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Lateral epicondylitis — SCE Rheumatology MCQ

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EasyOsteoarthritis and soft tissue rheumatologyLateral epicondylitisSCE Rheumatology

A 46-year-old tennis player has lateral elbow pain worse with gripping and resisted wrist extension. There is focal tenderness over the lateral epicondyle, full elbow range of motion and no joint swelling. What is the most likely diagnosis?

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Correct answer: C — Lateral epicondylitis

Lateral epicondylitis presents with lateral epicondyle tenderness and pain on resisted wrist extension. Radial tunnel syndrome can mimic it but pain is usually more distal and neurological features may be present. Lack of swelling and preserved range make inflammatory monoarthritis unlikely.

Reference: BSR rheumatology curriculum; NICE MSK guidance