Tennis elbow - Symptom
Epitrochlear bursitis; Lateral epicondylitis; Epicondylitis - lateral
- Elbow pain that gradually worsens
- Pain radiating from the outside of the elbow to the forearm and back of the hand when grasping or twisting
- Weak grasp
Signs and tests:
The diagnosis is made based on signs and symptoms, because x-rays are usually normal. Often there will be pain or tenderness when the tendon is gently pressed near where it attaches to the upper arm bone, over the outside of the elbow.
There is also pain near the elbow when the wrist is extended (bent backwards, like revving a motorcycle engine) against resistance.
X-rays are rarely needed.
- Reviewed last on: 5/9/2011
- A.D.A.M. Editorial Team: David Zieve, MD, MHA, and David R. Eltz. Previously reviewed by Linda Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine (8/3/2010).
Regan WD, Grondin PP, Morrey BF. Elbow and forearm. In: DeLee JC, Drez D Jr., Miller MD, eds. DeLee and Drez's Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa: Saunders Elsevier;2009:chap 19.
Schmidt MJ, Adams SL. Tendinopathy and bursitis. In: Marx JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009: chap 115.
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