Skip to main content

Medial and Lateral Epicondylitis

  • Chapter
  • First Online:
Muscle and Tendon Injuries
  • 3962 Accesses

Abstract

Medial and lateral epicondylitis are frequent painful syndromes of the elbow due to repetitive functional stress of muscle groups inserted by a common tendon at the medial and lateral epicondyle, respectively.

The medial epicondylitis involves the flexor carpi radialis or pronator teres or both close to their origin, while the lateral epicondylitis, much more common than medial epicondylitis, is generally characterized by lesions of the tendon of the extensor carpi radialis brevis.

They were considered inflammatory conditions, but the epicondylitis are characterized, however, by tendon alterations resulting from an incomplete reparative response.

In chronic cases, microtears are represented and can evolve to complete rupture of the tendon.

Both conditions can be treated without surgery in most patients.

Several surgical treatments have been proposed in the treatment of epicondylitis; however, no one appears to be superior to others, and there isn’t, therefore, a universally accepted consensus (Leach and Miller, Clin Sports Med 6:259–273, 1987).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Baker CL, Cummings PD (1998) Arthroscopic management of miscellaneous elbow disorders. Oper Tech Sports Med 6:16–21

    Article  Google Scholar 

  • Baker CL, Jones GL (1999) Current concepts: arthroscopy of the elbow. Am J Sports Med 27:251–264

    PubMed  Google Scholar 

  • Baker CL Jr, Murphy KP, Gottlob CA, Curd DT (2000) Arthroscopic classification and treatment of lateral epicondylitis: two-year clinical results. J Shoulder Elb Surg 9:475–482. doi:10.1067/mse.2000.108533

    Article  Google Scholar 

  • Baumgard SH, Schwartz DR (1982) Percutaneous release of the epicondylar muscles for humeral epicondylitis. Am J Sports Med 10:233–236. doi:10.1177/036354658201000408

    Article  CAS  PubMed  Google Scholar 

  • Bosworth DM (1955) The role of the orbicular ligament in tennis elbow. J Bone Joint Surg Am 37:527–534

    Article  PubMed  Google Scholar 

  • Ciccotti MG (1999) Epicondylitis in the athlete. Instr Course Lect 48:375–381

    CAS  PubMed  Google Scholar 

  • Connel DA, Ali KE, Ahmad M et al (2006) Ultrasound-guided autologus blood injection for tennis elbow. Skelet Radiol 35:371–377

    Article  Google Scholar 

  • Coonrad RW, Hooper WR (1973) Tennis elbow: its course, natural history, conservative and surgical management. J Bone Joint Surg Am 55:1177–1182

    Article  CAS  PubMed  Google Scholar 

  • Dlabach JA, Baker CL (2001) Lateral and medial epicondylitis in the overhead athlete. Oper Tech Orthop 11(1):46–54

    Article  Google Scholar 

  • Edwards SG, Calandruccio JH (2003) Autologus blood injections for refractory lateral epicondylitis. Am J Hand Surg 28(2):272–278

    Article  Google Scholar 

  • Field LD, Savoie FH (1998) Common elbow injuries in sport. Sports Med 26:193–205

    Article  CAS  PubMed  Google Scholar 

  • Gabel GT, Morrey BF (1995) Operative treatment of medial epicondylitis. Influence in concomitant ulnar neuropathy at the elbow. J Bone Joint Surg Am 77:1065–1069

    Article  CAS  PubMed  Google Scholar 

  • Gerard T, Gabel MD (2001) Management of medial epicondylitis in the throwing athlete. Oper Tech Sport Med 9(4):205–210

    Article  Google Scholar 

  • Jones GS, Savoie EH (1993) Arthroscopic capsular release of flexion contractures (arthrofibrosis) of the elbow. Arthroscopy 9:277

    Article  CAS  PubMed  Google Scholar 

  • Kraushaar BS, Nirschl RP (1999) Current concepts review: tendinosis of the elbow (tennis elbow). J Bone Joint Surg Am 81:259–278

    Article  CAS  PubMed  Google Scholar 

  • Kurvers H, Verhaar J (1995) The results of operative treatment of medial epicondylitis. J Bone Joint Surg Am 77:1374–1379

    Article  CAS  PubMed  Google Scholar 

  • Leach RE, Miller JK (1987) Lateral and medial epicondylitis of the elbow. Clin Sports Med 6:259–273

    CAS  PubMed  Google Scholar 

  • Lin C-W (2012) Yan-Hao Chen, wen-Shiang Chen Application of Ultrasound and Ultrasound-guided intervention for evaluating elbow Joint Pathologies. J Med Ultrasound 20:87–95

    Article  Google Scholar 

  • Mishra A, Pavelko T (2006) Treatment of chronic elbow tendinosis with bufferede platelet-rich plasma. Am J Sports Med 10(10):1–5

    Google Scholar 

  • Nirschl RP (1992) Elbow tendinosis/tennis elbow. Clin Sports Med 11:851–870

    CAS  PubMed  Google Scholar 

  • Nirschl RP, Pettrone F (1979) Tennis elbow: the surgical treatment of lateral epicondylitis. J Bone Joint Surg Am 61:832–841

    Article  CAS  PubMed  Google Scholar 

  • Plancher KD, Halbrecht J, Lourie GM (1996) Medial and lateral epicondylitis in the athlete. Clin Sports Med 15:283–305

    CAS  PubMed  Google Scholar 

  • Stahl S, Kaufman T (1997) Ulnar nerve injury at the elbow after steroid injection for medial epicondylitis. J Hand Surg Br 22:69–70

    Article  CAS  PubMed  Google Scholar 

  • Taylor MA, Norman TL, Clovis NB et al (2002) The response of the rabbit patellar tendons after autologus blood injection. Med Sci Sports Exerc 34(1):70–73

    Article  PubMed  Google Scholar 

  • Vangsness CT, Jobe FW (1991) Surgical treatment of medial epicondylitis: results in 35 elbows. J Bone Joint Surg Br 73:409–411

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to F. Di Palma .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 ISAKOS

About this chapter

Cite this chapter

Pederzini, L.A., Di Palma, F. (2017). Medial and Lateral Epicondylitis. In: Canata, G., d'Hooghe, P., Hunt, K. (eds) Muscle and Tendon Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54184-5_21

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-54184-5_21

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-54183-8

  • Online ISBN: 978-3-662-54184-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics