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The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
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Lateral epicondylitis: Current concepts.

Nicholas Johns1, Vivek Shridhar2

  • 1MBBS, MTrauma, Orthopaedic Registrar, Toowoomba Base Hospital, Qld.

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|October 30, 2020
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Summary
This summary is machine-generated.

Tennis elbow (lateral epicondylitis) is common but poorly understood. Non-operative treatments are supported by evidence, with surgery offering no significant advantage over natural recovery for this elbow pain condition.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Physical Therapy

Background:

  • Lateral epicondylitis, or tennis elbow, affects 4-7 per 1000 individuals.
  • Etiology and pathophysiology remain unclear, presenting as lateral elbow pain.
  • Differential diagnosis includes nerve entrapment, cervical issues, bone pathology, and inflammation.

Purpose of the Study:

  • Review current concepts of lateral epicondylitis.
  • Examine evidence for non-operative and operative treatment modalities.

Main Methods:

  • Literature review of recent English-language journal articles.
  • Focus on current understanding and treatment evidence for tennis elbow.

Main Results:

  • Diagnosis typically relies on clinical history and examination.
  • Maudsley's and Cozen's tests show high sensitivity for lateral epicondylitis.
  • Evidence supports non-operative management for tennis elbow.

Conclusions:

  • Non-operative treatments are recommended for lateral epicondylitis.
  • Surgical interventions show no significant advantage over the natural course of the condition.