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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.
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.
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).
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. Children can have an open medial epicondyle growth plate until age 13–17 years old, thus making the medial epicondyle more susceptible to injury. [3]
Little League elbow, technically termed medial epicondyle apophysitis, is a condition that is caused by repetitive overhand throwing motions in children."Little Leaguer's elbow" was coined by Brogdon and Crow in an eponymous 1960 article in the American Journal of Radiology.
The elbow is the region between the upper arm and the forearm that surrounds the elbow joint. [1] The elbow includes prominent landmarks such as the olecranon, the cubital fossa (also called the chelidon, or the elbow pit), and the lateral and the medial epicondyles of the humerus.
An NHS spokesperson said: “The current decision to not routinely commission this surgery is based on advice from doctors and insufficient evidence to support its benefits.”
The medial epicondyle protects the ulnar nerve, which runs in a groove on the back of this epicondyle. The ulnar nerve is vulnerable because it passes close to the surface along the back of the bone. Striking the medial epicondyle causes a tingling sensation in the ulnar nerve. This response is known as striking the "funny bone". [1]