IPHREHAB :TENNIS ELBOW TESTS AND EXAMINATION WITH CAUSES

IPHREHAB

TENNIS ELBOW TESTS ANS EXAMINATION WITH CAUSES

PHYSICAL EXAMINATION:

*point tenderness typically occurs over ECRB origin at the lateral epicondyle.

*tenderness may be more generalised over the common extensor wad insertion at the lateral epicondyle

*pain is often exacerbated by wrist extension against resistance with the forearm pronated

*elbow extension may be mildly limited

Mills test :

With this test, pain occurs over the lateral epicondyle when the wrist and fingers are completely flexed. This can be positive in tennis elbow case.

Maudsleys test:

The patient may feel pain on resisted extension of the middle finger at the MCP joint when the elbow is fully extended.

EVALUATION:

Note the sensory paresthesis in the superficial radial nerve distribution to rule out a radial tunnel syndrome.

Radial tunnel syndrome is the most common cause of refractory lateral pain and coexists with lateral epicondylitis in 10% of patients.

*Cervial nerve roots should be examined to rule out cervical radiculopathy .

OTHER CONDITIONS TO RULE OUT INCLUDES:

#bursitis of the bursa below the conjoined tendon,chronic irritation of the radiohumeral joint or capsule

#radiocapitellar chondromalacia or arthritis

#radial neck fracture

#panners disease

#little league elbow

#osteochondritis dissecans of the elbow

Tennis Elbow Causes 

Any repetitive motion of the wrist, including tennis, hedge clipping, excessive use of a hammer or screwdriver, painting, or any activity that requires excessive constant gripping or squeezing can cause the condition known as tennis elbow.