Elbow

Question 1

What would appear O/E in golfer’s elbow?

What is the main DDx (+ differentiating feature)

Answer 1

LOOK: Normal
FEEL: Medial epicondyle tenderness
MOVE: Normal RoM
TEST: Golfer’s test +ve (pain on resisted hand flexion)

DDx ulnar nerve entrapment (tingling/numbess)

Question 2

Outline the management for Golfer’s or Tennis elbow

Answer 2

Rest (activity modification)
Analgesia (NSAIDs)
Strengthening (physio)
Splint (epicondylar clasp)
Steroid inj (unsuccessful = XR exclude OA)
Surgical: tendon debridement

Question 3

List some RFs for Tennis Elbow (4)

Answer 3

Obesity
Smoking

Carpal tunnel syndrome
Other tendinopathies

Question 4

What would be seen O/E in Tennis Elbow?

Answer 4

LOOK: Normal
FEEL: point tenderness lateral epicondyle
MOVE: Normal RoM
TEST: Tennis Elbow test (p/o resisted extension)

Question 5

List some DDx for olecranon bursitis (3)

Answer 5

Consider DDx if painful

Gout (bilateral)
RA
Infection