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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]
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.
The ulnar collateral ligament has its apex on the medial epicondyle. Its anterior band stretches from the anterior side of the medial epicondyle to the medial edge of the coronoid process, while the posterior band stretches from posterior side of the medial epicondyle to the medial side of the olecranon. These two bands are separated by a ...
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]
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.
An injury resulting in an outward (valgus) stress on the elbow, such as falling on an outstretched hand causes an avulsion fracture of the medial epicondyle. [citation needed] The medial epicondyle is often the final growth plate (ossification center) to ossify in the elbow. Growth plates are particularly vulnerable to injury compared to bone.
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 .