extensors

extensor carpi radialis brevis

3

Medial epicondylosis involves the wrist _____, especially what muscle tendon?

flexors

pronator teres

4

Describe lateral epicondylosis patient symptoms

Pain with the arm and wrist extended (shaking hands, lifting objects, hitting a backhand in tennis)

5

Describe medial epicondylosis patient symptoms

Pain during motions in which the arm is repetitively pronated or the wrist is flexed

6

What is lateral epicondylosis aka?

tennis elbow

7

What is medial epicondylosis aka?

golfer's elbow

8

How is lateral epicondylosis confirmed?

Pain is reproduced over the epicondyle with resisted wrist extension and 3rd digit extension

9

What are the best imaging techniques used to diagnose epicondylosis?

MRI or ultrasound

10

When are MRI or ultrasound indicated?

Only if the patient does not improve after up to 3 months of conservative treatment

11

Describe patient treatment

Usually conservative:
- patient education
- ice
- NSAIDs
- stretching program followed by strengthening

12

A ______ elbow brace may provide some symptomatic relief

counterforce

13

PT and activity modification are more successful than ______ injections

corticosteroid