Golfer’s elbow

• Also known as medial epicondylitis.

• Overuse syndrome of the flexor-pronator mass origin.

• Less common than lateral epicondylitis

• Associated conditions : ulnar neuropathy, ulnar collateral ligament insufficiency ( check for valgus instability)

• Symptoms

  • insidious onset pain over medial epicondyle , worse with wrist and forearm motion , worse with gripping

  • tenderness 5-10 mm distal and anterior to medial epicondyle

  • soft tissue swelling and warmth if inflammation present

• Conservative treatment: Activity modification, ice, NSAIDS, physicial therapy, extracorporeal chock wave therapy, steroids injection

• Surgivcal ttreatment : Open debridement and reattachment of flexor-pronator mass after 6 months of failed conservative treatment