The patient should be seated or standing and should have his/her fingers flexed in a fist position. The examiner then passively supinates the forearm and extends the elbow and wrist. The usual age of onset for both lateral and medial epicondylitis is between 35 and 50 years, with an equal distribution between males and females for the lateral entity but a male preponderance of 2 : 1 with medial epicondylitis. In addition, in medial epicondylitis, ulnar nerve symptoms occur in 50% of cases. The test for Lateral Epicondylitis is Cozen's test, which consists of pronation of the forearm with resisted wrist extension and radial deviation to determine if pain occurs. The Mills test for LE has a higher specificity and sensitivity score for diagnosing LE compared to other measures. Lateral epicondylitis reportedly affects 1.3% of the general population, while medial epicondylitis affects only 0.4%, making tennis elbow the most common source of elbow pain related symptoms. The use of Polk's Test may help the clinician to diagnostically differentiate between lateral and medial epicondylitis, as well as supply information relative to choosing proper instructions for the patient to follow as part of their treatment program. The patient is then asked to actively make a fist, pronate his or her forearm as well as radially deviate and extend the wrist against a counterforce that is … Lateral epicondylitis, or “tennis elbow,” is an inflammation of the tendons that join the forearm muscles on the outside of the elbow. Conclusion. Over time, the forearm muscles and tendons become damaged from repeating the same motions again and again. A positive sign is indicated by pain over the medial epicondyle of humerus. The examiner palpates the medial epicondyle with one hand and grasps the patient’s wrist with his/her other hand. the medial collateral ligament and the ulnar nerve. Epicondylitis typically occurs during the 4th and 5th decades of life. What is Lateral and Medial Epicondylitis? This leads to pain and tenderness around the elbow. Moreover, the medial side of the elbow has other structures that may be the source of pain, e.g. Medial epicondylitis, or “golfer’s elbow,” is an inflammation of the tendons that attach your forearm muscles to the inside of … There are a variety of factors that predispose its onset. Despite the name, tennis players only make up approximately 10% of the patients diagnosed with lateral epicondylitis. The test for Medial Epicondylitis is a clinical test in which pain is exacerbated on resisted pronation of the forearm with wrist flexion. Both tennis elbow (lateral epicondylitis) and golfer’s elbow (medial epicondylitis) are painful conditions caused by overuse. Test for medial epicondylitis. Patients describe a history of activities contributing to overuse of the forearm muscles that originate at the elbow. 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