Lateral Epicondyle Tendinopathy Toolkit: Section B - Clinical Assessment: Difference between revisions
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* It is done only when the conservative management is not working on the patient. | * It is done only when the conservative management is not working on the patient. | ||
* Ultrasound and MRI are usually preferred | * Ultrasound and MRI are usually preferred | ||
* It helps to diagnose the extra and intra articular conditions. | * It helps to diagnose the extra and intra articular conditions.<ref>Karanasios S, Korakakis V, Moutzouri M, Drakonaki E, Koci K, Pantazopoulou V, Tsepis E, Gioftsos G. Diagnostic accuracy of examination tests for lateral elbow tendinopathy (LET)–A systematic review. Journal of Hand Therapy. 2021 Feb 27.</ref> | ||
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Revision as of 09:22, 28 October 2022
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This article is currently under review and may not be up to date. Please come back soon to see the finished work! (28/10/2022)
Introduction[edit | edit source]
The purpose of this document is to summarize the clinical assessment of the patient diagnosed with lateral epicondyle tendinopathy.
Initially , the assessment consist of history, objective and subjective examination, chief complains in order to confirm the diagnosis. The tool kit will even include differential diagnosis, the process of identifying causes/risk factors of Achilles tendinopathy and functional examination.
Risk factors[edit | edit source]
Modifiable risk factors
- Lifestyle
- Smoking
- Active individuals/athletic population : Overuse due to repetition of any occupational or recreational activity.
- Reduced grip strength
- Improper tennis grip size or poor back hand technique
- Forceful gripping activity at work
- Inactive /sedentary lifestyle population : decreased loading capacity of the tendon
- Reduced rotator cuff weakness on the same side.
Non-modifiable risk factors
- Age (> 40 years)
- Gender (F>M)
- Metabolic disorders like hyperglycemia
- Cardiovascular risk factors
Assessment[edit | edit source]
Things to look out during the assessment of tennis elbow patient is complete history, subjective examination, objective examination, biopsychological factors and differential diagnosis.
Subjective Assessment[edit | edit source]
- Subjective symptoms
- Symptoms increases during activity.
- Extensor muscles weakness and reduced grip strength
- Pain is usually localized on the lateral elbow or sometimes referred to extensor or supinator groups of forearm.
- History
- Lateral elbow pain which is related to over use.
- Biopsychological factors
- It may involve behavioral or psychosocial factors which in turn contributes to neural sensitivity.
- The evidence states that psychological involvement can increase the symptoms of tennis elbow.
- Objective Signs
Upper quadrant examination | Factors of contribution |
---|---|
Cervical | Neuropathy, Radiculopathy |
Shoulder | Weakness of rotator cuff, Neuopathic tender points, Myofascial trigger points |
Elbow , Forearm | Weak grip strengh, Neuropathic tender points, Myofascial trigger points |
Neurodynamics | Radial bias |
Differential Diagnosis[edit | edit source]
Articular[edit | edit source]
- Radiocapitular arthritis
- Intraarticular synovial plica of radial capitular joint
- Osteochondritis Dessicans
Instability[edit | edit source]
- Posterolateral rotatory instability because of laxity of collateral ligaments
Neural[edit | edit source]
- Abnormal neuro dynamics
- Cervical nerve bias
- Radial tunnel entrapment of posterior interosseus nerve
Imaging[edit | edit source]
- It is done only when the conservative management is not working on the patient.
- Ultrasound and MRI are usually preferred
- It helps to diagnose the extra and intra articular conditions.[1]
Resources[edit | edit source]
- bulleted list
- x
or
- numbered list
- x
References[edit | edit source]
- ↑ Karanasios S, Korakakis V, Moutzouri M, Drakonaki E, Koci K, Pantazopoulou V, Tsepis E, Gioftsos G. Diagnostic accuracy of examination tests for lateral elbow tendinopathy (LET)–A systematic review. Journal of Hand Therapy. 2021 Feb 27.