Therapeutic Corticosteroid Injection

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Original Editor - Tyler Shultz, Matthias Verlinden

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1 Search Strategy[edit | edit source]

Key words: Lateral epicondylitis, Manual test, Mills test, Orthopedic elbow diagnosis.
In databases: PubMed, WebOfKnowledge, PEDro for verification of evidence quality

2 Purpose
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Diagnosing Lateral Epicondylitis in the elbow, also known as “Tennis Elbow”.

2.1 Clinical presentation
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Presenting equally in men and women, 1% to 3% of the population will experience lateral epicondylitis in their lifetime, usually between ages 35 and 50.[1][2] Patients report pain at the lateral elbow that radiates down the forearm. In addition, patients often complain of weakened grip and difficulties lifting objects. On physical examination, patients typically have point tenderness medial and distal to the lateral epicondyle.[3][4]

File:Mills test 2.png
Mills test 2.png


  1. ↑ Nirschl RP, Ashman ES. Elbow tendinopathy: tennis elbow. Clin Sports Med 2003;22:813– 836.
  2. ↑ Allander E. Prevalence, incidence, and remission rates of some common rheumatic diseases or syndromes. Scand J Rheumatol 1974;3:145–153.
  3. ↑ Whaley AL, Baker CL. Lateral epicondylitis. Clin Sports Med 2004;23:677– 691
  4. ↑ Pomerance J. Radiographic analysis of lateral epicondylitis. J Shoulder Elbow Surg 2002;11:156 –157.
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