Fig. 1.

Patients with medial epicondylitis have pain on resisted flexion and/or pronation. Those patients with more chronic symptoms may exhibit pain with resisted elbow flexion. This manoeuvre, shown in this clinical picture, includes resisted elbow and wrist flexion and resisted pronation, thus, is very sensitive. The patient is asked to take the hand as if to wash their face and the examiner places resistance on the radial border of the hand. Pain on the medial epicondyle is generally reproduced in patients with medial epicondylitis.