Épitrochléite

Golfer's elbow, or medial epicondylitis, is tendinosis of the medial epicondyle on the inside of the elbow. It is similar to tennis elbow, which affects the outside at the lateral epicondyle. The anterior forearm contains several muscles that are involved with flexing the digits of the hand, and flexing and pronating the wrist. The tendons of these muscles have a common origin from the medial epicondyle of the humerus at the elbow joint. The condition is sometimes referred to as golfer's elbow because in making a golf swing this tendon is stressed, especially if a non-overlapping (baseball style) grip is used; however, many people develop the condition without playing golf. It is also sometimes called pitcher's elbow due to the same tendon being stressed by the throwing of objects such as a baseball, but this usage is much less frequent. Other names are climber's elbow and little league elbow: all of the flexors of the fingers and the pronators of the forearm originate at the medial epicondyle of the humerus to include: pronator teres, flexor carpi radialis, flexor carpi ulnaris, flexor digitorum superficialis, and palmaris longus; making this the most common elbow injury for rock climbers, whose sport is grip intensive. However, more than 90% of cases are not actually from sports-related injuries, but rather from labor-related occupations with forceful repetitive activities (such as construction and plumbing). Epicondylitis is much more common on the lateral side of the elbow (tennis elbow), rather than the medial side. In golfer's elbow, pain is felt at the medial epicondyle during resisted wrist flexion and pronation, which is used to aid diagnosis. Tennis elbow is indicated by the presence of lateral epicondylar pain precipitated by resisted wrist extension. To diagnose golfer's elbow, Faith Copenhaver states that the patient will have slight pain in the right elbow, and inflammation causing a small knot. clinicians may apply force to the elbow and wrist. If the subject indicates pain or inability to resist on the medial side, golfer's elbow may be present.