Medial Elbow Pain

Medial Epicondylitis

  • “Golfer’s elbow,” is caused by a pathological alteration of the musculotendinous origin of the common flexor tendon (CFT) at the medial epicondyle from overuse.
  • ME typically arises in the fourth and fifth decades of life but occurs with a much lower incidence
  • Greater association with occupations than with sports, with forceful work being a greater risk factor than repetitive work alone.

Medial Epicondylitis

  • Usually, the pronator teres and flexor carpi radialis are affected, but ME can involve all muscles in the flexor-pronator group.
  • Patients will present with pain on the medial side of their elbow that is exacerbated by resisted forearm pronation and wrist flexion

Medial Epicondylitis

Medial Elbow Pain

    • Javelin throwers
    • Pitchers

Cubital Tunnel Syndrome

    • Medial elbow pain
    • Paresthesia of D4, D5
    • Weak Grip strength
    • Tinel’s over cubital tunnel
    • Entrapment at the cubital tunnel or at flexor pronator aponeurosis
    • Enlarged ulna nerve on ultrasound

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and Interesting Articles

  • Barco R, Antuña SA. Medial elbow pain. EFORT Open Rev. 2017 Aug 30;2(8):362-371. doi: 10.1302/2058-5241.2.160006. PMID: 28932488; PMCID: PMC5590003.
  • Shiri R, Viikari-Juntura E. Lateral and medial epicondylitis: role of occupational factors. Best Pract Res Clin Rheumatol. 2011 Feb;25(1):43-57. doi: 10.1016/j.berh.2011.01.013. PMID: 21663849.
  • Lynch JR, Waitayawinyu T, Hanel DP, Trumble TE. Medial collateral ligament injury in the overhand-throwing athlete. J Hand Surg Am. 2008 Mar;33(3):430-7. doi: 10.1016/j.jhsa.2007.12.015. PMID: 18343303.


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