ABSTRACT
Elbow disorders are commonly encountered in primary care; overuse and traumatic injuries present in all demographic age groups and can result in considerable recreational and occupational disability if not diagnosed and managed appropriately. Determining the underlying etiology of elbow and forearm pain can be challenging for the primary care provider secondary to the complex anatomy of the joint and the potential for referred pain from both the neck and the shoulder. As with other musculoskeletal complaints, the key to an accurate diagnosis is knowledge of functional anatomy in combination with a detailed history and physical and prudent utilization of diagnostic testing (see Chapters 17 through 21). As elbow injuries are commonly the result of activities unique to the individual, the patient’s arm
dominance, occupation, and recreational activities can additionally be important clues to the diagnosis. This chapter reviews the functional anatomy of the elbow and forearm and approaches diagnosis and management from a symptom-oriented and anatomical approach. The identication of evidence-based approaches are provided where applicable, as well as recommendations for referral to a consultant when clinically indicated (Table 44.1).
