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Surgery of the Elbow
Published in Timothy W R Briggs, Jonathan Miles, William Aston, Heledd Havard, Daud TS Chou, Operative Orthopaedics, 2020
Alan Salih, David Butt, Deborah Higgs
In golfer's elbow, pain and tenderness are localised to the common flexor origin. Pain is reproduced by resisted forearm pronation and wrist flexion. Non-operative treatment is similar to that for tennis elbow but usually more difficult to treat.
Musculoskeletal system
Published in A Stewart Whitley, Jan Dodgeon, Angela Meadows, Jane Cullingworth, Ken Holmes, Marcus Jackson, Graham Hoadley, Randeep Kumar Kulshrestha, Clark’s Procedures in Diagnostic Imaging: A System-Based Approach, 2020
A Stewart Whitley, Jan Dodgeon, Angela Meadows, Jane Cullingworth, Ken Holmes, Marcus Jackson, Graham Hoadley, Randeep Kumar Kulshrestha
Intra-articular and peri-articular pain can be caused by myriad of conditions. Some are generic and can affect any joint, such as inflammatory arthritis. Some are specific to the processes within a particular joint or region, for example: Shoulder; pain commonly caused by the process of impingement – injection to the subacromial bursa.Elbow; pain commonly caused by ‘tennis’ or ‘golfer’s’ elbow – injection into the common extensor or flexor origins respectively.Wrist; pain commonly caused by de Quervain’s tenosynovitis – injection into the tendon sheath of the first extensor tendon.Hip; pain commonly caused by trochanteric bursitis – injection into the region of the trochanteric bursa.
Paper 3 Answers
Published in Hayley Dawson, Anna Trigell, EMQs for the nMRCGP® Applied Knowledge Test, 2018
Lateral epicondylitis (tennis elbow) pain is reproduced by forced extension of the wrist. Medial epicondylitis (golfer’s elbow) pain is reproduced by resisted pronation of the wrist. The pain is also reproduced by pressure over the insertion of the tendon into the respective epicondyle.
High elasticity of the flexor carpi ulnaris and pronator teres muscles is associated with medial elbow injuries in youth baseball players
Published in The Physician and Sportsmedicine, 2022
Akira Saito, Kyoji Okada, Kazuyuki Shibata, Hiromichi Sato, Tetsuaki Kamada
Although various theories regarding the contributing factors to medial elbow injuries in youth baseball players have been proposed, repetitive elbow valgus stresses during throwing has been previously demonstrated as contributing to these types of elbow injuries [3,5,6]. The forearm flexor-pronator muscles as well as the ulnar collateral ligament (UCL) contributes to elbow joint stability against valgus force during throwing [7–9]. Muscle elasticity is known to increase according to repeated muscle contraction and high external load [10–12]. A previous study reported that youth baseball players with medial elbow injuries had high elasticity in the pronator teres (PT) [13]. However, the relationships between the elasticities of the other forearm muscles and medial elbow injuries in youth baseball players are unknown. In cadaveric biomechanical studies, several authors have reported that the flexor digitorum superficialis (FDS) or flexor carpi ulnaris (FCU) were the major contributors to elbow valgus stability [7,8,14]. Accordingly, youth baseball players with medial elbow injuries may have high elasticities in these forearm muscles on account of repetitive elbow valgus stress. Moreover, a previous study indicated that the muscle elasticity increased with pain [15]. It is likely that youth baseball players with elbow pain have higher elasticity of the forearm muscles than those without elbow pain.
Safety and effectiveness of fascial therapy in the treatment of adult patients with hemophilic elbow arthropathy: a pilot study
Published in Physiotherapy Theory and Practice, 2022
Raúl Pérez-Llanes, Javier Meroño-Gallut, Elena Donoso-Úbeda, José López-Pina, Rubén Cuesta-Barriuso
The complexity of the elbow joint and the impact of arthropathy on the perception of quality of life in patients with hemophilia have made this pathology one of the most common causes of referral to specialists for physiotherapy and surgery (Heim, Beeton, Blamey, and Goddard, 2012). Two-thirds of patients with severe hemophilia suffer from joint pain (van Genderen et al., 2006), this symptom being one of the most significant factors in the approach to hemophilia. Effective management of pain is essential for improving patient outcomes and their perception of quality of life (Kalnins et al., 2015). A number of authors support the use of fascial therapy to improve pain and mobility in neck, lower back, and hip pain (Ajimsha, Daniel, and Chithra, 2014; Ichikawa et al., 2015; Rodríguez-Huguet et al., 2018). The significant improvement in elbow pain reported in this study, after only three treatment sessions, is one of the most relevant results obtained. As pointed out by Auerswald et al. (2016), effective management of pain in patients with hemophilia is essential for reducing the burden of pain on these patients. Thus, the positive results attained in our patients seem to be heading in the right direction toward achieving the goal of improving the perception of pain in patients with hemophilic arthropathy.
An evidence-based evaluation of mobile health apps for the management of individuals with lateral elbow tendinopathy using a systematic review framework
Published in Physical Therapy Reviews, 2021
Luke J. Heales, Samantha Randall, Bill Vicenzino, Brooke K. Coombes, Steven Obst
A systematic approach was used to identify the apps [11,12]. To identify all English language mobile apps available within Australia related to LET, Apple iTunes Store and Google Play were searched, up to September 2019, and the search was re-run in July 2020. To ensure inclusion of any app pertaining to LET, several search terms were used including; ‘tennis elbow’, ‘tendinitis’, ‘tendinopathy’, ‘lateral epicondylalgia’, ‘lateral epicondylitis’ and ‘elbow pain’. A total of 12 searches were conducted: 1 for each of the six keywords in each of the two apps stores. Search results were not filtered or sorted.