Tennis Elbow (Featured Image)

Tennis elbow: Causes, Signs and Symptoms, Diagnosis and Treatment

Tennis elbow is a condition characterized by painful inflammation of the outer part of the elbow. Also known as lateral epicondylitis.

Tennis elbow occurs when the tendons in the elbow become overloaded usually by repetitive motion of the arm and wrist. The pain is mostly located on the lateral side of the elbow but may radiate down into the back of the forearm and grip strength may become weakened.

About 2% of people are affected, it can pop up in people of any age but it’s more common in those who are 30 to 50 years.

 

Causes:

Tennis elbow is a type of repetitive strain injury that is caused by the repeated contraction of the forearm muscle

The specific forearm muscle that plays a role is the extensor carpi radialis brevis (ECRB) muscle. This muscle helps to straighten and raise or extend the wrist repetitive stress weakens the ECRB muscle, causing a series of tiny tears in the muscle’s tendon at the point where it attaches to the outside of the elbow.

Causes_ Tennis

 

Over time the tears damage the ECRB muscle leading to inflammation and pain.

ECRB muscle

Tennis elbow can be triggered by any activity that involves repetitive twisting of the wrist such as:

  • Tennis and other racquet sports
  • Golfing
  • Swimming
  • Turning a key
  • Using plumbing tools
  • Repetitive computer mouse use
  • Frequently using hammer
  • Painting
  • Cutting up cooking ingredients, particularly meat

 

Symptoms:

Pain on the outer part of the elbow that is mild at first but gradually gets worse,

  • A weak grip.
  • Pain radiating from the outside of the elbow down to the forearm and wrist.
  • Increased pain when shaking hands.
  • Squeezing an object
  • Turning a doorknob
  • Holding a coffee cup
  • Pain when lifting something or using tools

 

Diagnosis and Treatment:

Tennis elbow is usually diagnosed during a physical exam. The doctor will inquire about your job, whether you are into any sports, and how the symptoms developed. The doctor will perform simple tests to help make a diagnosis.

The doctor may apply pressure on the affected area or may ask you to move your elbow, wrist, and fingers in various directions physical examination and medical history are enough to make a diagnosis in most cases.

However, if the doctor suspects that something else may be causing your symptoms. The doctor may suggest imaging tests, such as an X-ray or MRI scan.

Tennis elbow often resolves on its own. About 80 to 95 cases can be treated with self-care measures.

During treatment, the doctor will first prescribe one or more of the following:

  • Rest
  • Ice pack
  • Nonsteroidal anti-inflammatory medicine such as ibuprofen
  • Physical therapy
  • Steroid injection
  • Ultrasound Therapy

Surgery may be needed if symptoms don’t improve after six months or a year of treatment surgery may be performed through a large incision made directly over the elbow open surgery or through several small incisions. Both methods are employed to remove any dead tissue and to reattach healthy muscle to the bone a splint may be used to immobilize your arm after surgery to help restore muscle strength and flexibility.

Splint

 

 

For more information talk to a healthcare provider.

If you have any questions about Tennis elbow, please feel free and leave a comment.

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Types of Joints

6 Types Of Joints: Human Anatomy

The joints of the skeleton define the motion of the body and its limitations.

This article is about the types of joints in the human body.

Joints that are fibrous and cartilaginous hardly move, and some like the connection of the two pubic bones they don’t move at all.

fibrous and cartilaginous                pubic bone

 

Synovial Joints:

 

They have varying shapes, but the important thing about them is the movement they allow. Joints determine what position our bodies can take.

We learn them to invent poses. And we learn the limits to stretch the limits.

There are 6 types of synovial joints are Hinge, Pivot, Ball & socket, Ellipsoid, Saddle, and Plane.

 

6 Synovial joints

 

Let’s go through them one by one,

 

Hinge Joint:

 

The hinge is a very simple joint. It allows movement only on one axis. Its structure prevents rotation sideways.

The head of one bone wraps around the cylindrical head of the other, allowing a very stable rotation to the upper side.

 

Hinge Joint             

 

The hinge joint allows flexion and extension.

The best example of it is the elbow, it only does flexion and extension.

So, if the elbow only allows flexion and extension, how is it that we are able to twist the forearm?

Well, let’s take a look at the next joint.

 

Pivot Joint:

 

The pivot joint also allows rotation at only one axis. However, it rotates along the long axis.

 

 

Pivot joint Long axis

 

A cylindrical bone fits into a ring of bone and ligament, with the radioulnar joint just below the elbow.

 

Pivot joint

 

The cap on the radius bone fits nicely into this notch on the ulna bone.

