Elbow tendinopathy

Med Clin North Am. 2014 Jul;98(4):833-49, xiii. doi: 10.1016/j.mcna.2014.04.002.


Overuse injuries of the lateral and medial elbow are common in sport, recreational activities, and occupational endeavors. They are commonly diagnosed as lateral and medial epicondylitis; however, the pathophysiology of these disorders demonstrates a lack of inflammation. Instead, angiofibroblastic degeneration is present, referred to as tendinosis. As such, a more appropriate terminology for these conditions is epicondylosis. This is a clinical diagnosis, and further investigations are only performed to rule out other clinical entities after conventional therapy has failed. Yet, most patients respond to conservative measures with physical therapy and counterforce bracing. Corticosteroid injections are effective for short-term pain control but have not demonstrated long-term benefit.

Keywords: Elbow overuse injuries; Elbow tendinopathy; Golfer’s elbow; Lateral epicondylitis; Medial epicondylitis; Tennis elbow.

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use
  • Age Factors
  • Comorbidity
  • Cumulative Trauma Disorders / physiopathology
  • Cumulative Trauma Disorders / therapy
  • Elbow Joint / physiopathology*
  • Humans
  • Injections, Intra-Articular
  • Muscle, Skeletal / physiopathology
  • Physical Examination
  • Physical Therapy Modalities
  • Platelet-Rich Plasma
  • Range of Motion, Articular
  • Risk Factors
  • Sex Factors
  • Tennis Elbow / diagnosis
  • Tennis Elbow / physiopathology*
  • Tennis Elbow / therapy*
  • Time Factors


  • Adrenal Cortex Hormones