Difference Between Tennis Elbow and Golfer s Elbow

Golfer's elbow and tennis elbow, two different balls that cause inflammation of the medial and medial epicondyles of the humerus of the elbow joint.

name. Tennis elbow: corresponds to lateral epicondylitis of the humerus.

Golfer's elbow: corresponds to medial epicondylitis of the humerus.

incidence. Tennis elbow is the most common in orthopedic clinics, as it can occur not only in tennis players, but also in many housewives (this group is too large), and the incidence is high.

Pathogenesis. Tennis elbow: It is caused by chronic laceration of the extensor carpi radialis brevis muscle, which causes continuous damage to the lateral epicondyle of the humerus, resulting in lateral epicondylitis of the humerus.

Golfer's elbow: When people are playing golf, the posterior swing to the highest point, the muscles of the pronation flexor muscles are under the pressure of valgus, and the pressure is repeated until it hits the golf ball, which leads to cumulative damage to the medial epicondyle of the humerus, resulting in medial epicondylitis, which is similar to the pathogenesis of tennis elbow.

Population. Tennis elbow: It is commonly seen in tennis players, badminton players, housewives, bricklayers, carpenters and other long-term repetitive elbow movers.

Golfer's elbow: commonly seen in golfers, students, miners.

Clinical manifestations: tennis elbow: often presents with pain on the outside of the elbow joint, sometimes on both sides.

The pain often radiates to the forearm. The tender point begins at the extensor carpi radialis brevis muscle, which is lateral to the elbow (lateral epicondyle of the humerus). The general movement of the elbow joint is normal, but when it is necessary to hold objects hard, lift the pot, twist the towel and other exercises, it can cause worsening pain.

There is no obvious redness and swelling locally.

Golfer's elbow: Pain is caused by the medial epicondyle of the elbow and can worsen when the elbow is extended when the forearm is externally rotated and the wrist is dorsiedly extended.

**Above: The treatment of the two is similar mainly including rest, ice, non-steroidal anti-inflammatory drugs and medical elbow pads. Local injections of hormones, etc.

Golfer's elbow is also known as medial epicondylitis or flexor tendon injury. Injury caused by excessive fatigue at the beginning of the flexor supinate tendons. When the swing reaches its highest point after playing golf, this muscle is under valgus pressure that runs through the entire hem until it hits the golf ball.

The pain is caused by the medial epicondyle of the elbow and worsens with wrist flexion and forearm rotation. **Includes rest, ice, topical elbow and pain patches, non-steroidal anti-inflammatory drugs and splinting. Local hormone injections and surgery** are rarely used.

Medial epicondylitis is pain on the inside of the elbow, and medial epicondylitis is also known as golfer's elbow.

The medial epicondyle of the humerus is where the flexor and pronator tendons of the forearm and pronator teres muscles are attached. When the elbow flexion is often forcefully flexed and the forearm is supinated, the ulnar flexor carpi muscle is in a state of tension contraction, which predisposes to acute sprain or chronic strain at the attachment point of the tendon.

The ** of medial epicondylitis of the humerus has not been fully determined, and it is generally believed to be the degenerative changes and inflammatory lesions of the tendon caused by repeated tension and stretching of the common flexor tendon, and its pathological changes include collagen fiber degeneration and vascular fibroblast proliferation at the beginning of the pronator muscle of the flexor muscle of the medial epicondyle, tendon fragmentation and tearing, accumulation of vascular granulation tissue and tendon necrosis, accompanied by secondary inflammatory reactions.

Median epicondylitis is associated with a variety of factors, including occupation, housework, sports injuries, age and constitution.

The above content reference:

Golfer's elbow, also known as gōng, is mainly caused by repeated traction and cumulative injury at the medial epicondyle of the humerus, the starting point of the flexor muscles of the forearm, and is similar to the pathogenesis of tennis elbow (lateral epicondylitis), which is commonly known as golfer's elbow, student elbow, and miner's elbow because it is common among golfers, students, and miners.

A few days ago, when Taiwan's Light Zeng Yani participated in the second round of the LPGA Australian Open, she was found by a sharp-eyed courtside reporter that her right elbow was pasted, and it was confirmed that it was an old elbow injury**, which will be sore when the court is hard or the weather is cold, which will affect the performance. According to the understanding, Zeng Yani's old injury is golfer's elbow, which is listed as the two most important sports injuries in the elbow area along with tennis elbow.

