Tennis elbow: a biomechanical and therapeutic approach

J Am Osteopath Assoc. 1993 Jul;93(7):778, 782-8.


Lateral epicondylitis, one of the most common lesions of the arm, affects some 50% of tennis players. This condition poses a problem in clinical management because treatment is dependent not only on proper medical therapy but also on correction of the improper on-court biomechanics. The most common flaw is a late contact on the backhand groundstroke, forcing the player to extend the wrist with the extensor muscles. This action predisposes to trauma of the tendon fibers at the lateral epicondyle. Understanding the biomechanics will better prepare the physician to advise the patient and to communicate with a tennis teaching professional to facilitate long-term relief.

Publication types

  • Review

MeSH terms

  • Acupuncture Therapy
  • Adrenal Cortex Hormones / therapeutic use
  • Adult
  • Athletic Injuries* / diagnosis
  • Athletic Injuries* / physiopathology
  • Athletic Injuries* / therapy
  • Biomechanical Phenomena
  • Braces
  • Combined Modality Therapy
  • Forearm / anatomy & histology
  • Humans
  • Medical History Taking
  • Middle Aged
  • Physical Examination
  • Tennis
  • Tennis Elbow* / diagnosis
  • Tennis Elbow* / etiology
  • Tennis Elbow* / physiopathology
  • Tennis Elbow* / therapy


  • Adrenal Cortex Hormones