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Treatment of Medial Epicondylar Tendinopathy in Athletes

Mishra, Allan MD*; Pirolo, Joseph M. MD; Gosens, Taco MD, PhD

Sports Medicine and Arthroscopy Review: September 2014 - Volume 22 - Issue 3 - p 164–168
doi: 10.1097/JSA.0000000000000031
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Medial epicondylar tendinopathy, also known as golfer’s elbow, is less common than lateral elbow tendinopathy. Overhead throwing athletes and those participating in sports that require repeated forearm pronation and wrist flexion are most commonly affected by this disorder. This problem predominates in amateur as opposed to professional athletes and is also seen more commonly in patients over 40 years of age. This review will begin by outlining the incidence, history, and physical examination of medial epicondylar tendinopathy, including a new clinical test. Imaging modalities, nonoperative, and operative treatments will then be outlined. Finally, future directions will be explored including emerging biological therapies.

*Menlo Medical Clinic, Menlo Park, CA

Department of Orthopaedic Surgery, Stanford University Medical Center, Palo Alto, CA

Department of Orthopaedics and Traumatology, St Elisabeth Hospital Tilburg, Tilburg, The Netherlands

A.M. receives royalties from Biomet, Zimmer, and owns stock in BioParadox.

Disclosure: The authors declare no conflict of interest.

Reprints: Allan Mishra, MD, Menlo Medical Clinic, 1300 Crane Street, Menlo Park, CA 94025.

© 2014 by Lippincott Williams & Wilkins