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Medial Epicondylitis

Ciccotti, Michael G. MD; Ramani, Mohnish N. MD

Techniques in Hand & Upper Extremity Surgery: December 2003 - Volume 7 - Issue 4 - p 190-196

Medial epicondylitis of the elbow involves pathologic alteration in the musculotendinous origins at the medial epicondyle. Although commonly referred to as “golfer's elbow”, the condition may in fact be caused by a variety of sports and occupational activities. Accurate diagnosis requires a thorough understanding of the anatomic, epidemiologic, and pathophysiologic factors. Nonoperative treatment involves rest, ice, nonsteroidal anti-inflammatory agents, and possibly corticosteroid injection followed by guided rehabilitation and return to sport. Operative treatment is indicated for debilitating pain after exclusion of other pathologic causes that persists in spite of a well-managed nonoperative regimen spanning a minimum of 6 months. The surgical technique involves excision of the pathologic portion of the tendon, repair of the resulting defect, and reattachment of the origin of the flexor pronator muscle group to the medial epicondyle. Surgical treatment results in a high degree of subjective relief, although objective strength deficits may persist.

Department of Orthopaedic Surgery

Thomas Jefferson University

Philadelphia, Pennsylvania

Corresponding author: Dr. Michael G. Ciccotti, Department of Orthopaedic Surgery Rothman Institute, Thomas Jefferson University 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107.

This article was originally published in Sports Medicine and Arthroscopy Review. It is reprinted here as a service to our readers. Ciccotti MG, Ramani MH. Medial epicondylitis. Sports Med Arthrosc Rev. 2003;11(1):57–62.

© 2003 Lippincott Williams & Wilkins, Inc.