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Sports Injuries and Prevention

Elbow (Tennis and Golfer's Elbow)

NEWS:

ARTICLES:

JOURNAL ARTICLES:

TREATMENT:

Simple Exercise Eases Tennis Elbow

GUIDELINES:

NGC - ACR Appropriateness Criteria® chronic elbow pain. (2008)

INTERNET SITES:

A Patient's Guide to Lateral Epicondylitis (Tennis Elbow)

A Patient's Guide to Medial Epicondylitis (Golfer's Elbow)

A Patient's Guide to Radial Tunnel Syndrome

Arthritis: Tennis Elbow

Bursitis / Students elbow “The elbow pain originates from below the tip of the elbow where there is a sack of fluid called a bursa. A bursa is used to help lubricate the movement of tissues in joints. However if you take a hard impact onto the back of the elbow or are constantly leaning on the elbows the bursa can become inflamed or bleeding can occur in the bursa. The result is elbow pain and swelling on the bony bit at the back of the elbow.”

Inflammation and rupture of the triceps tendon “The triceps tendon is the one at the back of the upper arm - as shown opposite. It inserts into the back of the elbow. If you fall onto your hands you can rupture this tendon. If you over-do the weights or try to push something too heavy you can also rupture the tendon or it could become inflamed through over use.”

Entrapment of the radial nerve “The radial nerve passes just below the bony bit on the outside of the elbow (lateral epicondyle). The symptoms of radial nerve entrapment are very similar to those of tennis elbow. If the muscles and tendons in the forearm become inflamed they can trap the nerve.”

Entrapment of the ulnar nerve “The ulnar nerve runs down the inside of the elbow. If you knock the inside of the elbow you can get a numbness or buzzing down the forearm into the forth and fifth fingers (hitting your funny bone). It is the ulnar nerve that is being hit when this happens. If the muscles in the forearm become inflammed they can trap the ulnar nerve causing symptoms that can be similar to Golfers elbow.”

Golfers Elbow / Throwers Elbow / Medial Epicondylitis “Golfer elbow is a similar injury to tennis elbow only it affects the inside of the elbow instead. Golfer elbow is more common in throwers and golfers hence the 'nicknames'. Also known as flexor / pronator tendinopathy this elbow pain is seen in tennis players who use a lot of top spin on their forehand shots.”

Inflammation of the biceps tendon at the elbow. “This elbow injury is more likely to affect weight lifters who over do the biceps curls. People who do a lot of writing such as students can also be prone to this elbow injury. Very simply the tendon of the biceps muscle inserts into the inside of the elbow and can become inflamed if it is overused.”

Lateral Epicondylitis (Tennis Elbow)

Medial Elbow Collateral Ligament Sprain “The medial elbow ligaments are situated on the inside of the elbow and help provide stability to the joint. Damage to these ligaments can occur through impact injury or accident or from repetitive oversuse for example throwing with poor technique. For example Javelin throwers who throw with a low elbow.”

NIH - Elbow Injuries and Disorders

NIH - Tennis elbow Medical Encyclopedia “Tennis elbow is an inflammation, soreness, or pain on the outside (lateral) side of the upper arm near the elbow. There may be a partial tear of the tendon fibers, which connect muscle to bone, at or near their point of origin on the outside of the elbow. … Possible Complications • Recurrence of the injury with overuse • Rupture of the tendon with repeated steroid injections • Failure to improve with nonoperative or operative treatment; these may be due to nerve entrapment in the forearm “

Tennis Elbow

Tennis Elbow

Tennis Elbow

Tennis Elbow

Tennis Elbow

Tennis elbow

NIH – Tennis Elbow Tutorial

NIH - Tennis elbow (Medical Encyclopedia)

Tennis Elbow (Lateral Epicondylitis)

Tennis elbow (Mayo)

Tennis elbow / Lateral epicondylitis “Tennis elbow or lateral epicondylitis is an extremely common injury that originally got its name as it appeared in a high proportion of tennis players. Nevertheless it commonly manifests in a vast proportion of people who do not play tennis at all. Tennis elbow occurs most commonly in the tendon of the extensor carpi brevis muscle at approximately 2cm below the outer edge of the elbow joint or lateral epicondyle of the humerus bone. Specific inflammation is rarely present in the tendon but there is an increase in pain receptors in the area making the region extremely tender.“



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