0
Journal Contents   |    
EPICONDYLITIS
RALPH M. CARTER
The Journal of Bone & Joint Surgery.  1925; 7:553-562 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

1. So-called "epicondylitis," a condition characterized by pain originating in and about the lateral humeral condyle, radiating down the forearm and hand, and giving rise to disability of greater or less extent, constitutes a definite clinical entity, which it is important to recognize.

2. It occurs almost exclusively in adults between the ages of thirty and fifty, in women more frequently than men, and seems to follow certain occupational or sport activities, particularly those in which the combined movements of supination and flexion of the forearm are employed.

3. The characteristic feature of the condition is pain, as described above, associated usually with a complete lack of objective findings.

4. No definite pathology is known which will apply to all cases. It is probable that the majority of cases are due to a localized periostitis in the region of the external epicondyle, the result of opposing muscle action frequently repeated. A smaller number of cases are undoubtedly due to inflammation or calcification in a bursa which is sometimes found in this region.

5. The ultimate prognosis is good, as all cases eventually recover, but the course of the disease is characterized by extreme chronicity.

6. The great majority of cases in which there is a complete absence of objective findings, are best treated by prolonged rest; diathermy may be of value; a small number, especially those in which the presence of an inflamed bursa is suspected or proved, should be treated surgically.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

    Topics

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe




    Related Articles
    Related Cases
    Related Content
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Evidence-based indications for elbow arthroscopy.
    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association: Issue date- 2012 Feb
    The role of nitric oxide in tendon healing.
    Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]: Issue date- 2012 Feb
    Clinical Trials
    Readers of This Also Read...
    jbjs jobs
    12/22/2011
    VA - Charleston Area Medical Center
    12/22/2011
    ME - Central Maine Medical Center