The pain is exacerbated by resisted extension of the wrist or fingers. Occasionally immobilization of the wrist in a volar splint is required. Local steroid injection and orthopedic referral may be advised in recalcitrant cases. This results from repeated flexion activities of the wrist and fingers. Pain is at the medial epicondyle and exacerbated by resistant flexion of the fingers.
Treatment is the same as that of lateral epicondylitis.
The child holds his arm in pronation and usually refuses to move it with pain on supination and palpation of the radial head. Although radiographic findings are usually normal, one must be sure to rule out undisplaced supracondylar fracture. Treatment is firm supination of the forearm, flexing the elbow gently to 90 degrees with pressure over the radial head. Reduction is achieved with a palpable click over the radial head, and the pain is immediately relieved. The patient should resume full activity within several minutes of reduction.