Orthopedics Book

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Elbow Pain

Aka: Elbow Pain
  1. See Also
    1. Elbow Anatomy
    2. Elbow Exam
  2. Precautions
    1. Approach below is for adults with Elbow Pain
    2. Does not include children or acute elbow Trauma (e.g. Radial Head Fracture)
  3. Causes: Chronic Anterior Elbow Pain
    1. Common
      1. Biceps Tendinopathy
    2. Less common
      1. Elbow intra-articular loose body
      2. Elbow Osteoarthritis
      3. Rheumatoid Arthritis
      4. Gout
  4. Causes: Chronic Medial Elbow Pain
    1. Common
      1. Medial Epicondylitis (Golfer's Elbow)
    2. Less common
      1. Elbow Ulnar Collateral Ligament Injury
      2. Cubital Tunnel Syndrome
      3. Valgus Extension Overload Syndrome
      4. Medial Epicondyle Apophysitis (children, pitchers)
  5. Causes: Chronic Lateral Elbow Pain
    1. Common
      1. Lateral Epicondylitis (Tennis Elbow)
    2. Less common
      1. Radial Tunnel Syndrome (or Posterior Interosseous Nerve Syndrome)
      2. Elbow Osteochondritis Dissecans
      3. Panner Disease (children)
      4. Elbow plica
      5. Posterolateral rotary instability
  6. Causes: Chronic Posterior Elbow Pain
    1. Common
      1. Olecranon Bursitis
      2. Olecranon Bursa Infection
    2. Less common
      1. Triceps Tendinopathy
      2. Posterior Elbow Impingement
      3. Olecranon Stress Fracture
      4. Elbow Osteoarthritis
  7. Imaging: Chronic Elbow Pain
    1. Elbow XRay indications
      1. See Elbow XRay
      2. Initial study of choice in Elbow Pain
      3. Elbow Trauma (including Fall on an Outstretched Hand)
      4. Posterior Elbow Impingement (Olecranon Osteophyte)
      5. Elbow Osteochondritis Dissecans
      6. Elbow Osteoarthritis
    2. Elbow MRI indications
      1. Chronic refractory elbow Tendinopathy
      2. Elbow compression Neuropathy preoperative evaluation (Cubital Tunnel, Radial Tunnel)
    3. Elbow MRI Arthrography
      1. Elbow Osteochondritis Dissecans
      2. Elbow Ulnar Collateral Ligament Injury
    4. Elbow Ultrasound
      1. Dynamic musculoskeletal evaluation
      2. Elbow Tendinopathy
    5. Elbow CT Indications (uncommonly used)
      1. Acute elbow Trauma with non-diagnostic xray
      2. Myositis Ossificans
  8. Diagnostics: Chronic Elbow Pain
    1. Electromyogram (EMG) or Nerve Conduction Study indications
      1. Peripheral compressive Neuropathy not improving after 6-8 weeks of conservative therapy
      2. Cubital Tunnel
      3. Radial Tunnel
  9. References
    1. Kane (2014) Am Fam Physician 89(8): 649-57 [PubMed]

Elbow joint pain (C0423669)

Concepts Sign or Symptom (T184)
SnomedCT 202470000, 156595009, 202480001
English elbow joint pain (symptom), elbow joint pain, joint pain elbow, elbows joint pain, arthralgia of elbow, arthralgia of elbow (diagnosis), arthralgia - humerus / elbow, arthralgia - elbow, Arthralgia of elbow, Elbow joint pain, Elbow joint pain (finding), elbow; joint pain, elbow; pain, joint
Dutch elleboog; gewrichtspijn, elleboog; pijn, gewricht
Spanish dolor en articulación de codo (hallazgo), dolor en articulación de codo
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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