About Elbow Joint
The elbow is a hinge joint which is made up of three bones:
- The humerus (upper arm bone)
- The ulna (forearm bone on the pinky finger side)
- The radius (forearm bone on the thumb side)
Tennis elbow is an inflammation of the tendons that join the muscles of the forearm to the outside of the elbow. athletes aren’t the only people who develop tennis elbow. People whose jobs feature the types of motions that can lead to tennis elbow include plumbers, painters, carpenters and butchers.
Causes and Risk factors of Tennis Elbow
Age: it’s most common in adults between the ages of 30 and 50.
Occupation:People who have jobs that involve repetitive motions of the wrist and arm are more likely to develop tennis elbow such as Carpentry,Typing,Painting,Raking,Knitting, etc.
sports: Tennis,Racquetball,Squash,Fencing and weight lifting,etc.
Symptoms of Tennis Elbow
- The most common symptom of tennis elbow is recurring pain on the outside of the upper forearm, just below the bend of the elbow. Pain may also be felt further down the arm, towards the wrist.
- Twisting the forearm.
- Lifts or bends the arm.
Diagnosis of tennis Elbow
- Medical history :Orthopedic surgeon will gather information about your general health and ask questions about the extent of your elbow pain and how it affects your ability to perform everyday activities.
- Physical examination: This will assess elbow mobility, strength, and alignment.
- X-rays: Which help to determine the extent of damage or deformity in your elbow.
- MRI(magnetic resonance imaging ): It may be needed to determine the condition of the bone and soft tissues of your elbow joint.
- Electromyography (EMG) : It may be used to find out if the nerves are compressed.
Treatment of Tennis Elbow
- Ice massages and muscle stimulating techniques
- Using an elbow strap
- Medicine_Taking non steroidal anti-inflammatory (NASIDs)
- Physical therapy
- Steroid injection
If your symptoms do not respond after 6 to 12 months of nonsurgical treatments, your doctor may recommend surgery.This may be needed to remove the damaged part of the tendon and relieve the pain.
Open surgery: The most common approach to tennis elbow repair is open surgery. This involves making an incision over the elbow.
Arthroscopic surgery :Tennis elbow can also be repaired using miniature instruments and small incisions. Like open surgery, this is a same-day or outpatient procedure.
Complication of tennis elbow surgery
- Nerve and blood vessel damage
- Possible prolonged rehabilitation
- Loss of strength
- Loss of flexibility
- The need for further surgery