Abstract
Medial epicondylitis often presents with pain along the medial (ulnar aspect) of the elbow. It is characterized as an overuse syndrome and is associated with a degenerative tendinosis of the origin of the flexor-pronator mass. On physical examination, resisted wrist flexion and forearm pronation exacerbate the pain. Patients with medial epicondylitis usually have tenderness distal to the medial epicondyle, over the flexor carpi radialis and pronator teres. Treatments vary and include rest, physical therapy, ice, and NSAIDs. Various injection techniques are also useful, but some are controversial.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Ciccotti MC, Schwartz MA, Ciccotti MG. Diagnosis and treatment of medial epicondylitis of the elbow. Clin Sports Med. 2004;23:693–705.
Galloway M, DeMaio M, Mangine R. Rehabilitative techniques in the treatment of medial and lateral epicondylitis. Orthopedics. 1992;15:1089–96.
Miller JE. Javelin thrower’s elbow. J Bone Joint Surg (Br). 1960;42:788–92.
Leach RE, Miller JK. Lateral and medial epicondylitis of the elbow. Clin Sports Med. 1987;6:259–72.
Shiri R, Viikari-Juntura E. Lateral and medial epicondylitis: role of occupational factors. Best Pract Res Clin Rheumatol. 2011;25:43–57.
Regan W, Wold LE, Coonrad R, Morrey BF. Microscopic histopathology of chronic refractory lateral epicondylitis. Am J Sports Med. 1992;20:746–9.
Morris H. The rider’s sprain. Lancet. 1882:2133–4.
Vangsness C, Jobe FW. Surgical technique of medial epicondylitis: results in 35 elbows. J Bone Joint Surg (Br). 1991;73:409–11.
Jobe FW, Ciccotti MG. Lateral and medial epicondylitis of the elbow. J Am Acad Orthop Surg. 1994;2:1–8.
Piligian G, Herbert R, Hearns M, Dropkin J, Landsbergis P, Cherniak M. Evaluation and management of chronic work-related musculoskeletal disorders of the distal upper extremity. Am J Ind Med. 2003;37(1):75–93.
Wyss JF, Patel AD. Therapeutic programs for musculoskeletal disorders. New York: Demos Medical Publishing; 2013. p. 91–6.
Mishra A, Pirolo JM, Gosens T. Treatment of medial epicondylar tendinopathy in athletes. Sports Med Arthrosc Rev. 2014;22:164–8.
Van Hofwegen C, Baker 3rd CL, Baker Jr CL. Epicondylitis in the athletes elbow. Clin Sports Med. 2010;29(4):577–9.
Spinner DA, Kirschner JS, Herrera JE. Atlas of ultrasound guided musculoskeletal injections. New York: Springer; 2014. p. 17.
Park G-Y, Lee S-M, Lee MY. Diagnostic value of ultrasonography for clinical medial epicondylitis. Arch Phys Med Rehabil. 2008;89:738–42.
Tuite MJ, Kijowski R. Sports-related injuries of the elbow: an approach to MRI interpretation. Clin Sports Med. 2006;25:387–408.
Taylor SA, Hannafin JA. Evaluation and management of elbow tendinopathy. Sports Health. 2012;4(5):384–93.
Stahl S, Kaufman T. The efficacy of an injection of steroids for medial epicondylitis: a prospective study of sixty elbows. J Bone Joint Surg Am. 1997;79(11):1648–52.
Suresh SP, Ali KE, Jones H, Connell DA. Medial epicondylitis: is ultrasound guided autologous blood injection an effective treatment? Br J Sports Med. 2006;40(11):935–9.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Terranova, L.M. (2017). Medial Epicondylitis. In: Kahn, S., Xu, R. (eds) Musculoskeletal Sports and Spine Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-50512-1_19
Download citation
DOI: https://doi.org/10.1007/978-3-319-50512-1_19
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-50510-7
Online ISBN: 978-3-319-50512-1
eBook Packages: MedicineMedicine (R0)