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NBME 21 Answers

nbme21/Block 2/Question#4

An 18-year-old woman comes to the office because of ...

Extensor carpi radialis brevis

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Tennis elbow results in strain of the common extensor tendon and inflammation of the periosteum of lateral epicondyle.

Lateral elbow pain, often felt when opening a door or lifting a glass.

origins of the muscles that may be affected (all have extensor in the name so if you remember that you could get this question by elimination)

  1. extensor carpi radialis longus
  2. extensor carpi radialis brevis
  3. extensor digitorum
  4. extensor digiti minimi
  5. extensor carpi ulnaris

From the 100 most important Anatomy Conceptions PPT (St Matthews University)

 +2  upvote downvote
submitted by neonem(371),

"Tennis elbow" is due to radial nerve impingement near the lateral epicondyle of the humerus. Extensor carpi radialis brevis is a muscle of the extensor compartment of the forearm, originates from the lateral epicondyle as well.

ibestalkinyo  The radial nerve is NOT involved with lateral epicondylitis. The underlying pathophys is inflammation of the tendinous bursa and origin of the extensor tendons. Radial nerve involvement would lead to more neurologic deficits such as loss of sensation and weakness rather than tenderness and pain against resisted extension. +1  

wrist extensors (tennis - backhand)--> lateral epicondyl wrist flexors (golf - think near shot - don't know what it's called) - medial epicondyl

b1ackcoffee  fucked formatting. +