Medial Elbow Pain Syndrome: Current Treatment Strategies

Medial elbow pain is a common presentation that can be a challenge to appropriately treat for the orthopedic surgeon. Causes include medial epicondylitis, ulnar neuritis, ulnar collateral ligament injury, flexor pronator strain, or snapping medial triceps. A good outcome is typically achieved with a...

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Published inOrthopedics (Thorofare, N.J.) Vol. 46; no. 2; pp. e81 - e88
Main Authors Prabhakar, Gautham, Kanawade, Vaibhav, Ghali, Abdullah N, Dutta, Anil K, Brady, Christina I, Morrey, Bernard F
Format Journal Article
LanguageEnglish
Published United States Slack, Inc 01.03.2023
SLACK INCORPORATED
Subjects
Care and treatment
Diagnosis
Elbow
Elbow - surgery
Elbow Injuries
Elbow Joint - diagnostic imaging
Elbow Joint - surgery
Humans
Ligaments
Manual workers
Pain
Pathology
Patient outcomes
Patient satisfaction
Platelet-rich plasma therapy
Tendons
Tennis elbow
Tenotomy
United States
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Summary:Medial elbow pain is a common presentation that can be a challenge to appropriately treat for the orthopedic surgeon. Causes include medial epicondylitis, ulnar neuritis, ulnar collateral ligament injury, flexor pronator strain, or snapping medial triceps. A good outcome is typically achieved with adequate treatment of tendon degeneration at the common flexor tendon origin. Mainstay treatment is nonoperative modalities such as stretching, rest, activity modification, therapy, and injections. If nonoperative management fails, intermediate interventions such as extracorporeal shockwave therapy, platelet-rich plasma injections, prolotherapy, and ultrasound-guided percutaneous tenotomy can be attempted. Surgical treatments are dictated based on the severity of the pathology, involvement of soft tissues, and concomitant pathology. Medial elbow complaints can be multifactorial and require a broad differential diagnosis. [ . 2023;46(2):e81-e88.].
Bibliography:ObjectType-Article-2
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ISSN:0147-7447
1938-2367
DOI:10.3928/01477447-20220719-06