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Tennis elbow

Tennis elbow

Elbow - side view
Elbow - side view

Definition:

Tennis elbow is an inflammation, soreness, or pain on the outside (lateral) side of the upper arm near the elbow. There may be a partial tear of the tendon fibers, which connect muscle to bone, at or near their point of origin on the outside of the elbow.

Alternative Names:
Epitrochlear bursitis; Lateral epicondylitis; Epicondylitis - lateral
Causes, incidence, and risk factors:

This injury is due to repeated motions of the wrist or forearm. The injury is typically associated with tennis playing, hence the name "tennis elbow." However, any activity that involves repetitive twisting of the wrist (like using a screwdriver) can lead to this condition.

Symptoms:
  • Elbow pain that gradually worsens
  • Pain radiating from the outside of the elbow to the forearm and back of the hand when grasping or twisting
  • Weak grasp
Signs and tests:

The diagnosis is made by clinical signs and symptoms, since x-rays are usually normal. Often there will be pain or tenderness when the tendon is gently pressed near where it attaches to the upper arm bone, over the outside of the elbow

There is also pain near the elbow when the wrist is extended (bent backwards, like revving a motorcycle engine) against resistance.


Review Date: 9/26/2006
Reviewed By: Andrew L. Chen, M.D., M.S., Orthopedist, The Alpine Clinic, Littleton, NH. Review provided by VeriMed Healthcare Network.

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