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Golfer's elbow, or medial epicondylitis, is tendinosis (or more precisely enthesopathy) of the medial common flexor tendon on the inside of the elbow. [1] It is similar to tennis elbow , which affects the outside of the elbow at the lateral epicondyle.
The posterior oblique originates at the medial epicondyle and inserts along the mid-portion of the medial semilunar notch. [11] It applies more stability against valgus stress when the elbow is flexed rather than extended. The transverse ligament connects to the inferior medial coronoid process of the ulna to the medial tip of the olecranon. [11]
Injection site reactions (ISRs) are reactions that occur at the site of injection of a drug. They may be mild or severe and may or may not require medical intervention. Some reactions may appear immediately after injection, and some may be delayed. [1] Such reactions can occur with subcutaneous, intramuscular, or intravenous administration.
Palpating the medial and lateral epicondyles to assess for pain or tenderness can help determine whether the epicondylitis is medial or lateral, and what muscle group is overused. A common diagnostic test utilized for lateral epicondylitis is to assess resisted wrist extension, along with resistance to the middle finger.
A 2010 review concluded moderate evidence exists to support the use of prolotherapy injections in the management of pain in lateral epicondylitis, and that prolotherapy was no more effective than eccentric exercise in the treatment of Achilles tendinopathy. [10] A 2016 review found a trend towards benefit in 2016 for lateral epicondylitis. [11]
Schematic diagram of the medial side of the elbow showing the ulnar nerve passing through the cubital tunnel. Chronic compression of the ulnar nerve in the cubital tunnel is known as cubital tunnel syndrome. [4] There are several sites of possible compression, traction or friction of the ulnar nerve as it courses behind the elbow. [5]
The bony congruity of the medial knee consists of the opposing surfaces of the medial femoral condyle and the medial tibial plateau. On the medial femoral condyle there are three bony landmarks that are important: the medial epicondyle, adductor tubercle, and gastrocnemius tubercle. The medial epicondyle is the most distal and anterior prominence.
Tennis elbow, also known as lateral epicondylitis is an enthesopathy (attachment point disease) of the origin of the extensor carpi radialis brevis on the lateral epicondyle. [ 1 ] [ 5 ] It causes pain and tenderness over the bony part of the lateral epicondyle .