Tennis elbow

Tennis Elbow Orthopaedic Brief presentation.Clinical features,tests,treatment.new technique.

1. TENNIS ELBOW Dr Sanjay Alle . Orthopaedic Surgeon

2. What is tennis elbow?? Tennis elbow is a common term for a condition caused by overuse of arm, forearm , and hand muscles that results in   elbow pain.  

3. Tennis elbow specifically involves the area where the muscles and tendons of the forearm attach to the outside bony area (called the lateral epicondyle ) of the elbow. Don't have to play tennis to get this, but the term came into use because it can be a significant problem for some tennis players.

4. FAMOUS SPORTMEN WHO HAD TENNIS ELBOW SACHIN TENDULKAR Stuart Clark Jim Vanek , Tennis Pro

5. Causes of tennis elbow? repeating the same motion over and over again like making roll for chapatis . playing a racquet sport, such as tennis or badminton Carrying heavy loads 20 hours at a computer each week especially for many years minute tears in arm muscles and tendons and cause inflammation .

6. WHAT ARE THE SYMPTOMS? Pain slowly increasing around the outside of the elbow. Less often, pain may develop suddenly . Pain is worse when shaking hands or squeezing objects. Pain is made worse by stabilizing or moving the wrist with force. Examples include lifting, using tools, opening jars, or even handling simple utensils such as a  tooth brush  or knife and fork.

7. Tests to diagnose No blood test , X ray will diagnose. Clinical tests Cozen test, Mill test

8. Treatment Conservative : Mainly to avoid activities which will strain on extensors muscles of forearm like wrist extensor movements. NSAIDS. Local Ice fomentation. Tennis elbow belt.

9. Local Steroid injection Local steroid injection along with lidocaine with aseptic precaution can be given to decrease pain and local infllammation .

10. PHYSIOTHERAPY GOALS-To strengthen muscles ,tendons and to enhance repair of torn tendon. Recommened only when pain is bearable/less.

11. RECENT BUT CONTRAVERSIAL PLATELET RICH PLASMA –plasma of same patient can be centrifuged and injected locally. Some studies proven better but same technique not good results in Tendon achilles rupture.

12. DR SANJAY ALLE ORTHOPAEDIC SURGEON