Tennis Elbow or Golfer’s Elbow or Epicondylitis Humeri

Tennis Elbow/Golfer’S Elbow (Epicondylitis Humeri): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate epicondylitis humeri (tennis elbow/golfer’s elbow): Leading symptoms Pressure pain at the muscle attachment points Movement against resistance is painful (strain pain)/pain is load-dependent In rare cases, sensory disturbances (sensory disturbances) may occur. Epicondylitis humeri lateralis (tennis elbow): Symptom of pain at the radial epicondyle (bony prominence in the … Tennis Elbow/Golfer’S Elbow (Epicondylitis Humeri): Symptoms, Complaints, Signs

Tennis Elbow/Golfer’S Elbow (Epicondylitis Humeri): Causes

Pathogenesis (development of disease) Epicondylitis humeri results from chronic overuse of the muscle insertion of the extensor carpi radialis brevis muscle, the extensor digitorum communis muscle, and the carpi radialis longus muscle and repetitive microtrauma (repeated microinjuries). This results in neurological irritation and metabolic changes and initiates a chronic inflammatory degenerative process. Histopathologically, it is … Tennis Elbow/Golfer’S Elbow (Epicondylitis Humeri): Causes

Tennis Elbow/Golfer’S Elbow (Epicondylitis Humeri): Therapy

General measures Immobilization of the affected joint Determination of the cause of a possible chronic overload. For athletes, possibly rehearsed errors must be corrected by training measures. Occupational therapy measures Z. E.g. ergonomic computer mouse and keyboard, etc. Medical aids Epicondylitis braces or bandages – may be considered as a treatment option; however, evidence of … Tennis Elbow/Golfer’S Elbow (Epicondylitis Humeri): Therapy

Tennis Elbow/Golfer’S Elbow (Epicondylitis Humeri): Or something else? Differential Diagnosis

Musculoskeletal system and connective tissue (M00-M99). Osteoarthritis of the joint Bursitis (bursitis)/bursitis Chondrocalcinosis (synonym: pseudogout); gout-like disease of the joints caused by deposition of calcium pyrophosphate in the cartilage and other tissues; leads, among other things, to joint degeneration (often of the knee joint); symptomatology resembles an acute attack of gout. Gout Infectious arthritis (inflammation … Tennis Elbow/Golfer’S Elbow (Epicondylitis Humeri): Or something else? Differential Diagnosis

Tennis Elbow/Golfer’S Elbow (Epicondylitis Humeri): Complications

The following are the most important diseases or complications that can be caused by epicondylitis humeri (tennis elbow/golfers elbow): Psyche – Nervous System (F00-F99; G00-G99). Ulnar compression syndrome – in this case, pressure on the nerve can cause nerve damage. This is noticeable by numbness and tingling as well as pain in the ring and … Tennis Elbow/Golfer’S Elbow (Epicondylitis Humeri): Complications

Tennis Elbow/Golfer’S Elbow (Epicondylitis Humeri): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin (normal: intact; abrasions/wounds, redness, hematomas (bruises), scars) and mucous membranes. Body or joint posture (upright, bent, gentle posture). Malpositions (deformities, contractures, shortenings). Muscle atrophies (side comparison!, if necessary … Tennis Elbow/Golfer’S Elbow (Epicondylitis Humeri): Examination

Tennis Elbow/Golfer’S Elbow (Epicondylitis Humeri): Drug Therapy

Therapy goals Improvement of symptomatology, i.e., pain relief and improvement of function. Therapy recommendations Analgesia (pain relief)/antiphlogistics (nonsteroidal anti-inflammatory drugs, NSAIDs; drugs that inhibit inflammation), as needed See note on cortisone therapy A meta-analysis ( summary of various studies) indicates that conservative therapy for tennis elbow is as good as waiting. The results show the … Tennis Elbow/Golfer’S Elbow (Epicondylitis Humeri): Drug Therapy

Tennis Elbow/Golfer’S Elbow (Epicondylitis Humeri): Diagnostic Tests

The diagnosis of epicondylitis humeri is made on the basis of clinical symptoms and physical examination. Imaging techniques are only exclusionary. Optional medical device diagnostics-depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics-are used for differential diagnosis. Sonography (ultrasound examination) of the affected joint – to visualize swelling … Tennis Elbow/Golfer’S Elbow (Epicondylitis Humeri): Diagnostic Tests

Tennis Elbow/Golfer’S Elbow (Epicondylitis Humeri): Surgical Therapy

In case of a frustrated, conservative therapy attempt of an epicondylopathia humeri radialis of at least 6 months with persistent complaints, a surgical therapy alternative can be discussed in case of a structural-morphological and clinical correlate [S2k guideline]. Arthroscopic (via arthroscopy) and open procedures result in an average higher pain reduction (VAS/NRS) and better functional … Tennis Elbow/Golfer’S Elbow (Epicondylitis Humeri): Surgical Therapy

Tennis Elbow/Golfer’S Elbow (Epicondylitis Humeri): Medical History

Medical history (history of illness) is an important component in the diagnosis of tennis elbow/golfers elbow (epicondylitis humeri). Family history Social history What is your occupation? (Is there any chronic overuse of the joint?). Current medical history/systemic history (somatic and psychological complaints). What symptoms have you noticed? Do you experience pain when moving your elbow? … Tennis Elbow/Golfer’S Elbow (Epicondylitis Humeri): Medical History