Elbow pain
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US National Guidelines Clearinghouse on Elbow pain
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Phone:617-525-6884
Please Take Over This Page and Apply to be Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [2] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.
Overview
- Elbow is comprised of the radius, ulna, and distal humerus
- Trauma is the most common cause of elbow pain
- The elbow is the third most commonly dislocated large joint
Differential Diagnosis
- Angina
- Bursitis
- Dislocation
- Distal biceps tendon rupture
- Epicondylitis
- Fracture
- Gouty arthritis
- Infection
- Loose body
- Osteoarthritis
- Pronator Syndrome
- Radial Tunnel Syndrome
- Rheumatoid Arthritis
- Trauma
- Ulnar nerve entrapment
Physical Examination
- Careful examination of hand, wrist, elbow and shoulder
Electrocardiogram
Should be performed in a patient with risk factors for coronary heart disease.
X-Ray
- Standard X-rays (anterior/posterior, lateral and oblique views)
MRI and CT
- Rarely, MRI may be indicated
Other Diagnostic Studies
- Aspiration
- Nerve conduction tests
Treatment
- Elevation, immobilization (elbow flexed at 90 degrees), analgesia for fracture management
- Anatomic reduction (neurovascular compromise)
- Rest and physical therapy (epicondylitis)
- Reduction (elbow dislocation, nursemaid's elbow)
Pharmacotherapy
Acute Pharmacotherapies
- Nonsteriodal anti-inflammatory drugs (NSAIDs) (general fracture, epicondylitis)
References
Acknowledgements
The content on this page was first contributed by Editor-In-Chief: C. Michael Gibson, M.S., M.D. [3] Phone:617-525-6884
List of contributors:
Suggested Reading and Key General References
Suggested Links and Web Resources
For Patients
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

