Lateral Epicondylitis (Tennis Elbow) Surgery Clinical Presentation

Updated: Apr 10, 2023
  • Author: Brett D Owens, MD; Chief Editor: Murali Poduval, MBBS, MS, DNB  more...
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Patients with lateral epicondylitis present with complaints of lateral elbow and forearm pain exacerbated by use. The typical patient is a man or woman in the age range of 35-55 years who either is a recreational athlete or engages in rigorous daily activities.


Physical Examination

Upon examination, the patient has a point of maximal tenderness just (5-10 mm) distal to the lateral epicondyle in the area of the ECRB. Wrist extension or supination (but not flexion or pronation) against resistance with the elbow extended should provoke the patient's symptoms. Another helpful test is the chair raise test, in which the patient stands behind the chair and attempts to raise it by placing the hands on the top of the chair back and lifting. In patients with lateral epicondylitis, this test elicits pain over the lateral elbow.