Lateral Impingement of the Elbow
Overview
Lateral impingement of the elbow is a condition in which structures on the outer (lateral) side of the elbow become pinched during movement. This can lead to pain, stiffness, and limited range of motion, especially with repetitive use or high-demand activities.
Early evaluation and treatment by an orthopedic specialist can help relieve symptoms, restore function, and prevent progression.
What Is Lateral Impingement of the Elbow?
Lateral Impingement of the Elbow
Lateral impingement occurs when structures within the outer portion of the elbow—often involving the radiocapitellar joint—are compressed or irritated during movement.
This condition may involve:
- Soft tissue inflammation
- Cartilage wear or damage
- Bone spurs (osteophytes)
- Joint surface irritation
Lateral impingement is often seen in individuals who perform repetitive arm motions or activities that place stress on the elbow.
Common Symptoms of Lateral Elbow Impingement
Symptoms may develop gradually and worsen with activity. Common signs include:
- Pain on the outer side of the elbow
- Stiffness or decreased range of motion
- Pain with extension or rotation of the forearm
- Clicking, catching, or locking sensations
- Tenderness over the lateral elbow
If you are experiencing persistent lateral elbow pain, an orthopedic evaluation is recommended.
Causes and Risk Factors
Lateral impingement is typically caused by repetitive stress or structural changes within the joint. Common causes include:
- Repetitive arm or wrist movements
- Overuse from sports or occupational activities
- Previous elbow injuries
- Degenerative changes in the joint
Risk factors may include participation in activities such as tennis, throwing sports, or manual labor.
An orthopedic specialist at UTHealth Houston can evaluate your condition and determine contributing factors.
How Is Lateral Impingement Diagnosed?
Diagnosis begins with a physical examination and a review of symptoms and activity history. Orthopedic providers will assess pain location, joint motion, and function.
Imaging studies may include:
- X-rays to identify bone spurs or joint changes
- MRI to evaluate soft tissue and cartilage
- CT scans in more complex cases
These tests help confirm the diagnosis and guide treatment planning.
Lateral Elbow Impingement Treatment Options
Non-Surgical Treatments
Many patients can manage symptoms with conservative care, including:
- Activity modification
- Rest and anti-inflammatory medications
- Physical therapy to improve strength and flexibility
- Bracing in some cases
Surgical Treatment
Surgery may be recommended if symptoms persist or a mechanical blockage is present.
Surgical options may include:
- Arthroscopic debridement of bone spurs or damaged tissue
- Removal of loose bodies
- Treatment of cartilage damage
The goal of surgery is to relieve impingement, restore motion, and improve function.
When to See an Orthopedic Specialist
You should seek orthopedic care if you experience:
- Persistent pain on the outer side of the elbow
- Limited range of motion
- Catching or locking sensations
- Symptoms that interfere with daily activities
Early evaluation can help prevent progression and improve outcomes.
Expert Orthopedic Care at UTHealth Houston Orthopedics
Our orthopedic hand surgeons can provide comprehensive evaluation and personalized treatment, from conservative care to advanced surgical options. If you’re experiencing wrist pain, hand numbness, or tingling, you can request an appointment (external link) to receive expert care and lasting relief.