Golfers elbow (medial epicondylitis)

Golfers elbow, better termed a medial epicondylitis, results from an overuse injury and subsequent degeneration of the tendinous origin of the flexor pronator muscle mass at the elbow. In golfers, this area is placed under valgus stress at the top of a backswing in golfing and proceeds through the downswing until impact with the golf ball. The condition is also found in approximately 4% to 8% of workers in an occupational setting. Pain is elicited over the elbow’s medial epicondyle and is increased with resisted wrist flexion and forearm pronation. Management includes rest, ice, NSAIDs, and splints. Steroid injections and surgery are rarely required. Steroid injections are controversial with evidence for short-term improvement but may result in tendon weakening. Providers must be aware of the location of the ulnar nerve during injections in order to avoid any iatrogenic injury.


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