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The chief complaint of this disease is usually pain in the dorsal aspect of the upper forearm, and any weakness described is secondary to the pain. Tenderness to palpation occurs over the area of the radial neck. Also, the disease can be diagnosed by a positive "middle finger test", where resisted middle finger extension produces pain.
The AOL acts as the primary restraint against valgus stress at the elbow during flexion and extension. The posterior oblique originates at the medial epicondyle and inserts along the mid-portion of the medial semilunar notch. [11] It applies more stability against valgus stress when the elbow is flexed rather than extended.
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. [6] [4] [7]
The pain worsens when a person moves their wrist with force. This pain intensifies because the extensor carpi ulnaris has an injury near the elbow area and as a person moves their arm, the muscle contracts, thus causing it to move over the medial epicondyle of the humerus. As a result, this causes irritation to the already existing injury.
Elbow pain is a common complaint in both the emergency department and in primary care offices. The CDC estimated that 1.15 million people visited an emergency room for elbow or forearm-related injuries in 2020. [1] There are many possible causes of elbow discomfort but the most common are trauma, infection, and inflammation.
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.
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