Читать книгу Musculoskeletal Disorders - Sean Gallagher - Страница 30

Medial epicondylitis is an overuse tendinopathy due to chronic repetitive concentric or eccentric loading of the wrist flexors and pronator teres, resulting in angiogenic and fibroblastic changes (Kiel & Kaiser, 2019). Although epicondylitis is most commonly experienced on the lateral side of the elbow, certain activities (often occupational tasks) that cause repeated stress on the elbow can lead to pain and discomfort affecting the medial epicondyle. Pain associated with medial epicondylitis is often localized to the medial epicondyle, sometimes with radiation to the proximal forearm (Amin, 2015). Pain associated with medial epicondylitis is often increased in activities involving wrist flexion or pronation (Kiel & Kaiser, 2019) This pathology is due to the development of microtrauma and degeneration of the common flexor tendon and is most commonly seen in patients above 40 years of age (Amin, 2015). The prognosis for medial epicondylitis is generally quite favorable. Most patients can return to work or athletic activities after activity modification and/or physical therapy treatment (Kiel & Kaiser, 2019).