Flashcards in Lateral and Medial Epicondylosis Deck (13)
What is the underlying mechanism behind epicondylosis?
chronic repetitive overuse causing microtrauma at the tendon insertion
Lateral epicondylosis involves the wrist _____, especially what muscle tendon?
extensor carpi radialis brevis
Medial epicondylosis involves the wrist _____, especially what muscle tendon?
Describe lateral epicondylosis patient symptoms
Pain with the arm and wrist extended (shaking hands, lifting objects, hitting a backhand in tennis)
Describe medial epicondylosis patient symptoms
Pain during motions in which the arm is repetitively pronated or the wrist is flexed
What is lateral epicondylosis aka?
What is medial epicondylosis aka?
How is lateral epicondylosis confirmed?
Pain is reproduced over the epicondyle with resisted wrist extension and 3rd digit extension
What are the best imaging techniques used to diagnose epicondylosis?
MRI or ultrasound
When are MRI or ultrasound indicated?
Only if the patient does not improve after up to 3 months of conservative treatment
Describe patient treatment
- patient education
- stretching program followed by strengthening
A ______ elbow brace may provide some symptomatic relief