Dr. Kevin Yip

Dr Kevin Yip
Orthopaedic Surgeon
MBBS(UK), FRCS(EDIN), FAM(SING), FHKCOS(ORTHO)

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Golfer’s Elbow

SYMPTOMS

There is gradual onset of exerciseinduced pain around the medial epicondyle of the elbow that is aggravated by hyper-extension.

AETIOLOGY

This is an over-use type injury of unknown aetiology, often affecting the wrist flexor muscle origins at the medial epicondyle in racket sports players, javelin throwers and cricket bowlers. Despite the name, such injury to golfers is rare.

CLINICAL FINDINGS

There is tenderness on palpation over the medial humerus epicondyle and pain and weakness is caused by resisted elbow hyper-extension.

INVESTIGATIONS

X-ray and MRI are normal.

TREATMENT

Temporary partial immobilisation avoiding hyper-extension may relieve symptoms. Address aspects such as bowling technique, errors in top spin or throwing, etc. Cortisone injections may be considered. A soft neoprene type of brace may decrease symptoms.

REFERRALS

Refer to Dr Kevin Yip (+65 9724 1219) senior consultant orthopaedic surgeon  if this diagnosis is suspected or if the diagnosis is not clear.

EXERCISE PRESCRIPTION

Many sports can be maintained during healing but the duration of symptoms is usually long. Running, cycling and swimming are good  alternatives to keep up general fitness. Gym training can be maintained.

EVALUATION OF TREATMENT OUTCOMES

Normal clinical symptoms and signs and good elbow function. Compare with other elbow.

DIFFERENTIAL DIAGNOSES

Loose bodies, OCD, synovitis (MRI can usually differentiate).

PROGNOSIS

Excellent, if treated appropriately.

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