Medial epicondylitis, or golfer's elbow, is an inflammation of the tendon where the epitrochlear muscles insert, on the inside of the distal end of the humerus.
It is usually caused by repeated flexion of the elbow and wrist with rotation of the forearm, bringing the palm down and in.
It is characterised by pain in the medial aspect of the elbow, which may extend to the medial aspect of the forearm, and a sensation of cramping in the arm, forearm and hand. The pain increases on palpation of the area and on extension or flexion of the wrist.
Diagnosis is made by clinical questioning and physical examination of the area.
Treatment includes immobilisation of the limb, anti-inflammatory medication, local corticosteroid infiltration and physiotherapy. In severe cases that do not respond to any of these treatments, surgery may be required.
- Francis G O'Connor, MD, MPH, FACSM. Evaluation of elbow pain in adults. UpToDate. Oct 06, 2015.
- Jie KE, van Dam LF, Verhagen TF, Hammacher ER. Extension test and ossal point tenderness cannot accurately exclude significant injury in acute elbow trauma. Ann Emerg Med 2014; 64:74.
- Appelboam A, Reuben AD, Benger JR, et al. Elbow extension test to rule out elbow fracture: multicentre, prospective validation and observational study of diagnostic accuracy in adults and children. BMJ 2008; 337:a2428.
- Dawson DM. Entrapment neuropathies of the upper extremities. N Engl J Med 1993; 329:2013.
