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Traditionally, people have speculated that tennis elbow is a type of repetitive strain injury resulting from tendon overuse and failed healing of the tendon, but there is no evidence of injury or repair, and misinterpretation of painful activities as a source of damage is common. [25] Example of repetitive movement that may cause tennis elbow
Tendinopathy is a type of tendon disorder that results in pain, swelling, and impaired function. [2] The pain is typically worse with movement. [2] It most commonly occurs around the shoulder (rotator cuff tendinitis, biceps tendinitis), elbow (tennis elbow, golfer's elbow), wrist, hip, knee (jumper's knee, popliteus tendinopathy), or ankle (Achilles tendinitis).
Injuries (such as by an external flexion force during active extension) may allow the tendon to dislocate into the intermetacarpal space; the extensor tendon then acts as a flexor and the finger may no longer be actively extended. This may be corrected surgically by using a slip of the extensor tendon to replace the damaged ligamentous band [4]
The extensor tendons are held in place by the extensor retinaculum. As the tendons travel over the posterior (back) aspect of the wrist they are enclosed within synovial tendon sheaths . These sheaths reduce the friction to the extensor tendons as they traverse the compartments that are formed by the attachments of the extensor retinaculum to ...
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]
A harvested tendon, such as the palmaris tendon [11] from the forearm of the same or opposite elbow, the patellar tendon, hamstring, toe extensor or a donor's tendon , is then woven in a figure-eight pattern through the holes and anchored. [10] The ulnar nerve is usually moved to prevent pain, as scar tissue can apply pressure to the nerve. [11]
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 ...
Medial injury of the flexor tendon is estimated to occur in 0.4% of the population. [1] It occurs most often in people ages 45 to 64, is more common in women than in men, and with 75% of cases in the dominant arm. [1] Risk factors for developing golfer's elbow include improper technique or lack of strength, endurance, or flexibility. [1]