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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]
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 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.
Arthroscopic surgery is a minimally invasive option for treating lateral epicondylitis. This technique fully visualizes the elbow joint , and leads to a quicker return to work. [ 59 ] In the past, studies have shown good long term effects and fewer complications with arthroscopic surgery compared to open or percutaneous approaches. [ 59 ]
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]
Manipulation under anesthesia (MUA) or fibrosis release procedures [1] is a noninvasive procedure to treat chronic pain which has been unmanageable by other methods. MUA is designed not only to relieve pain, but also to break up excessive scar tissue.
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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]