Fractures: medial epicondylitis test: practice question

A Orthopaedics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Orthopaedics · Fractures: medial epicondylitis test

Sample item

A golfer has pain over the medial epicondyle. Which examination finding supports the diagnosis of golfer's elbow?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Pain on resisted wrist flexion and forearm pronation

Golfer's elbow is tendinopathy of the common flexor-pronator origin at the medial epicondyle, so resisted wrist flexion and pronation reproduce the pain. The ulnar nerve can be irritated alongside it. Resisted wrist extension reproduces lateral epicondylitis.

Option by option

  • A. Pain on resisted wrist extension with the elbow straight

    Pain on resisted wrist extension points to tennis elbow.

  • B. Pain on resisted wrist flexion and forearm pronation (correct)

    Correct. Resisted flexion and pronation load the flexor-pronator origin.

  • C. Pain on resisted finger extension 5 cm below the epicondyle

    Tenderness distal to the lateral epicondyle with finger extension suggests radial tunnel syndrome.

  • D. Pain on shoulder abduction between 60 and 120 degrees

    A painful arc of shoulder abduction suggests subacromial impingement.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is B, Pain on resisted wrist flexion and forearm pronation. Golfer's elbow is tendinopathy of the common flexor-pronator origin at the medial epicondyle, so resisted wrist flexion and pronation reproduce the pain.

Why is "Pain on resisted wrist extension with the elbow straight" not the answer?

Pain on resisted wrist extension points to tennis elbow.

Why is "Pain on resisted finger extension 5 cm below the epicondyle" not the answer?

Tenderness distal to the lateral epicondyle with finger extension suggests radial tunnel syndrome.

Why is "Pain on shoulder abduction between 60 and 120 degrees" not the answer?

A painful arc of shoulder abduction suggests subacromial impingement.

What concept does this question test?

It tests Fractures: medial epicondylitis test in Orthopaedics. The ulnar nerve can be irritated alongside it. Resisted wrist extension reproduces lateral epicondylitis.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Fractures: medial epicondylitis test?

Pair each fracture with its classic complication and nerve injured. Then use the flashcards and the other Orthopaedics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.