Medial elbow pain

Barco, Raúl; Antuña, Samuel

doi:10.1302/2058-5241.2.160006

Cited by 20 publications

(23 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A pesar de que puede observarse neuritis cubital concomitante en hasta el 20% de los pacientes con epicondilitis medial (11) , la historia y la evolución de la enfermedad de esta paciente hacen que los autores planteen la hipótesis de una posible lesión directa del nervio cubital como consecuencia de la rESWT.…”

Section: Discussionunclassified

Lesión del nervio cubital secundario a terapia de ondas de choque extracorpóreas radiales identificada con ultrasonografía de alta resolución: Reporte de caso.

Vela¹,

Abarca²,

Asnalema³

et al. 2020

RFMH

View full text Add to dashboard Cite

Mujer de 49 años fue evaluada por desarrollar dolor súbito a nivel de los epicóndilos mediales conjuntamente con entumecimiento y sensación de hormigueo en el cuarto y quinto dedos después de recibir terapia de ondas de choque extracorpóreas radiales (rESWT) como tratamiento para epicondilitis medial bilateral. El examen neurológico reveló signo de Tinel positivo, parestesia y una prueba de discriminación de dos puntos alterada sobre la región cubital del cuarto y quinto dedos. La ultrasonografía de alta resolución demostró hallazgos de lesión nerviosa periférica tales como hipoecogenicidad y aumento del diámetro de ambos nervios cubitales. La paciente mejoró únicamente tras recibir tratamiento conservador, demostrando así una aparente neuropatía compresiva bilateral aguda como resultado de la terapia. ESWT se utiliza como una alternativa prometedora para el tratamiento de diversos trastornos musculoesqueléticos; sin embargo, existe evidencia limitada con respecto a sus efectos secundarios, en particular la mononeuropatía periférica. Según el conocimiento de los autores, este es el primer reporte que demuestra un daño nervioso estructural después de rESWT con el uso de ultrasonografía de alta resolución.

show abstract

Section: Discussionunclassified

Lesión del nervio cubital secundario a terapia de ondas de choque extracorpóreas radiales identificada con ultrasonografía de alta resolución: Reporte de caso.

Vela¹,

Abarca²,

Asnalema³

et al. 2020

RFMH

View full text Add to dashboard Cite

show abstract

“…The diagnosis of Golfer’s elbow is essentially clinically based on a good observation and physical examination ( Zeisig and Fahlström, 2015 ). It can be misdiagnosed with medial collateral ligament injury, valgus instability, cervical spine radiculopathy, ulnar nerve entrapment in the grove (ulnar neuritis) ( Barco and Antuña, 2017 ). Most of the time patients have a normal MRI/x-ray report.…”

Section: Discussionmentioning

confidence: 99%

Acute effects of one session dry needling on a chronic golfer’s elbow disability

et al. 2018

View full text Add to dashboard Cite

A 40-year-old retired male elite athlete with more than 20 years’ experience in wrestling and bodybuilding with mild elbow pain and disability of 2 years presented to our clinic reporting an acute pain in medial aspect of the elbow. Physical examination revealed symptoms of left Golfer’s elbow during target-directed movements. The results of sonography in left elbow showed low level of hypo echo irregularity and increased blood flow in color Doppler mode in the common flexor origin. The pain amplitude was moderate at rest and extremely high during kinetic and intentional movements. During last 2 years, the patient tried different types of therapy including manual therapy, Transcutaneous electrical nerve stimulation and also received a variety of injections none of which were effective for reducing pain and disability. This is the first study showed that one sessions of dry needling improved both pain and disability and helped to return to a normal life and exercise training.

show abstract

“…14 , 19 The medial elbow injury in young baseball players has classically been termed “Little League Elbow” and is classified as an apophysitis and ulnar collateral ligament (UCL) injury. 2 , 3 , 7 , 8 Medial elbow apophysitis is a more frequent cause of medial elbow injury in young athletes than a UCL injury. Medial elbow apophysitis is a traction apophysitis observed in the medial epicondyle of the elbow in patients aged 9 to 12 years and is caused by repeated throwing movements.…”

mentioning

confidence: 99%

“…Medial elbow apophysitis is a traction apophysitis observed in the medial epicondyle of the elbow in patients aged 9 to 12 years and is caused by repeated throwing movements. 2 , 26 , 31 Moreover, throwing intensity, season length, and single-sport participation at younger ages are all considered environmental factors affecting the increased incidence of medial elbow apophysitis. 2 In patients with medial elbow apophysitis, the occurrence of secondary osteophyte formation caused by the loose body in the elbow, fragmentation, and UCL injury is possible in the future.…”

mentioning

confidence: 99%

“…Measurement of the valgus instability of the elbow has been established as an examination for UCL injuries. 2 , 17 Magnetic resonance arthrography has been shown to improve the diagnosis of partial undersurface tears and small full-thickness perforations of the UCL. 13 , 15 , 28 However, magnetic resonance arthrography is not always available as an imaging technique to diagnose a UCL injury because of its cost.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Increased medial laxity of the elbow in preadolescent baseball players with or without medial elbow apophysitis

Watanabe¹,

Masuma²,

Kenmoku³

et al. 2021

JSES International

View full text Add to dashboard Cite

Background Medial elbow apophysitis is a traction apophysitis observed in the medial epicondyle of the elbow in preadolescent baseball players. The purpose of this study was to determine the relationship between medial elbow apophysitis and elbow valgus instability in preadolescent baseball players. Methods The participants were classified into a control group and an injury group; the injury group included participants diagnosed with a medial elbow injury (inclusion criteria were only symptoms of the elbow joint or positive findings on physical examinations, or both). Elbow valgus instability was assessed by measuring the differences in ulnohumeral joint gapping width, with and without gravity stress induced by weight loading of the forearm using ultrasonography. Results The control and injury groups consisted of 81 and 23 preadolescent baseball players, respectively. In the throwing elbow, valgus instability in the injury group was significantly greater than that in the control group (1.07 vs. 0.57 mm, P = .001). In the non-throwing elbow, valgus instability in the injury group was significantly greater than that in the control group (0.57 vs. 0.37 mm, P = .011). The area under the curve for valgus instability of the throwing elbow was 0.89 mm (95% confidence interval, 0.64-0.77), and the cut-off value for elbow pain appearance was 0.80 mm. Conclusion The increased elbow valgus instability in the injury group was associated with a medial elbow injury. For the elbow valgus instability of the non-throwing side in the injury group, we considered that players with medial elbow apophysitis inherently have elbow laxity.

show abstract

Medial elbow pain

Cited by 20 publications

References 45 publications

Lesión del nervio cubital secundario a terapia de ondas de choque extracorpóreas radiales identificada con ultrasonografía de alta resolución: Reporte de caso.

Lesión del nervio cubital secundario a terapia de ondas de choque extracorpóreas radiales identificada con ultrasonografía de alta resolución: Reporte de caso.

Acute effects of one session dry needling on a chronic golfer’s elbow disability

Increased medial laxity of the elbow in preadolescent baseball players with or without medial elbow apophysitis

Contact Info

Product

Resources

About