 

Pivot joint (radioulnar)

Ligaments complete the ring, holding the bone in place and allow the radius only to rotate inside of it.

 

Pivot joint ring

 

The result on the forearm is what we call pronation and supination.

 

Pivot joint (Pronation)           Pivot joint (Supination)

 

During pronation, the base of the radius rotates over and around the head of the ulna. The ulna stays relatively still.

 

Pivot joint (Radius, Ulna)

 

Remember, the hinge joint at the elbow prevents the ulna from twisting. So all of that twisting happens at the radius.

And by the way, the distal joint of the ulna and radius is also a pivot joint.

The combination of the pivot at the top and at the bottom creates that twisting motion for pronation and supination.

 

Ball & Socket Joint:

 

The ball and socket is the champion of all joints. Its structure is just like how it sounds. A ball inside of a socket.

Ball and socket              Ball and socket 1

 

This simple and effective structure allows it to move in all axes- flexion/extension, abduction/adduction, rotation, and circumduction.

The two ball and socket joints of the body are at the hip and the shoulder.

 

Ball and socket (hip)                Ball and socket (Shoulder)

 

The hip has a deep socket, which gives it stability but limits some range of motion. The shoulder joints have a shallower socket, which gives it a greater range of motion but takes away some stability. Maybe that’s why a dislocated shoulder is so common.

 

Ellipsoid Joint:

 

Ellipsoid Joint

 

The ellipsoid joint is very similar to a ball and socket. However, the ligaments and their oval shape prevent rotation. But it still has the ability to rotate on two axes, which allows flexion/extension, abduction/adduction, and circumduction.

Circumduction is just a combination of all the others in a circular motion. The ball or oval head also slides inside the socket.

When it rotates along the wider plane, you can see how it pops out too much from the socket. So, it slides in back to the center.

A great example of an ellipsoid joint is the wrist, aka radiocarpal joint. The group of carpal bones rotates inside the socket of the radius.

 

Saddle Joint:

 

The saddle joint is similar to the ellipsoid but the rotation is limited mostly because of the bone structure. The structure of the saddle is very interesting.

 

              Saddle Joint 1

 

Both bones have a concave and convex surface. Convex means the surface sticks out, like a hill. Concave means the surface curves in, like a hole or a cave. The concave plane of one fits on the convex plane of the other.

 

Saddle Joint (Concave and convex)

 

So, this unique structure allows the joint to flex, extend, abduct, adduct, circumduction, and very slightly rotate.

An example of a saddle joint on the body is the carpometacarpal joint of the thumb.

 

Saddle Joint (Carpometacarpal Joint)

 

 

Plane Joint: 

 

It’s basically two flat surfaces, one on top of the other.

 

Plane Joint                Plane Joint

 

These surfaces can glide or rotate. They usually come in groups, like the carpal bone of the hand and the tarsal bone of the foot. The ligament holds these bones together but might allow some rotation and gliding.

 

Plane Joint

 

Another plane joint is the acromioclavicular joint. That’s the one between the clavicle and acromion process of the scapula.

 

Plane Joint

 

When we elevate the shoulder, the angle in here will adjust to keep the scapula vertical.

 

 

 

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Dislocated Elbow- Symptoms and Causes

The elbow is made up of three bones- humerus, radius and ulna. The elbow dislocation happens when any of these bones become separated or knocked out of place. If a person thinks that he/she has a dislocated elbow, he/she should get immediate medical help because dislocation can be very painful, causing the elbow to become unstable and sometimes unable to move. It damages the ligaments of the elbow and can also damage the surrounding muscles, nerves and tendons.

Causes of a dislocated elbow

  • When people try to stop a fall with an outstretched hand
  • Car accidents
  • Sports injuries
  • A joint disorder such as Ehlers-Danlos syndrome makes joints unusually loose and flexible

Symptoms of a dislocated elbow

A dislocated elbow can be partial or complete. A complete elbow dislocation involves a total separation called a luxation and when the elbow joint is partially dislocated, it is called a subluxation. Doctors also classify elbow dislocations according to where it occurs and the extent of the damage. The 3 types are:

Simple: No major injury to the bone

Complex: Severe injuries to the bone and ligament

Severe: Damage to the blood vessels and nerves around the elbow

The symptoms of a dislocated elbow vary depending on the type of injury and the bones involved. These are the common symptoms-

  • Bruising
  • Deformed-looking arm (bone looks out of place)
  • Weakness in the joint
  • Loss of ability to move the elbow
  • Pain
  • Swelling

This is the general information about Elbow Fracture. We recommend you to take your doctor’s advice for proper guidance. We hope this information adds value to your knowledge. Watch out this space for more such information. Greetings for SYS Medtech International PVT. LTD.

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