Medial Epicondyle Tendinopathy
Original Editors - Anouk Toye
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Search Strategy[edit | edit source]
Websites:
- Pubmed
- Web of knowledge
- Sholar.google.com
- Books.google.com
Keywords:
- Medial epicondylitis
- Golfer’s elbow
- Elbow injuries
- Physical therapy
- Treatment
- Diagnosis
Each time I’ve combine one of the first three words with one of the last three words.
Definition/Description[edit | edit source]
Epicondylitis is a painful inflammation or tenderness of the muscles and soft tissues around an epicondyle.
Medial epicondylitis is mostly an overload injury. The most sensitive region is located near the origin of the wrist flexors on the medial epicondyle of the humerus. Sometimes the patient also experiences pain on the ulnar side of the forearm, the wrist and occasionally in the fingers. Although epicondylitis means there is an inflammation, there is some controversy with this pathology. Histologically it has been shown that medial epicondylitis is the result of microtearing in the tendon that isn’t fully relapsed. Some physical therapists prefer the term tendonosis instead of epicondylitis. [1]
Clinically Relevant Anatomy[edit | edit source]
Osteology:
- Medial epicondyle of the Humerus
Musculature: Wrist Flexor Group
- M. pronator teres
- M. flexor carpi radialis
- M. palmaris longus
- M. flexor digitorum superficialis
- M. flexor carpi ulnaris
All these muscles have the same origin: the medial epicondyle. [4]
Epidemiology /Etiology[edit | edit source]
add text here
Characteristics/Clinical Presentation[edit | edit source]
Patients often denote pain in the area just distal to the medial epicondyle of the humerus. As said previously the most sensitive region is located near the origin of the wrist flexor group. Sometimes the patient complains about pain on the ulnar side of the forearm, the wrist and occasionally in the fingers. [2]
In the beginning epicondylitis may show inflammation or some synovitic characteristics. Later on it shows evidence of microtearing. [2]
Differential Diagnosis[edit | edit source]
When diagnosing a medial epicondylitis, the therapist always has to consider other pathologies such as[1]:
- a compression neuropathy of the ulnar and the median nerve
- ulnar collateral ligament instability
- ulnar neuritis
- Obsessive compulsive disorder (OCD)
- Medial collateral ligament sprain
- Capsulitis
- Radiculopathy
- Osteoarthritis
- Flexor-pronator strain
Diagnostic Procedures[edit | edit source]
add text here related to medical diagnostic procedures
Outcome Measures[edit | edit source]
add links to outcome measures here (also see Outcome Measures Database)
Examination[edit | edit source]
- Tenderness to palpation (usually over m. pronator teres and m. flexor carpi radialis)
- Local swelling and warmth
- Range of motion in the beginning of the disease can be full, but later on there is a possibility of a decreased range of motion[2]
Medical Management
[edit | edit source]
add text here
Physical Therapy Management
[edit | edit source]
add text here
Key Research[edit | edit source]
add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)
Resources
[edit | edit source]
add appropriate resources here
Clinical Bottom Line[edit | edit source]
add text here
Recent Related Research (from Pubmed)[edit | edit source]
see tutorial on Adding PubMed Feed
Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10
References[edit | edit source]
see adding references tutorial.