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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. Symptoms range from mild tenderness to severe, persistent pain.
The fibres end approximately at the middle of the forearm in the form of a flat tendon, which is closely connected with that of the extensor carpi radialis longus, and accompanies it to the wrist; it passes beneath the abductor pollicis longus and extensor pollicis brevis, beneath the extensor retinaculum, and inserts into the lateral dorsal ...
Lateral epicondylitis is an overuse injury that frequently occurs in tennis. It is also known as tennis elbow. This injury categorizes as a tendon injury where it occurs in the forearm muscle called the extensor carpi radialis brevis . [4] The injury is regularly developed in recreational players. [4]
These three muscles act as flexors at the elbow joint. [5] The extensor carpi radialis brevis and longus are both weak flexors at the elbow joint. Brevis moves the arm from ulnar abduction to its mid-position and flexes dorsally. Longus is a weak pronator in the flexed arm and a supinator in the outstretched arm.
The extensor carpi radialis longus (ECRL) has the most proximal origin of the extrinsic hand extensors. It originates just distal to the brachioradialis at the lateral supracondylar ridge of the humerus , the lateral intermuscular septum , and by a few fibers at the lateral epicondyle of the humerus. [ 1 ]
The common extensor tendon serves as the upper attachment (in part) for the superficial muscles that are located on the posterior aspect of the forearm: Extensor carpi radialis brevis; Extensor digitorum; Extensor digiti minimi; Extensor carpi ulnaris [1] [2]
Intersection syndrome is a painful condition that affects the lateral side of the forearm [1] when inflammation occurs at the intersection of the muscle bellies of the abductor pollicis longus and extensor pollicis brevis cross over the extensor carpi radialis longus and the extensor carpi radialis brevis. These 1st and 2nd dorsal muscle ...
Surgical debridement of the affected tendons, usually the extensor carpi radialis brevis (ECRB) in lateral epicondylitis, and decortication of the lateral epicondyle [6] Surgical debridement of the flexor pronator group that attaches to the medial epicondyle could be indicated after failure of conservative treatment of medial epicondylitis. [7]