Pain in the elbow can be from the soft tissues of the elbow joint and bones or from other areas to the elbow. Acute and chronic infections can result from inflammatory arthritis (RA, AS), degenerative osteoarthritis, fractures, enthesopathies, impingement syndromes (entrapment neuropathies) and other soft tissue disorders.
In painful syndromes that occur in the elbow joint, symptoms such as movement limitation, muscle weakness, contracture, joint locking can be seen in addition to pain.
Professional activities, sports injuries, hobbies, traumas should be questioned to find the causes of pain.
Diabetes and alcoholism are the most important factors that trigger neuropathies in the elbow.
Pain caused by extra-articular causes is better localized and sharp. Joint pains are felt deeper. In neuropathies, there is a pain that is not well localized and radiates to the distal (tip, fingers).
Neck and shoulder pain can often spread to the elbow. Elbow swelling is due to olecranon bursitis. Joint swelling and flexion contracture may occur due to RA. Tenderness in the lateral and medial epicondyle and pain in the elbow during movements of the wrist against resistance suggest epicondylitis.
While evaluating the elbow joint, the shoulder, neck and wrist joints should also be reviewed.
Non-Joint Causes: Epicondiliters, olekrenon bursiti, myositis ossifikans
Arthritis: RA, gout, osteoarthritis, pseudogut, seronegative arthritis, hemophilia, hemoglobinopathies, transient synovitis, neuropathic arthritis, septic arthritis
Bone-related causes: Fractures, osteochondritis dissecans, tumors
Neuropathies: Brachial ulnar and radial nerve lesions, pronator teres syndrome, cubital tunnel syndrome, supracondylar protrusion syndrome, anterior and posterior interosseous nerve entrapment neuropathy.