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Medial epicondylitis
From WikEM
Contents
Background
- Overuse syndrome affecting the wrist and digit flexors
- Also seen in pitchers and rock-climbers
- Also known as "Golfer's elbow"
Clinical Features
- TTP over medial epicondyle and pain with forced flexion and pronation of forearm/wrist
- Ulnar neuropathy may develop (given proximity of ulnar nerve to medial epicondyle)
Differential Diagnosis
Elbow Diagnoses
Radiograph-Positive
Radiograph-Negative
- Lateral epicondylitis
- Medial epicondylitis
- Olecranon bursitis (nonseptic)
- Septic bursitis
- Biceps tendon rupture/dislocation
Pediatric
- Nursemaid's elbow
- Supracondylar fracture
- Lateral epicondyle fracture
- Medial epicondyle fracture
- Olecranon fracture
- Radial head fracture
- Salter-Harris fractures
Management
- Conservative: rest, ice, NSAIDs, immobilization (often via counterforce brace)
