Epicondylitis

The Zero to Finals Medical Revision Podcast

Thomas Watchman

Life Sciences, Education, Medical Finals, Medicine, Surgery, Health & Fitness, Paediatrics, Medical Student, Medical Education, Medical Exams, Medical School, Medical Revision, Science, Learn Medicine, Finals Revision, Obstetrics And Gynaecology

4.8 • 678 Ratings

🗓️ 15 April 2022

⏱️ 5 minutes

🔗️ Recording | iTunes | RSS

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Summary

This episode covers epicondylitis. Written notes can be found at https://zerotofinals.com/surgery/orthopaedics/epicondylitis/ or in the orthopaedic section of the Zero to Finals surgery book. The audio in the episode was expertly edited by Harry Watchman.

Transcript

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0:00.0	Hello and welcome to the Zero to Finals podcast.
0:09.0	My name is Tom and in this episode I'm going to be talking to you about Epichondylitis.
0:14.6	And you can find written notes on this topic at zero tofinals.com slash epicondylitis
0:20.2	or in the orthopaedic section of the Zero to Finals.com slash epicondylitis or in the orthopedic section of the zero to finals surgery book.
0:25.3	So let's get straight into it.
0:28.3	Epichondylitis refers to inflammation at the point where the tendons of the forearm insert into the epicondiles at the elbow.
0:41.0	It's a specific type of repetitive strain injury.
0:47.6	There is a medial epicondial and a lateral epicondial on the distal end of the humerus,
1:03.6	either side of the elbow joint. The tendons of the muscles that insert into the medial epicondial act to flex the wrist and those that insert into the lateral epicondial act to extend the wrist epicondylitis is the result of repetitive use and injury to the tendons at the point of insertion.
1:12.5	Symptoms gradually worsen over weeks to months.
1:16.1	It most commonly affects patients in middle age.
1:20.0	Let's talk specifically about lateral epicondylitis.
1:24.5	Lateral epiconzolitis is often called tennis elbow.
1:28.3	Lateral epichondylitis causes pain and tenderness at the lateral epicondial on the outer elbow.
1:36.3	The pain often radiates from the elbow down the forearm and it can lead to weakness in grip strength.
1:43.3	Mills test involves stretching the extensor muscles of the and it can lead to weakness in grip strength.
1:51.0	Mills test involves stretching the extensor muscles of the forearm whilst palpating the lateral epicondal.
1:52.3	The elbow is extended, the forearm is supinated and the wrist and fingers are extended.
2:00.2	The examiner holds the patient's elbows with pressure on the lateral epicondal.
2:05.6	If this causes pain, the test is positive indicating lateral epicondylitis or tennis elbow.
2:13.4	Kozin's test starts with the elbow extended, the forearm pronated, the wrist deviated in the direction of the radius, and the hand in a fist.
2:24.6	The examiner holds the patient's elbow with pressure on the lateral epicondal.
	...

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