Introduction

Lateral epicondylitis typically follows unaccustomed activity such as house painting or playing tennis ('tennis elbow'). It is most common in people aged 45-55 years and typically affects the dominant arm.

Epidemiology

  • Incidence: 500.00 cases per 100,000 person-years
  • Peak incidence: 50-60 years
  • Sex ratio: 1:1
<1 1-5 6+ 16+ 30+ 40+ 50+ 60+ 70+ 80+

Clinical features

Features
  • pain and tenderness localised to the lateral epicondyle
  • pain worse on wrist extension against resistance with the elbow extended or supination of the forearm with the elbow extended
  • episodes typically last between 6 months and 2 years. Patients tend to have acute pain for 6-12 weeks

Management

Management options
  • advice on avoiding muscle overload
  • simple analgesia
  • steroid injection
  • physiotherapy