Medial epicondylitis: Difference between revisions
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*TTP over medial epicondyle and pain w/ forced flexion and pronation of forearm/wrist | *TTP over medial epicondyle and pain w/ forced flexion and pronation of forearm/wrist | ||
*Ulnar neuropathy may develop (given proximity of ulnar nerve to medial epicondyle) | *Ulnar neuropathy may develop (given proximity of ulnar nerve to medial epicondyle) | ||
==Differential Diagnosis== | |||
{{Elbow DDX}} | |||
==Management== | ==Management== | ||
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==See Also== | ==See Also== | ||
[[Elbow | [[Elbow Diagnoses]] | ||
==Source== | ==Source== | ||
Revision as of 18:16, 29 September 2014
Background
- Overuse syndrome affecting the wrist and digit flexors
- Also seen in pitchers and rock-climbers
- Also known as "Golfer's elbow"
Clinical Features
- TTP over medial epicondyle and pain w/ forced flexion and pronation of forearm/wrist
- Ulnar neuropathy may develop (given proximity of ulnar nerve to medial epicondyle)
Differential Diagnosis
Elbow Diagnoses
Radiograph-Positive
- Distal humerus fracture
- Radial head fracture
- Capitellum fracture
- Olecranon fracture
- Elbow dislocation
Radiograph-Negative
- Biceps tendon rupture/dislocation
- Lateral epicondylitis
- Medial epicondylitis
- Olecranon bursitis (nonseptic)
- Pronator teres syndrome
- Septic bursitis
Pediatric
- Nursemaid's elbow
- Supracondylar fracture
- Lateral epicondyle fracture
- Medial epicondyle fracture
- Olecranon fracture
- Radial head fracture
- Salter-Harris fractures
Management
- Conservative: rest, ice, NSAIDs, immobilization (often via counterforce brace)
See Also
Source
Tintinalli