Who Wants Who Wants to be a to be a

Millionaire Millionaire GP Registrar? GP Registrar?

THE TENNIS THE TENNIS ELBOW ELBOW

EPISODEEPISODE

£ 100

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£ 500

£ 2,000£ 1,000

£ 4,000

£ 8,000

£ 16,000

£ 32,000

£ 64,000

£ 125,000

£ 250,000

£ 500,000£1,000,000

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1.) What is Tennis Elbow?

A B

C D

Tenderness over the medial epicondyle

and pain on resisted wrist pronation

Tenderness over the Lateral epicondyle

and pain on resisted wrist extension

Traction injury to the elbow causing

subluxation of the radial head

The reason why Tim Henman never won

Wimbledon

B

Tenderness over the Lateral epicondyle

and pain on resisted wrist extension

2.) How Common is Tennis Elbow in the UK?

A B

C D

Between 1 and 3 in 100 People in the UK

5 in 1000 people will see there doctor about it

0.000001% of the General Population

The number of times Tottenham have won the

league in the last 20 years per 100 people

A and B Between 1 and 3 in 100

People in the UK.

5 in 1000 people will see there doctor about it

3.) Who is Affected by Tennis Elbow?

A B

C D

Tennis and Golf Players Men and Women aged between 30 and 50.

None of the aboveAnyone

B and CMen and Women aged 30 to 50, but could affect anyone!

4.) What Causes Tennis Elbow?

A B

C D TennisRepetitive overuse of your

dominant arm

Repetitive overuse of your non-dominant arm

Trauma

C Repetitive actions of you hand, wrist and

forearm.

Trauma can cause it

5.) How do you Diagnose Tennis Elbow?

A B

C D

X-ray MRI

USSClinically

D Clinically

Pt. may sometimes require MRI/imaging if surgical

repair needed

CONGRATULATIONS

YOU HAVE WON…..

A free lecture on tennis elbow

6.) What treatments are there?

A B

C D

Conservative inc. Physiotherapy

Medical

All of the aboveSurgical

DAll of the above

7.) What Self-Help methods are there?

A B

C D

Cold CompressesStop doing what your doing! And Rest

Strapping/SplintsPhysiotherapy -

Exercise/Massage/Acupuncture

I’m Bored of this now

All correct!

8.) What is the first line of medical Tx?

A B

C DParacetamol/NSAIDS +/- codeine

Opiates Prayer & Meditation

Steroid Injection

B Prayer and Meditation

It’s the answer to everything

Real answer C and D

Simple Analgesia and steroid injections

9.) When would you suggest Surgery?

A B

C D

After 3 months of conservative therapy

After 6 Months of Conservative & Medical

Therapy including Steroid Injections

After 1 year of Conservative & Medical Therapy

including Steroid Injections

Surgery is never required

A or B depending on pt.

6months to 1year of conservative/medical therapy inc. steroid

injections

10.) How can you prevent tennis elbow?

A B

C D

Warm up and rest afterwards

Try not to do the same activity for long periods of

time

Don’t play if your arm is painful

Strengthen your tendons with exercise

All of them

Or Play Golf and get Golfer’s

elbow

CONGRATULATIONS

YOU HAVE WON…..

A Free Handout

Which can be E-mailled to you

No More Questions coz the PCT aint gonna pay you

64,000

Anatomy

SEQUENCE OF EXAMINATION

• INSPECTION

• PALPATION

• MOVEMENTS

• MUSCLE TESTING & SPECIAL TESTS

• NERVE TESTING

EXTENSOR GRIP TEST