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Who Wants Who Wants to be a to be a
Millionaire Millionaire GP Registrar? GP Registrar?
THE TENNIS THE TENNIS ELBOW ELBOW
EPISODEEPISODE
£ 100
£ 200
£ 300
£ 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
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