Medial epicondylitis

1. What are other names for medial epicondylitis?
2. What is the mechanism of medial epicondylitis?
3. What is the difference between medial epicondylitis and little leaguer's elbow?
4. What is seen clinically in medial epicondylitis?
5. What is the treatment of medial epicondylitis?

Answers:
1. Golfer's elbow or little leaguers elbow.
2. Repetitive valgus stress such as in throwing or a back and downward swing such is in golfing.
3. Medial epicondylitis involves inflammation of the common flexor tendon, which may cause hypertrophy of the medial epicondyle. Little leaguer's elbow involves hypertrophy of the medial epicondyle, leading to microtearing and fragmentation of the medial epicondylar apophysis.
4. Tenderness at medial epicondyle that can be reproduced with wrist flexion and pronation.
5. Conservative treatment includes rest, ice, NSAIDs, immobilization, and correction of throwing mechanics. Surgical pinning can be used for unstable elbow.