ChiroACCESS Clinical Review



Tennis Elbow: Diagnosis

This information is provided to you for use in conjunction with your clinical judgment and the specific needs of the patient.

Lead Author(s): 

Dwain M. Daniel, D.C.

  

How this evidence was rated:

Strength of Recommendation Taxonomy (SORT)



Published on

December 1, 2006

Text Size:     
Lateral epicondylitis (LE) is a condition that is relatively easy to diagnose based on patient history, observation and physical examination. Few studies have been performed to test the sensitivity and specificity of the diagnostic protocols for LE. The reader should keep in mind the strength of recommendation ratings are based on a very limited number of studies. Similar to plantar fasciitis, it should be noted the diagnostic term lateral epicondylitis is probably an error in terminology as the condition does not appear to be inflammatory in nature. It is usually degenerative, often resulting in thickening of the common extensor origin (1;2).

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References

1. 

Mackay D, Rangan A, Hide G, Hughes T, Latimer J. The objective diagnosis of early tennis elbow by magnetic resonance imaging. Occup Med (Lond) 2003; 53(5):309-312.



2. 

Martin CE, Schweitzer ME. MR imaging of epicondylitis. Skeletal Radiol 1998; 27(3):133-138.



3. 

Newcomer KL, Martinez-Silvestrini JA, Schaefer MP, Gay RE, Arendt KW. Sensitivity of the Patient-rated Forearm Evaluation Questionnaire in lateral epicondylitis. J Hand Ther 2005; 18(4):400-406.



4. 

Overend TJ, Wuori-Fearn JL, Kramer JF, MacDermid JC. Reliability of a patient-rated forearm evaluation questionnaire for patients with lateral epicondylitis. J Hand Ther 1999; 12(1):31-37.



5. 

Leung HB, Yen CH, Tse PY. Reliability of Hong Kong Chinese version of the Patient-rated Forearm Evaluation Questionnaire for lateral epicondylitis. Hong Kong Med J 2004; 10(3):172-177.



6. 

Smidt N, van der Windt DA, Assendelft WJ, Mourits AJ, Deville WL, de Winter AF et al. Interobserver reproducibility of the assessment of severity of complaints, grip strength, and pressure pain threshold in patients with lateral epicondylitis. Arch Phys Med Rehabil 2002; 83(8):1145-1150.



7. 

Smidt N, van der Windt DA, Assendelft WJ, Mourits AJ, Deville WL, de Winter AF et al. Interobserver reproducibility of the assessment of severity of complaints, grip strength, and pressure pain threshold in patients with lateral epicondylitis. Arch Phys Med Rehabil 2002; 83(8):1145-1150.



8. 

Pienimaki T, Tarvainen T, Siira P, Malmivaara A, Vanharanta H. Associations between pain, grip strength, and manual tests in the treatment evaluation of chronic tennis elbow. Clin J Pain 2002; 18(3):164-170.



9. 

Smidt N, van der Windt DA, Assendelft WJ, Mourits AJ, Deville WL, de Winter AF et al. Interobserver reproducibility of the assessment of severity of complaints, grip strength, and pressure pain threshold in patients with lateral epicondylitis. Arch Phys Med Rehabil 2002; 83(8):1145-1150.



10. 

Martin CE, Schweitzer ME. MR imaging of epicondylitis. Skeletal Radiol 1998; 27(3):133-138.



11. 

Mackay D, Rangan A, Hide G, Hughes T, Latimer J. The objective diagnosis of early tennis elbow by magnetic resonance imaging. Occup Med (Lond) 2003; 53(5):309-312.



12. 

Miller TT, Shapiro MA, Schultz E, Kalish PE. Comparison of sonography and MRI for diagnosing epicondylitis. J Clin Ultrasound 2002; 30(4):193-202.



13. 

Levin D, Nazarian LN, Miller TT, O'Kane PL, Feld RI, Parker L et al. Lateral epicondylitis of the elbow: US findings. Radiology 2005; 237(1):230-234.