elbow pain
Introduction
Introduction The external humeral epicondylitis and the iliac crest nerve vascular bundle are subjected to embedding and the like, which may cause elbow pain. In addition, falls, sprains, and traction injuries can cause elbow pain. The disease is the most common in 40-50 years old, and there are common tennis elbows and golf elbows.
Cause
Cause
Common diseases that cause elbow pain, such as external humeral epicondylitis, iliac crest nerve vascular bundle compression, elbow lateral ligament injury, ankle joint injury synovitis, elbow lateral joint capsule injury, sputum Tendon bursitis of the tendon, deep sacral nerve compression.
It is usually caused by trauma or strain of the elbow, or external wind and cold and dampness, causing local blood stasis and collaterals.
Examine
an examination
Related inspection
Tennis elbow test forearm ruler test forearm extensor tension test Spieder test elbow test
Common symptoms:
The most common incidence is 40-50 years old.
There are obvious professional factors, such as badminton, tennis players, computer operators, chefs, fitters, hairdressers, housewives and so on.
The pain on the lateral side of the elbow is mainly related to fatigue and fatigue, which seriously affects daily life. For example, taking a cup of water, twisting a towel, lifting a heavy object, all the pain, holding the object is not strong, taking off the phenomenon.
The lateral elbow tenderness is obvious.
diagnosis:
1. External humeral epicondylitis, nerve vascular bundles are embedded: the tenderness of the superior tendon of the extensor tendon is obvious in the external humerus. When the wrist resistance test is performed, the pain of the external humerus is aggravated, most of which are external humeral epicondylitis. .
2. External elbow ligament injury: tenderness under the upper iliac crest and the upper end of the humerus, loosening the needle acupuncture to loosen the contracted scar tissue, and reduce the pressure.
3. Ankle synovitis: The lateral swelling of the elbow joint is obvious, and the joint capsule near the small head of the humerus is extensively tender. Elbow joint activity is limited. Especially the forearm is pre-spinned.
4. Extensor muscle elbow joint capsule stress injury: joint capsule limitation or extensive tenderness, middle finger resistance to back extension test, the upper jaw of the humerus pain increased, loosening the needle to loosen the contracted scar tissue.
5. bursitis: the most pain caused by the forearm pronation, no tenderness of the upper iliac crest, patients often have elbow movements, loosening the needle to loosen the sac decompression, the symptoms are relieved, with Chinese medicine anti-inflammatory water .
6. Deep sacral nerve compression: each metacarpophalangeal joint flexes, can not actively straighten, can not stretch the first metacarpophalangeal joint.
The anterior and lateral humeral neck of the elbow joint is equivalent to tenderness at the superficial fiber arch of the supinator muscle, and the phrenic nerve conduction velocity is prolonged.
Diagnosis
Differential diagnosis
Severe pain in the elbow, tenderness and swelling: localized swelling, pain and tenderness of the clavicle fracture are more obvious.
Swelling and tenderness of the elbow: intercondylar fracture of the humerus, severe pain after trauma to the elbow joint, extensive tenderness, obvious swelling, and may be accompanied by subcutaneous congestion.
Abdominal elbow swelling and dysfunction: half of the radial head fracture is also called Hahn-steinthal fracture, symptoms and signs: elbow lateral swelling, elbow flexion and extension dysfunction.
Elbow sprain: The elbow sprain is mostly under the action of external force, causing the elbow to have an abnormal range of motion, causing damage to the medial and lateral collateral ligaments of the elbow.
