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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.
Force and repetitive motions (handling tools > 1 kg, handling loads >20 kg at least 10 times/day, repetitive movements > 2 h/day) were found to be associated with the occurrence of lateral epicondylitis. [4] Low job control and low social support were also found to be associated with lateral epicondylitis. [4]
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]
A common injury associated with the lateral epicondyle of the humerus is lateral epicondylitis also known as tennis elbow. Repetitive overuse of the forearm, as seen in tennis or other sports, can result in inflammation of "the tendons that join the forearm muscles on the outside of the elbow.
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.
Lateral elbow pain can be caused by various pathologies of the common extensor tendon. [3] Overuse injuries can lead to inflammation . [ 4 ] [ 5 ] Tennis elbow is a common issue with the common extensor tendon.
An enthesopathy refers to a disorder involving the attachment of a tendon or ligament to a bone. [1] This site of attachment is known as the enthesis (pl. entheses) . If the condition is known to be inflammatory , it can more precisely be called an enthesitis .
The composition of the triangular ligamentous structure on the lateral side of the elbow varies widely between individuals [1] and can be considered either a single ligament, [2] in which case multiple distal attachments are generally mentioned and the annular ligament is described separately, or as several separate ligaments, [1] in which case parts of those ligaments are often described as ...