Dr. Ebraheim’s educational animated video describes the difference between the conditions know as tennis elbow and golfer’s elbow.
Elbow problems typically occur where the tendon attaches to the bone. The problem occurs due to repetitive stress which causes interstitial tearing, inflammation and swelling.
Tennis elbow/lateral epicondylitis
Inflammation, soreness or pain on the lateral side of the elbow.
Degeneration of the extensor carpi radialis brevis.
Usually seen in patients who perform manual labor or spirts which require twisting and extension of the wrist against resistance.
Radial tunnel syndrome: the pain is very similar to symptoms of tennis elbow. Pain usually radiates to the lateral epicondyle and radiates down the forearm.
If the symptoms of tennis elbow are not going away with treatment, rule out the possibility of the radial tunnel.
Golfer’s elbow/ medial epicondylitis
Inflammation, soreness or pain on the medial side of the elbow.
Pain due to repetitive overuse or overload activities which are aggravated by movement of the wrist.
Ultrasound evaluation of tennis elbow
•Elbow is placed into a semi-fixed position with the hand pronated.
•Ultrasound is used to visualize and inject the tendon. The transducer is positioned parallel to the lateral epicondyle and the radial head.
•The radial head is identified. The origin of the tendon is identified. The tendon is usually smooth and homogenous. The affected tendon may show tears, calcification or thickening.
Treatment of tennis elbow:
•Injection (can be blind or ultrasound-guided):
1.steroids injection provides short-term relief.
2.PRP(platelets with needle fenestration)
•The injection site is marked and disinfected.
•Injection of steroid or PRP.
•When conservative treatment fails
•Debridement of the involved tendon.
•Surgery is usually successful in about 85% of patients
•Avoid injury to the lateral collateral ligament
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