title: Lateral epicondylosis and calcific tendonitis in a golfer: a case report and literature review.
abstract: OBJECTIVE
  To detail the progress of a young female amateur golfer who developed chronic left arm pain while playing golf 8 months prior to her first treatment visit.
  
  
  METHODS
  Findings included pain slightly distal to the lateral epicondyle of the elbow, decreased grip strength, and positive orthopedic testing. Diagnostic ultrasound showed thickening of the common extensor tendon origin indicating lateral epicondylosis. Radiographs revealed an oval shaped calcified density in the soft tissue adjacent to the lateral humeral epicondyle, indicating calcific tendonitis of the common extensor tendon origin.
  
  
  RESULTS
  Conventional care was aimed at decreasing the repetitive load on the common extensor tendon, specifically the extensor carpi radialis brevis. Soft tissue techniques, exercises and stretches, and an elbow brace helped to reduce repetitive strain. Outcome measures included subjective pain ratings, and follow up imaging 10 weeks after treatment began.
  
  
  CONCLUSIONS
  A young female amateur golfer with chronic arm pain diagnosed as lateral epicondylosis and calcific tendonitis was relieved of her pain after 7 treatments over 10 weeks of soft tissue and physical therapy focusing specifically on optimal healing and decreasing the repetitive load on the extensor carpi radialis brevis.
authors: Sports Science Resident, Canadian Memorial Chiropractic College, 6100 Leslie St., Toronto, Ontario, M2H 3J1. ; Email:  eyuill@cmcc.ca.
authors: Erik A
authors: EA
authors: Yuill
authors: Grant
authors: G
authors: Lum