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Elbow pain.

B G Watrous1, G Ho

  • 1Department of Medicine, Miriam Hospital, Providence, Rhode Island.

Primary Care
|December 1, 1988
PubMed
Summary
This summary is machine-generated.

Elbow pain often stems from nonarticular issues like strains or epicondylitis, distinct from joint problems. Diagnosis involves history, exam, and imaging, with treatment focusing on rest, medication, and physical therapy.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Physical Therapy

Background:

  • Nonarticular elbow pain arises from various causes including muscle strains, ligamentous injuries, epicondylitis, olecranon bursitis, and nerve entrapment.
  • Overuse and trauma are common etiologies for these conditions, necessitating accurate differentiation from intra-articular pathologies.

Purpose of the Study:

  • To outline the diagnostic approaches for nonarticular elbow pain.
  • To detail the management strategies for common nonarticular elbow conditions.

Main Methods:

  • Clinical history and physical examination are primary tools to distinguish nonarticular from intra-articular causes.
  • Diagnostic aids include laboratory analysis of bursal fluid, X-rays for bony abnormalities, and electromyography for nerve entrapment.

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Main Results:

  • History and physical exam effectively differentiate nonarticular elbow pain from intra-articular processes.
  • Imaging and laboratory tests aid in diagnosing specific conditions like infection, gout, fractures, and nerve compression.

Conclusions:

  • Accurate diagnosis of nonarticular elbow pain relies on a combination of clinical assessment and targeted investigations.
  • Treatment encompasses conservative measures such as rest, medication, and physical therapy, with surgery reserved for specific refractory cases.