![]() ![]() History often includes repeated elbow flexion with forearm supination or pronation, such as in dumbbell curls. Patients with biceps tendinopathy may present with vague anterior elbow pain. 3 This condition presents with an insidious course of anterior elbow pain, especially with resisted flexion and resisted supination of the forearm. Although distal biceps tendon ruptures are rare, comprising 3% of all tendon ruptures, distal biceps tendinopathy is more common. ![]() The biceps tendon is a relatively common source of pain in the anterior elbow. Musculoskeletal ultrasonography allows for an inexpensive dynamic evaluation of commonly injured structures. Magnetic resonance imaging is the preferred imaging modality for chronic elbow pain. Plain radiography is the initial choice for the evaluation of acute injuries and is best for showing bony injuries, soft tissue swelling, and joint effusions. It can be septic or aseptic, and is diagnosed based on history, physical examination, and bursal fluid analysis if necessary. Olecranon bursitis is a common cause of posterior elbow pain and swelling. Biceps tendinopathy is a relatively common source of pain in the anterior elbow history often includes repeated elbow flexion with forearm supination and pronation. Ulnar collateral ligament injuries occur in athletes participating in sports that involve overhead throwing. If lateral and medial epicondylitis treatments are unsuccessful, ulnar neuropathy and radial tunnel syndrome should be considered. Patients have pain and tenderness over the affected tendinous insertion that are accentuated with specific movements. ![]() Lateral and medial epicondylitis are two of the more common diagnoses and often occur as a result of occupational activities. The history should include questions about the onset of pain, what the patient was doing when the pain started, and the type and frequency of athletic and occupational activities. The location and quality of elbow pain can generally localize the injury to one of the four anatomic regions: anterior, medial, lateral, or posterior. The elbow is a complex joint designed to withstand a wide range of dynamic exertional forces. ![]()
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