This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Clinical features

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

The typical patient is in the fourth decade (or older) with a history of minor trauma to the elbow or repetitive activity during work or recreation (1). The classical history is of a tennis-related injury. The condition is seen often in the dominant extremity (2).

Occasionally symptoms are seen after a specific injury to the area but often the symptoms are of gradual, insidious onset (2). An abrupt onset of symptoms is uncommon (3).

  • pain
    • localized to the front of the lateral epicondyle and often radiates down the forearm (2)
    • in severe cases the pain may become more generalized
    • the pain is made worse by movements such as pouring out tea, shaking hands or lifting the wrist whilst the forearm is pronated.
  • weakness in grip strength or difficulty in carrying objects in hands (2)

On examination

  • there is no swelling
  • the elbow can be flexed and extended without pain
  • tenderness is generally localized to the lateral epicondyle over the extensor mass (2)
  • symptoms are usually reproduced with resisted supination or wrist dorsiflexion, particularly with the arm in full extension (1)
  • grip strength may be decreased (compared to the unaffected side) or may cause significant discomfort


Related pages

Create an account to add page annotations

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.