COPYRIGHT © by Michaelidou Maria
Dr. Maria Michailidou
Tennis Elbow Overview
Tennis elbow is a condition caused by inflammation of the tendons on the outer bony prominence (lateral epicondyle) of the elbow. Certain repetitive movements of the wrist can cause this condition. Tennis elbow can occur in anyone who strains the tendons of the forearm and is not limited to tennis players.
Tennis Elbow Causes
Tennis Elbow Symptoms and Signs
Tenderness on the outer bony part of the elbow
Morning stiffness of the elbow with persistent aching
Soreness in the forearm
Pain worse when grasping or holding an object
Tennis elbow does not usually lead to serious problems. If the condition continues and is left untreated, however, loss of motion or loss of function of the elbow and forearm can develop.
Call your doctor if the following conditions develop:
Pain that limits your daily activity
Pain that lasts despite ice, resting, and over-
Any weakness or numbness in the hand, which may mean you have another type of injury in the wrist or elbow
To diagnose tennis elbow, the performs a battery of tests in which he places
pressure on the affected area while asking the patient to move the elbow, wrist,
and fingers. X-
Diagnosis is made by clinical signs and symptoms that are discrete and characteristic. With the elbow fully extended, the patient feels points of tenderness over the affected point on the elbow—which is the origin of the extensor carpi radialis brevis muscle from the lateral epicondyle (extensor carpi radialis brevis origin). There is also pain with passive wrist and resistive wrist ().
Depending uponseverity and quantity of multiple tendon injuries that have built up, the extensor carpi radialis brevis may not be fully healed by conservative treatment. Nirschl defines four stages of lateral epicondylitis, showing the introduction of permanent damage beginning at Stage 2.
1. Inflammatory changes that are reversible
2. Nonreversible pathologic changes to origin of the extensor carpi radialis brevis muscle
3. Rupture of ECRB muscle origin
4. Secondary changes such as fibrosis or calcification.