This is a chronic disabilitating problem seen in many patients.
It occurs in sportsman playing sports like tennis with chronic injury to elbow extensor origin.
The other subgroup is middle age workers, like manual labourers etc.
It is a disoder of origin of ECRB (extensor carpi radialis brevis tendon).
Usual problems are
Tenderness on the outer bony part of the elbow
Morning stiffness of the elbow with persistent aching
Soreness in the forearm
Pain worse when grasping or holding an object
Home care with ice, rest, and over-the-counter anti-inflammatory medications are the mainstays of treatment. If these do not produce the desired result, the physician may choose to begin a second line of therapy.
An elbow strap or splint may help take the pressure off the inflamed tendon. Physical therapy including different exercises to increase flexibility and strength. These exercises are usually performed at home
We use surgery as the last resort but it is a successful procedure and relieves pain in 85-95% of people.
- Surgery involves a small incision over the elbow to trim the tendon or sometimes to release and then reattach the tendon to the bone. It is an outpatient procedure. This procedure can now be performed arthroscopically.
- Candidates for surgery are usually those who have had symptoms for more than 6-12 months despite nonsurgical therapies.
Severe elbow arthritis treated with total elbow replacement
Cuibital tunnel syndrome :
Conrad Moorey total elbow replacement 2 year follow up