Golfer's elbow is located on the inside of the elbow, while tennis elbow is mostly on the outside, and the two are the top two sports injuries in the elbow. (Photo by Luo Huiwen) Tsai Wenji, associate professor of orthopedics and orthopedic surgeon at National Taiwan University, said that golfer's elbow and tennis elbow are sports injuries on the inside and outside of the elbow respectively, based on the human body proportions map drawn by Leonardo da Vinci (Vitruvian figure), with the palms of both hands facing forward, the elbow injury close to the inside of the body is golfer's elbow, and the one on the outside is tennis elbow. If a golfer is accustomed to swinging the club with his right hand, his right hand is prone to damage the tendon attachment of the epicondyle of the humerus in the medial part of the elbow due to improper or excessive repetitive thrust, resulting in inflammation of the medial aspect of the epicondyle and forming golfer's elbow; The left hand that pulls the club will be forcefully stretched at the lateral epicondyle of the humerus of the left hand for a long time, and the tendon will have elastic fatigue and laceration, and the shape will become a tennis elbow.

Golfer's elbow occurs for the same reasons as tennis elbow, including inadequate warm-up before exercise, repetitive and sustained intense exercise of the elbow area, lack of protection mechanisms to cushion muscle tone during exercise, and incorrect posture or poor technique. For golfers and hidden friends, the instantaneous force when swinging will increase with the length of the club, if the instant force is 10 kilograms (kgw), the length of the club is 1 meter (m), when the swing is accidentally shoveled into the soil, the elbow is instantly subjected to reaction force and moment damage of 10 kilograms (kgw m), under the long-term accumulation, it is easy to cause chronic tendonitis to the elbow, as long as the weather becomes cold**.

Dr. Chua Man-kee said that daily tasks such as lifting heavy objects, washing clothes, twisting towels or carrying a kettle to pour water, sweeping and chopping vegetables will increase the chance of elbow being exposed to hidden forces, resulting in difficult recovery of golfer's elbow or tennis elbow, so in addition to taking medication to reduce pain and rehabilitation**, the most important thing is to take prevention** as the principle. Prevention** includes warm compresses to promote blood circulation, vitamin C intake to strengthen connective tissues, and vitamin B supplementation to coordinate nerve conduction function.

As for the tie sticker attached to Zeng Yani's right elbow, it has the same effect as the wrapping elbow brace, which has the functions of ** and preventive protection, which can stabilize muscle tension, reduce muscle injury, and avoid excessive or improper stretching movement and injury to the attachment of the humeral epicondyle tendon.

In addition to elbow sports injuries such as golfer's elbow and tennis elbow, Dr. Chua reminds that common sports injuries among golfers include shoulder triceps and wrist triangular cartilage injuries caused by swing, waist and back strains caused by bending over and twisting, strained 4th finger ligament and flexor ligament rupture of the clubholder. It is recommended to warm up before exercising, wear protective gear, maintain a correct posture, and do what you can, and take a moderate rest after exercise.

1.Non-surgical**.

1) Rest properly to avoid activities that cause pain, and do not exercise until the pain is gone, especially not playing tennis.

2) Apply ice to the outside of the elbow and do not touch the ice cubes when wrapping them in a towel to avoid frostbite.

3) Take aspirin or non-steroidal anti-inflammatory painkillers.

4) The patient can use a compression resistance brace in the forearm, which can limit the force generated by the muscles of the wide arm of the forespine.

5) Hyperthermia is applied preferably before stretching** and exercise preparation activities.

6) Stretching** is to start gently stretching the elbow and wrist according to the doctor's instructions after the patient's acute pain disappears, do not produce pain, keep the stretching state for 10 seconds, and repeat 6 times.

7) Follow the doctor's instructions to strengthen the strength of the wrist extension muscles.

8) Start exercising the arm movements required for the exercise program as recommended by the doctor.

9) Injection of cortisone drugs into specific parts of the elbow joint can reduce inflammation and relieve pain.

10) Extracorporeal shock wave** can improve local blood circulation, reduce inflammation, and have a good effect on tendon terminal disease.

2.Surgery**.

If the patient's tennis elbow is advanced or recalcitrant tennis elbow, after six months to one year of regular conservatism**, the symptoms are still very serious and have affected Sino Liang's life and work**, surgery can be taken**. Surgical methods include minimally invasive arthroscopic surgery and non-invasive open surgery to remove unhealthy tissue, improve or re-establish local blood circulation, and allow tendons and bones to heal.

Patients with tennis elbow should avoid large movements during the first period, especially at the elbow joint, and do not reluctantly exercise in the acute stage, but should carry out the exercise in time, so as not to delay the formation of stubborn tennis elbow, which not only increases the difficulty but also increases the damage to the elbow. Proper exercise and regular massage after the acute phase are good and effective measures to prevent tennis elbow**.

It can work the arm muscles, and biceps.

Triceps. There are many ways to exercise, depending on your equipment, and make sure that you use the correct way to exert force during the exercise.