The Elbow

Combination of a classical tennis elbow type II and a loose body

Sometimes an impacted piece of cartilage limiting the passive extension of the elbow co-exists with a tendinitis of the extensor carpi radialis brevis. (type II tenniselbow)

Diagnosis:

One should consider this possibility if the passive extension of the elbow is lightly limited with a springy endfeel.
It is well possible that the tendonitis is secondary to the biomechanical changes that result from the impaction of the loos cartilage.

Treatment:

Treat the limitation of the extension by a manipulative reduction of the loose body.
The tenniselbow is then treated by local infiltrations with triamcinolone.

!! Attention !!

No Mill's manipulations as long as the passive extension is not back to normal (full range, painles and hard, normal endfeel) !!