Medial Epicondylitis Case Studies

HPI: Ms. Smith presents to the office with bilateral shoulder stiffness and lateral elbow pain in right arm. The patient has been suffering shoulder stiffness for over 2 years. The symptom developed gradually after she started using her computer more at her work place; she had to hold her telephone between her shoulder and head while typing information on computer. The pain in right elbow stated about 8 months ago with gradual onset. The patient does not recall any trauma to the shoulder and elbow. She has been diagnosed as tennis

Ulnar collateral ligament injury is a type of elbow injury that develops from repeated overhand throwing movements (overuse). This motion places a lot of stress on the two strong bands of tissue (ligaments) that hold your elbow joint in place. The ulnar collateral ligament (UCL) is a main ligament located on the inside of your elbow. Over time, repetitive overhand throwing can damage the UCL.

SLAP lesion can develop due to the repetitive forces of the throwing motion. Athletes that are involved in overhead activities tend to develop a struggle in glenohumeral internal rotation. Both internal impingement and peel back mechanisms can cause that to happen.

A torn elbow ligament is the most common area to have an injury. The locations were it happens is in the inside of the elbow joint.

Baseball is America's pastime. Everyone in this country knows a person who plays the game and the struggles they face throughout their entire baseball endeavors. Baseball is an overhead throwing sport that requires countless amount of repetition in order to perfect the art of throwing a baseball with different spins and velocities. Because baseball has become a non-season based sport in this modern era, it has risen health risks to the elbows of athletes that play continuously. The Ulnar Collateral Ligament, commonly coined as the Tommy John Ligament, is the

Over the course of baseballs long existence it has been a very laid back sport with only minor injuries. But in the last decade or so the injuries have been popping up all over. Definitely the most common one being the tearing of the ucl tendon in the arm. This injury takes time to tear and it usually starts to hurt before the ligament actually snaps. “Most commonly, there is a gradual onset of elbow pain due to repetitive stresses on the ligament”(Hopkins Medicine). But there are cases where thee injury can be sudden and happen on one pitch. There have been more and more of these injuries but the biggest shock is the amount of young kids dealing with pain in their elbows. This is an effect of year round baseball, because the kids and teens are not getting their proper rest in between pitch outings. Also their coaches could be pushing them to pitch more innings and throw more pitches. But not only are young people getting these injuries older pros are also. There has been a substantial increase in

For baseball players, it is essential to stay healthy. One of the reasons a player tends to focus on healing his body is that if a player sits out injured for too long, he may lose his starting position. Though this is always in the forefront of a player’s mind, the first thing he should think about is healing his body so that he can continue his career. The most common injury to baseball players is “tennis elbow”. Other injuries baseball players deal with are dislocated joints and broken bones. Though baseball may seem like a less injury-prone sport than soccer or football, it can have just as many injuries with life-changing implications as the hard-hitting sports.

Course Description : Lateral Epicondylitis is a condition that accounts for between 1-3 % of all musculoskeletal complaints in an MDs office. To date limited research exists to explain the efficacy of a clear approach in its assessment and management. This course will expose the participant to current concepts in the literature surrounding the etiology of the condition, the limited evidence surrounding the special tests for lateral epicondylitis and the role of proximal structures in these tests. Further discussion will focus on the importance of ruling out proximal conditions and the roles that each plays in elbow pain. The instructors will then shift focus to current

Studies and surveys have shown that upper-extremity injuries are a common result of pitching through youth, high school, and collegiate baseball leagues. There have been surveys taken to show the relation of elbow and shoulder injuries and pitching. Statistics taken describe (1) the proportion of pitchers with a history of pitching related upper-extremity injury (2) proportion of pitchers with w history of pitching related elbow and shoulder injury that was treated through surgery (3)types of upper-extremity injuries sustained by pitchers and (4) types of upper extremity injuries sustained by a certain age category around the same time of injury.

The subject is a 25 year-old, right-handed, MLB pitcher who has played baseball since Little League. He sustained an injury to his right arm while throwing an overhand curveball during the fifth inning of the first Major League game of the season. Upon my reaching the mound, the pitcher was favoring the affected arm and in obvious pain. I asked him where the pain was located and how bad it was. He pointed to his right medial elbow, near the medial epicondyle, and said the pain was moderate and he did not feel he could continue to pitch in the game. Next, I asked him if the pain came suddenly or gradually. He said it was a sudden pain and felt a “pop” or “snapping” sound. I then asked the athlete if he

The purpose of this study was to examine the risk factors of the baseball elbow lesion in youth baseball players to perform medical check including trunk function. The subjects were the men's elementary and junior high of 166 baseball players (11.4 ± 2.0 years) who participated in the medical check of the off-season. Lesions of the elbow joint were assessed using ultrasound system. Tenderness inspection was performed on medial epicondyle and the humerus capitellum.Which test is the case of a positive as a group of disorders, and the other was a non-disabled group. It was measured the physical function of the 20 items in order to examine the relationship between baseball elbow lesion. It was performed univariate analysis between the two groups

In the article there was a case study that they were studying a twenty-seven year old patient came in with some mild to server pain. The patient was an amateur golfer who had developed symptoms like developing some small pain in her left arm shortly after the pain developed she changed jobs were she was required to type for long periods of time. She then began to notice that the pain became more sever when she was at the driving range. Shortly following this incident she noticed that she had trouble lifting heavy items. A week prior to her visit she was experiencing shooting pains down her arm. The doctor did a physical exam on the patient and did not notice any color change or swelling. The diagnosis with left lateral epicondylosis. With the

Tennis elbow is an injury wherein you feel pain in the outer part of your elbow, pain when trying to lift a cup of coffee, pain when trying to twist a door handle, pain when you shake your hands with someone, and pain when you're trying to flex or straighten your arm. This pain is the result of either an inflammation or degradation of the tendons in the outer part of the elbow. This happens because of overexertion, repetitive movements and stress.

(2012) reviews four difference case studies involving DTF, One randomised study applies DTF with corticosteroid injection to see if there is a significant difference in grip strength again lateral epicondylitis, the results prove there is a significant difference in improved maximum grip strength with injections compared to DTF. However, Joseph et al,. 2012) states that DTF alone showed overall advanced strength. Senbursa et al (2007) also uses a randomised study involving DTF in conjunction with exercises to treat supraspinatus impingement of the tendon, the study proves to be a success by increasing the strength and decreasing pain of the patients. Another advantageous study was carried out by Nagrale et al,. (2009), the study assessed DTF with electro laser therapy and concluded that the patients were able to complete a pain-free grip strength test and functional status once the treatment has been

The first study (Peerblooms et al) is a double-blind randomized control study trail with a 1 year follow-up in order to compare the efficacy of platelet-rich plasma injections against the efficacy of corticosteroid injections in the treatment of chronic lateral epicondyltitis The primary goal of the study was to assess the reduction of pain and disability scores following treatment using VAS and DASH self-assessment questionnaires. One hundred consecutive patients that met the inclusion/exclusion criteria were selected for participation in the study. The study was conducted at 2 teaching hospitals in the Netherlands. In order to be selected patients had to have a 6-month minimum history of diagnosed lateral epicondylitis -“tenderness over the head of the extensor carpi radialis brevis, and pain with resisted wrist extension” (Peerblooms et al), a minimum score of 50 on the VAS (0 = no pain, 100 = Maximum), and diagnostic imaging (usually x-ray) that confirmed no other mechanical reason for their symptoms. In addition to these criteria participants had to have been treated with at least one of the following; immobilization, physiotherapy, and/or corticosteroid injections. Patients were excluded if they met any of the following criteria: less